Daud María Laura, Simone Gustavo G De
Instituto Pallium Latinoamérica, Av Caseros 2061, Ciudad Autónoma de Buenos Aires C1264, Argentina.
Facultad de Medicina de la Universidad del Salvador, Av Córdoba1601, Ciudad Autónoma de Buenos Aires C1055AAG, Argentina.
Ecancermedicalscience. 2024 Dec 12;18:1821. doi: 10.3332/ecancer.2024.1821. eCollection 2024.
Pain is one of the most detrimental symptoms exhibited by cancer patients, being an indication for opioid therapy in up to half of the patients receiving chemotherapy and even more for those with advanced cancer. This article aims to briefly overview current knowledge on cancer-related pain with a focus on assessment and new approaches and trends. We will also provide some insight on the lower- and middle-income countries context.
A narrative review of the literature was conducted including relevant guidelines and recommendations from scientific societies and WHO.
Data on the approach and assessment of cancer pain as well as current and novel approaches have been displayed with the help of tables and figures.
Since the initial recommendations of the WHO analgesic ladder method, new insights have emerged. Scientific progress reaches its maximum social sense when populations and governments prioritise the value of relief and compassion, and concrete actions are implemented with the aim of relieving cancer pain.
疼痛是癌症患者表现出的最有害的症状之一，在接受化疗的患者中，高达一半的患者以此作为阿片类药物治疗的指征，而对于晚期癌症患者，这一比例更高。本文旨在简要概述目前关于癌症相关疼痛的知识，重点关注评估以及新方法和新趋势。我们还将对低收入和中等收入国家的情况提供一些见解。
对文献进行了叙述性综述，包括科学协会和世界卫生组织的相关指南和建议。
关于癌症疼痛的处理和评估的数据以及当前和新颖的方法已借助表格和图表展示。
自从世界卫生组织镇痛阶梯方法的最初建议以来，已出现了新的见解。当民众和政府将缓解和同情的价值置于优先地位，并为缓解癌症疼痛而采取具体行动时，科学进步才能发挥其最大的社会意义。
