[Latest pain management for painful bony metastases].
Pain management for painful bony metastases is the most important problem for symptom relief of terminally-ill cancer patients. Pathological fractures often decrease the activity of daily life (ADL) of patients, and cause deterioration of the quality of life (QOL) and prognosis. Basically pharmacological therapies of the World Health Organization (WHO) method are essential for symptom relief from cancer pain. This article provides the latest pain managements (palliative irradiation, bisphosphonate, orthopedic surgery, percutaneous vertebroplasty and radiopharmaceutical therapy) of bony metastases, and mentions the indications and the problems of these interventions. In consideration to prognosis, the QOL and patient's needs, medical staffs have to perform multidisciplinary approach for providing suitable palliative care.
Ikenaga
Masayuki
M
Yodogawa Christian Hospital, Hospice.
D001859:Bone Neoplasms / Q000150:complications / Q000556:secondary* / Q000628:therapy; D001842:Bone and Bones / Q000601:surgery; D001918:Brachytherapy; D004164:Diphosphonates / Q000008:administration & dosage; D019583:Dose Fractionation, Radiation; D006801:Humans; D019637:Orthopedic Procedures; D010146:Pain / Q000209:etiology*; D059408:Pain Management; D010166:Palliative Care; D011878:Radiotherapy; D013326:Strontium Radioisotopes / Q000627:therapeutic use
D004164:Diphosphonates; D013326:Strontium Radioisotopes