Chronic pain management in cancer survivors.
The problem of pain in cancer survivors is attracting increased attention. Although comprehensive information about the prevalence of persistent pain in the cancer survivor population is currently lacking, it is known to depend on the type of cancer, comorbid conditions, and the initial pain management. Epidemiologic studies generally categorize pain in patients with cancer as either pain directly caused by the neoplastic process or related phenomena, pain occurring as a complication of anticancer treatment, or pain unrelated to the neoplastic process, caused by debility or concurrent disorders. This article focuses on pain syndromes in cancer survivors and the safe use of opioid therapy in this population when its ongoing use is part of the pain management plan. The use of physical therapy, rehabilitation therapy, and cognitive behavioral therapy, which are all extremely important aspects of pain management in the cancer survivor, are briefly mentioned.
Moryl
Natalie
N
Memorial Sloan-Kettering Cancer Center, New York, New York 10045, USA. moryln@mskcc.org
Coyle
Nessa
N
Essandoh
Samuel
S
Glare
Paul
P
D000701:Analgesics, Opioid / Q000627:therapeutic use*; D002908:Chronic Disease; D015928:Cognitive Behavioral Therapy; D005081:Exercise Therapy; D006801:Humans; D009369:Neoplasms / Q000150:complications* / Q000523:psychology; D010146:Pain / Q000209:etiology; D059408:Pain Management; D017741:Survivors
D000701:Analgesics, Opioid