Chatterjee Aparna, Thota Raghu S, Ramanjulu Raghavendra, Ahmed Arif, Bhattacharya Dipasri, Salins Naveen, Jain Parmanand, Bhatnagar Sushma
Department of Anaesthesiology, Critical Care and Pain, Homi Bhabha National Institute, Tata Memorial Centre, Mumbai, Maharashtra, India.
Department of Pain and Palliative Care, Cytecare Hospital, Bengaluru, Karnataka, India.
Indian J Palliat Care. 2020 Apr-Jun;26(2):164-172. doi: 10.4103/0973-1075.285691.
The Indian Society for Study of Pain (ISSP), Cancer Pain Special Interest Group (SIG) guidelines, for the diagnosis and assessment of cancer pain in adults provide a structured, step-wise approach which will help to improve the management of cancer pain and to provide the patients with a minimally acceptable quality of life. The guidelines have been developed based on the available literature and evidence, to suit the needs of patient population and situations in India. A questionnaire based on the key elements of each sub draft addressing certain inconclusive areas where evidence was lacking, was made available on the ISSP website and circulated by E-mail to all the ISSP and Indian Association of Palliative Care (IAPC) members. We recommend that a comprehensive pain assessment of all the patients should be conducted before initiating treatment. The patients should be educated about all the available pain control interventions. For assessing cancer pain, unidimensional tools such as Numeric Rating Scale, Visual Analog Scale, and Visual Rating Scale should always be used routinely. Patients with cancer pain should routinely be screened for distress and other psychological disorders, using the Patient Health Questionnaire-9. The most reliable assessment of pain is patients' self-reporting.
印度疼痛研究协会（ISSP）癌症疼痛特别兴趣小组（SIG）关于成人癌症疼痛诊断和评估的指南提供了一种结构化的、循序渐进的方法，这将有助于改善癌症疼痛的管理，并为患者提供最低可接受的生活质量。这些指南是根据现有文献和证据制定的，以适应印度患者群体的需求和情况。一份基于每个子草案关键要素的问卷被发布在ISSP网站上，并通过电子邮件分发给所有ISSP和印度姑息治疗协会（IAPC）成员，该问卷针对某些缺乏证据的不确定领域。我们建议在开始治疗前对所有患者进行全面的疼痛评估。应让患者了解所有可用的疼痛控制干预措施。为评估癌症疼痛，应常规使用单维工具，如数字评分量表、视觉模拟量表和视觉评定量表。应使用患者健康问卷-9对癌症疼痛患者常规筛查痛苦和其他心理障碍。对疼痛最可靠的评估是患者的自我报告。
