Department of Anaesthesia, Mater Misericordiae University Hospital, Level 4, Whitty Building, Eccles Street, Dublin, D07 R2WY, Ireland.
Curr Oncol Rep. 2019 Nov 14;21(11):100. doi: 10.1007/s11912-019-0854-7.
This paper aims to give the specialist and non-specialist alike an overview of the considerations involved in the management of cancer-related pain in the older population.
Comprehensive guidelines on cancer pain management have been published recently by expert bodies. Cancer pain differs in many respects to other pain conditions and we are likely to encounter it more frequently in older patients in the future. The elderly are more sensitive to the effects of many analgesic medications. The elderly patient with cancer pain presents a unique challenge to the treating physician. The biological effects of ageing impact on the efficacy of many pain management strategies as well as its diagnosis and assessment. Treatment options can be broadly divided into pharmacological, non-pharmacological and interventional. A multidisciplinary approach and frequent re-assessment are essential in achieving favourable outcomes in this patient group.
本文旨在为专业人士和非专业人士提供老年人癌症相关疼痛管理中需要考虑的问题的概述。
最近，专家机构已经发布了关于癌症疼痛管理的综合指南。癌症疼痛在许多方面与其他疼痛状况不同，我们将来可能会在老年患者中更频繁地遇到这种情况。老年人对许多镇痛药物的作用更为敏感。患有癌症疼痛的老年患者对治疗医生提出了独特的挑战。衰老的生物学效应会影响许多疼痛管理策略的疗效及其诊断和评估。治疗选择可以大致分为药物治疗、非药物治疗和介入治疗。在实现这组患者的良好结果方面，多学科方法和频繁的重新评估是必不可少的。
