McGill University, Montreal, Canada.
Institute of Pain Medicine, Department of Anesthesia and Critical Care Medicine, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.
Support Care Cancer. 2018 Jul;26(7):2453-2457. doi: 10.1007/s00520-018-4085-5. Epub 2018 Feb 10.
Cancer pain is a multi-dimensional experience, varies from person to person both physically and psycho-socially, and impacts all aspects of the patients' quality of life. Majority of patients with an advanced or metastatic cancer will experience pain. It is estimated that as many as half of cancer patients are under-treated and as many as 20% experience pain refractory to the conventional WHO ladder of pain management. The McGill University Health Centre (MUHC) Cancer Pain Clinic (CPC) was created to meet the needs of those patients with a diagnosis of cancer whose pain had become a main symptom and those who failed to respond to conventional treatment. The clinic offers a unique interdisciplinary approach with a core team that includes an anesthesiologist, a palliative care physician, a radiation oncologist, a nurse clinician specialist in oncology and palliative care, and, recently, also an interventional radiologist. A cancer pain clinical fellowship was offered for the first time in July 2016. It provides intense training in the classification, epidemiology, pathophysiology, and treatment of cancer pain. Through our education program, the fellow learns to appreciate, weigh, and respond to the full spectrum of factors influencing a specific patient's condition and to develop a tailor-made care plan. To our knowledge, it is the only fellowship program in existence that focuses exclusively on cancer pain. We see it as a beacon and hope that our graduate fellows become professional leaders with a quest not only to provide the best possible care but also to raise awareness of the humanitarian need to control cancer pain.
癌症疼痛是一种多维体验，在身体和心理社会方面因人而异，影响患者生活质量的各个方面。大多数晚期或转移性癌症患者都会经历疼痛。据估计，多达一半的癌症患者治疗不足，多达 20%的患者经历疼痛对世界卫生组织常规疼痛管理阶梯无效。麦吉尔大学健康中心（MUHC）癌症疼痛诊所（CPC）的成立是为了满足那些癌症诊断为主要症状且对常规治疗无反应的患者的需求。该诊所提供独特的跨学科方法，核心团队包括麻醉师、姑息治疗医生、放射肿瘤学家、肿瘤和姑息治疗护理临床护士专家，以及最近的介入放射学家。2016 年 7 月首次提供癌症疼痛临床奖学金。它提供癌症疼痛的分类、流行病学、病理生理学和治疗方面的强化培训。通过我们的教育计划，研究员学会欣赏、权衡和应对影响特定患者病情的各种因素，并制定量身定制的护理计划。据我们所知，这是唯一专注于癌症疼痛的奖学金项目。我们认为这是一个灯塔，希望我们的研究生研究员成为专业领导者，不仅要提供最好的护理，还要提高人们对控制癌症疼痛的人道主义需求的认识。
