Author | Sharon M. Weinstein, MD, FAAHPM

Articles

Management of Pain

June 01, 2015

Most patients with advanced cancer, and up to 60% of patients with any stage of the disease, experience significant pain. The WHO estimates that 25% of all cancer patients die with unrelieved pain.

Neuropathic Pain Resulting From Pelvic Masses

November 15, 2013

Cancer patients can expect to suffer pain, particularly in the advanced stages of the disease. Optimal pain control is an essential part of cancer management from the time of diagnosis, as pain can interfere with cancer therapy, limits patient function, and negatively impacts quality of life.

Controlling Cancer Pain: Much Progress, Barriers Remain

September 01, 2007

Approximately 60% of cancer patients experience pain, and 25% to 30% have severe pain. With some cancers, opioids will be needed before chemotherapy begins and may be more frequently prescribed than chemotherapy. Given the frequency with which pain management is necessary in cancer patients, all oncologists should be familiar with opioid prescribing principles. This article reviews the World Health Organization recommendations for analgesic therapy in this setting, as well as guidelines for opioid therapy in patients with renal failure or hepatic failure, assessment of pain, dosing strategies in both acute and chronic pain, management of opioid overdose, pain associated with dose-limiting side effects, and pain in the actively dying.

Management of Cancer Pain

April 02, 2005

The public fear that cancer is inevitably painful [1] is warranted: The majority of patients with advanced cancer and up to 60% of patients with any stage of disease will experience significant pain. The World Health Organization has estimated that 25% of all cancer patients die with unrelieved pain [2].