Substance Abuse and Addiction: Implications for Pain Management in Patients With Cancer .
Substance use disorders (SUDs) are chronic diseases that may complicate the nursing care of patients with cancer, affecting their ability to adhere to treatment protocols, responses to cancer pain, and use of opioids for analgesia.



This article explores how the presence of an SUD may affect oncology nursing care and pain management.



The PubMed and CINAHL® databases were searched for articles from 1980-2016 using the keywords cancer, cancer pain, addiction, substance abuse, and alcoholism. .



SUD is a common comorbidity in patients with cancer that may play a role in disease etiology. Practice guidelines are suggested for the assessment and management of addiction to improve overall outcomes for patients. Effective treatments for SUDs and cancer pain exist, and recovery can lead to improvements in multiple aspects of patients' lives.
University of Pennsylvania
Peggy
P
Compton
State University of New York at Buffalo.
Yu-Ping
YP
Chang
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000701:Analgesics, Opioid / Q000009:adverse effects* / Q000627:therapeutic use*; D000970:Antineoplastic Agents / Q000627:therapeutic use*; D002908:Chronic Disease / Q000453:epidemiology; D015897:Comorbidity; D004509:Education, Nursing, Continuing; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000188:drug therapy*; D010146:Pain / Q000188:drug therapy*; D059408:Pain Management / Q000379:methods; D019966:Substance-Related Disorders / Q000188:drug therapy* / Q000453:epidemiology / Q000209:etiology*; D016896:Treatment Outcome; D014481:United States / Q000453:epidemiology
D000701:Analgesics, Opioid; D000970:Antineoplastic Agents
abuse; addiction ; opioids; pain; substance use disorder