[2003 clinical practice guideline: Standards, Options and Recommendations for pain assessment in adult and children with cancer (summary report)].
BACKGROUND
The "Standards, Options and Recommendations" (SOR) project, which started in 1993, is a collaboration between the French Federation of Cancer Centers (FNCLCC), the 20 French Regional Cancer Centers, and specialists from French public universities, general hospitals and private clinics. The main objective is the development of clinical practice guidelines to improve the quality of health care and the outcome of cancer patients.


OBJECTIVE
To update clinical practice guidelines for the assessment of pain in adult or children with cancer in collaboration with the French society for pain study and treatment.


METHODS
The methodology is based on a literature review and critical appraisal by a multidisciplinary group of experts who define the CPGs according to the definitions of the Standards, Options and Recommendations project. Once the guideline has been defined, the document is submitted for review by independent reviewers.


RESULTS
This article is a summary version of the full document presenting the clinical practice guidelines with algorithms. The main recommendations concern the means used to evaluate pain and its consequences and their use in specific cases (acute or chronic pain, patients able to communicate or not, children under or over 6 years old). Others recommendations were also established concerning the evaluation ofpsychological, social and family context, the evaluation of pain in hospital or at home, in terminal phase patients and for the establishment of a therapeutic strategy and follow-up of patient with pain.
Delorme
Thierry
T
Médecine des centres, Institut Curie, Paris.
Wood
Chantal
C
Bartaillard
Anne
A
Pichard
Evelyne
E
Dauchy
Sarah
S
Orbach
Daniel
D
Alibeu
Jean-Pierre
JP
Ricard
Christine
C
Suc
Agnès
A
Boureau
François
F
Roiusmans
Sophie
S
Patte
Régis
R
Vullemin
Nicole
N
Torloting
Gérard
G
Larue
François
F
Lassauniere
Jean-Michel
JM
Collin
Elisabeth
E
D000367:Age Factors; D002648:Child; D002675:Child, Preschool; D002908:Chronic Disease; D005602:France; D006801:Humans; D007223:Infant; D009369:Neoplasms / Q000150:complications* / Q000523:psychology; D010146:Pain / Q000209:etiology / Q000523:psychology; D059408:Pain Management; D013727:Terminal Care