Latin-American guidelines for cancer pain management

Author:

Lara-Solares Argelia1,Ahumada Olea Marisol2,Basantes Pinos Amparito de los Ángeles3,Bistre Cohén Sara4,Bonilla Sierra Patricia5,Duarte Juárez Eva Rossina6,Símon Escudero Omar A7,Santacruz Escudero Juan Guillermo8,Flores Cantisani José Alberto9

Affiliation:

1. Department of Pain Medicine & Palliative Care, Instituto Nacional de Ciencias Médicas y Nutrición ‘Salvador Zubirán’, Mexico City, Mexico

2. CR Alivio Dolor & CP INCANCER, Asociación Chilena para el Estudio del Dolor (ACHED), Asociación Latino Americana de Cuidados Paliativos (ALCP), Santiago de Chile, Chile

3. Departmentof Oncology, Hospital Metropolitano, Quito, Ecuador

4. Health Science, Universidad Anáhuac del Norte, Mexico, DF, Mexico

5. Pain & Palliative Service, Instituto Medico La Floresta, Caracas, Venezuela

6. Palliative Care & Symptoms Control Service, Institutode Cancerología, Palliative Medicine Unit, Hospital ‘Nuestra Señora del Pilar’, GuatemalaCity, Guatemala

7. Department of Oncolgy, Surgical Oncology Service, Hospital Nacional ‘Daniel Alcides Carrión’, Cancer Pain Therapy and Palliative Care, ADAMO (Atención Ambulatoria del Adulto Mayor y Paciente Oncológico), Dirección Regional de Salud (DIRESA) Callao, Lima, Perú

8. Pain & Palliative Service, Hospital Universitario Fundación Santa Fe. Bogotá, Colombia

9. Programa Regional de Cuidados Paliativos, Unidad Médica de Alta Especialidad No. 25, IMSS, Monterrey NL, México

Abstract

Cancer is a major public health issue. Poor pain management has devastating consequences that seriously affect quality of life, diminish functionality and place a huge emotional burden on patients and their relatives. A group of Latin American opinion leaders were invited to participate in a meeting to discuss areas associated with cancer pain. The expert panel reviewed the latest literature to draft region-specific guidelines for effective pain management. The guidelines make recommendations on tailoring treatment to the specific type of pain and provide local physicians with the state-of-the art findings in the field. Management should be with pharmacological approaches (nonopioid, adjuvant and opioid analgesics, as well as oncologic therapies and interventional procedures) and nonpharmacological approaches.

Publisher

Future Medicine Ltd

Subject

General Medicine

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