Bruera E, Watanabe S
Palliative Care Program, Edmonton General Hospital, Alberta, Canada.
Support Care Cancer. 1994 Sep;2(5):312-8. doi: 10.1007/BF00365585.
Pain occurs in more than 80% of cancer patients before death. During recent years major progress has taken place in our techniques for the adequate assessment of cancer pain. Major prognostic factors associated with the pain syndrome have been recognized. In addition, other prognostic factors associated with the characteristics of the patient have been defined. Valid tools have been developed that allow for the assessment of most of the prognostic variables associated with analgesic response. During recent years a major effort has been made to integrate the pain syndrome within the other complex symptoms that are often present in patients with advanced cancer. The interaction of pain and analgesic treatment with other symptoms and their management is discussed. Finally, areas where future research should focus in the area of the diagnosis and assessment of pain are discussed.
超过80%的癌症患者在死亡前会出现疼痛。近年来，我们在充分评估癌症疼痛的技术方面取得了重大进展。与疼痛综合征相关的主要预后因素已得到确认。此外，还确定了与患者特征相关的其他预后因素。已经开发出有效的工具，可用于评估与镇痛反应相关的大多数预后变量。近年来，人们做出了重大努力，将疼痛综合征纳入晚期癌症患者常出现的其他复杂症状之中。文中讨论了疼痛和镇痛治疗与其他症状及其管理之间的相互作用。最后，还讨论了未来疼痛诊断和评估领域的研究应重点关注的方面。
