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本文引用的文献

1
Increases from 2002 to 2015 in prescription opioid overdose deaths in combination with other substances.2002年至2015年期间，处方阿片类药物与其他物质联用导致的过量用药死亡人数有所增加。
Drug Alcohol Depend. 2017 Sep 1;178:501-511. doi: 10.1016/j.drugalcdep.2017.05.047. Epub 2017 Jul 4.
2
Gabapentin for chronic neuropathic pain in adults.加巴喷丁用于治疗成人慢性神经性疼痛。
Cochrane Database Syst Rev. 2017 Jun 9;6(6):CD007938. doi: 10.1002/14651858.CD007938.pub4.
3
What do providers want to know about opioid prescribing? A qualitative analysis of their questions.医疗服务提供者想要了解关于阿片类药物处方的哪些信息？对他们所提问题的定性分析。
Subst Abus. 2017 Apr-Jun;38(2):222-229. doi: 10.1080/08897077.2017.1296525. Epub 2017 Apr 10.
4
Providing chronic pain management in the "Fifth Vital Sign" Era: Historical and treatment perspectives on a modern-day medical dilemma.在“第五生命体征”时代提供慢性疼痛管理：对现代医学困境的历史与治疗视角
Drug Alcohol Depend. 2017 Apr 1;173 Suppl 1(Suppl 1):S11-S21. doi: 10.1016/j.drugalcdep.2016.12.002.
5
State of the evidence: Cannabinoids and cancer pain-A systematic review.证据状况：大麻素与癌痛——一项系统评价
J Am Assoc Nurse Pract. 2017 Feb;29(2):94-103. doi: 10.1002/2327-6924.12422. Epub 2016 Nov 10.
6
Improving Residents' Safe Opioid Prescribing for Chronic Pain Using an Objective Structured Clinical Examination.使用客观结构化临床考试提高住院医师对慢性疼痛的安全阿片类药物处方能力。
J Grad Med Educ. 2016 Jul;8(3):390-7. doi: 10.4300/JGME-D-15-00273.1.
7
Evidence for Neurotoxicity Due to Morphine or Hydromorphone Use in Renal Impairment: A Systematic Review.肾功能损害患者使用吗啡或氢吗啡酮导致神经毒性的证据：一项系统评价。
J Palliat Med. 2016 Nov;19(11):1179-1187. doi: 10.1089/jpm.2016.0101. Epub 2016 Jul 11.
8
Characteristics of breakthrough cancer pain and its influence on quality of life in an international cohort of patients with cancer.国际癌症患者队列中爆发性癌痛的特征及其对生活质量的影响
BMJ Support Palliat Care. 2016 Sep;6(3):344-52. doi: 10.1136/bmjspcare-2015-000887. Epub 2016 Jun 24.
9
Racial bias in pain assessment and treatment recommendations, and false beliefs about biological differences between blacks and whites.疼痛评估与治疗建议中的种族偏见，以及对黑人和白人之间生物学差异的错误认知。
Proc Natl Acad Sci U S A. 2016 Apr 19;113(16):4296-301. doi: 10.1073/pnas.1516047113. Epub 2016 Apr 4.
10
Zero Pain Is Not the Goal.无痛并非目标。
JAMA. 2016 Apr 19;315(15):1575-7. doi: 10.1001/jama.2016.1912.

癌症患者的最佳疼痛管理：现代医学的视角。

Optimal pain management for patients with cancer in the modern era.

机构信息

Assistant Professor, Brookdale Department of Geriatrics and Palliative Care, Icahn School of Medicine at Mount Sinai, New York, NY.

Associate Professor of Medicine, Division of Hematology and Medical Oncology, Brookdale Department of Geriatrics and Palliative Care, Icahn School of Medicine at Mount Sinai, New York, NY.

出版信息

CA Cancer J Clin. 2018 May;68(3):182-196. doi: 10.3322/caac.21453. Epub 2018 Mar 30.

DOI:10.3322/caac.21453
PMID:29603142
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5980731/
Abstract

Pain is a common symptom among patients with cancer. Adequate pain assessment and management are critical to improve the quality of life and health outcomes in this population. In this review, the authors provide a framework for safely and effectively managing cancer-related pain by summarizing the evidence for the importance of controlling pain, the barriers to adequate pain management, strategies to assess and manage cancer-related pain, how to manage pain in patients at risk of substance use disorder, and considerations when managing pain in a survivorship population. CA Cancer J Clin 2018;68:182-196. © 2018 American Cancer Society.

摘要

疼痛是癌症患者的常见症状。充分评估和管理疼痛对于改善这一人群的生活质量和健康结果至关重要。在这篇综述中，作者通过总结控制疼痛的重要性、充分管理疼痛的障碍、评估和管理癌症相关疼痛的策略、如何管理有物质使用障碍风险的患者的疼痛以及在生存者人群中管理疼痛时的注意事项，为安全有效地管理癌症相关疼痛提供了一个框架。CA Cancer J Clin 2018;68:182-196。©2018 美国癌症协会。