[Practice guidelines for cancer pain management. Task Force for Cancer Pain Management].
Cancer pain is a frequent medical problem in our society. This syndrome affects from 80 to 90% of cancer patients and can be solved with relatively simple measures in 90% of the cases. Approximately 40% of cancer patients reported to be unsatisfied with the physician or nurse about their pain management. For these reasons, we gathered a task force in order to generate practice guidelines based on medical evidence and on the opinion of experts in this area. These guidelines were generated by a task force of 31 physicians who were leaders in this field and based on 599 papers selected by a previous literature search. This group evaluated the results of this search in three work sessions, during which a level of evidence was assigned to each recommendation.
Instituto Nacional de Ciencias Médicas y Nutrición Salvaldor Zubirán, Secretaría de Salud, Unidad de Medicina de Alta Especialidad Magdalena de las Salinas, Instituto Mexicano del Seguro Social, México. uriahguevara@yahoo.com.mx
Guevara-López
Uriah
U
Govarrubias-Gómez
Alfredo
A
Ochoa-Carrillo
Francisco J
FJ
Fernández-Orozco
Armando
A
Bernal-Sahagún
Fernando
F
D000277:Adjuvants, Pharmaceutic / Q000008:administration & dosage / Q000627:therapeutic use; D000698:Analgesia / Q000379:methods* / Q000592:standards; D015360:Analgesia, Epidural; D000700:Analgesics / Q000008:administration & dosage / Q000145:classification / Q000627:therapeutic use*; D003131:Combined Modality Therapy; D019468:Disease Management; D004333:Drug Administration Routes; D019317:Evidence-Based Medicine; D006801:Humans; D015918:Infusion Pumps, Implantable; D007276:Injections, Intraventricular; D009369:Neoplasms / Q000503:physiopathology*; D009407:Nerve Block; D010146:Pain / Q000188:drug therapy / Q000209:etiology / Q000523:psychology / Q000532:radiotherapy / Q000601:surgery; D059408:Pain Management; D018579:Patient Selection; D010810:Physical and Rehabilitation Medicine / Q000379:methods
D000277:Adjuvants, Pharmaceutic; D000700:Analgesics