Journal of Digestive Cancer Research

  • 제2권2호
  • /
  • Pages.56-63
  • /
  • 2014
  • /
  • 2950-9394(pISSN)
  • /
  • 2950-9505(eISSN)
대한소화기암연구학회 (Korean Society of Gastrointestinal Cancer Research)
권호 표지

암성 통증의 관리

Practical Management of Cancer Pain

  • 장진석 (동아대학교 의과대학 내과학교실)
  • Jin Seok Jang (Division of Gastroenterology, Department of Internal Medicine, Dong-A university College of Medicine)
  • 투고 : 2014.12.26
  • 심사 : 2014.12.29
  • 발행 : 2014.12.31
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Cancer pain is one of the most serious undesirable and unsolved complications for the cancer patients. Despite significant improvements in the management of cancer pain through past decades, it is still perceived as insufficient. Effective management of pain starts on a comprehensive assessment to identify the origin and characteristics of the pain. Then, appropriate multidisciplinary medical and surgical interventions could provide optimal treatments. With intensive attentions, complete or partial pain relief with tolerable side effects of the medication will be obtained and it will improve the quality of life of cancer patients.

키워드

참고문헌

  1. Ministry of Health & Welfare. Cancer pain management guideline. 5th ed. Seoul: Ministry of Health & Welfare; 2012.
  2. Park JM. Cancer pain. In: Korean Society of Anesthesiologists. Anesthesiology & pain medicine. 2nd ed. Seoul: Ryo Moon Gak; 2010. p. 379-398.
  3. de Rond M, de Wit R, van Dam F, et al. Daily pain assessment: value for nurses and patients. Journal of advanced nursing 1999;29:436-444.
  4. World Health Organization. Cancer pain relief, 2nd, World Health Organization, Geneva 1996.
  5. Meuser T, Pietruck C, Radbruch L, Stute P, Lehmann KA, Grond S. Symptoms during cancer pain treatment following WHO-guidelines: a longitudinal follow-up study of symptom prevalence, severity and etiology. Pain 2001;93:247-257.
  6. Zwakhalen SM, Hamers JP, Abu-Saad HH, Berger MP. Pain in elderly people with severe dementia: a systematic review of behavioural pain assessment tools. BMC geriatrics 2006;6:3.
  7. Portenoy RK. Adjuvant analgesics in pain management. In: Textbook of Palliative Medicine, 4th, Hanks G, Cherney NI, Christakes N, Fallon M, Kaasa S, Portenoy RK (Eds), Oxford University Press, Oxford 2010. p.361.
  8. Tassinari D, Drudi F, Carloni F, Possenti C, Santelmo C, Caste-llani C. Neuropathic pain in oncology. Novel evidence for clinical practice. Recenti Prog Med 2011;102:220-227.
  9. Hjermstad MJ, Gibbins J, Haugen DF, et al. Pain assessment tools in palliative care: an urgent need for consensus. Palliative medicine 2008;22:895-903.
  10. Jensen MP. The validity and reliability of pain measures in adults with cancer. The journal of pain: official journal of the American Pain Society 2003;4:2-21.
  11. Kaasa S. Palliative care research: time to intensify international collaboration. Palliative medicine 2008;22:301-302.
  12. Mercadante SL, Berchovich M, Casuccio A, Fulfaro F, Mangione S. A prospective randomized study of corticosteroids as adjuvant drugs to opioids in advanced cancer patients. Am J Hosp Palliat Care 2007;24:13-19.
  13. Portenoy RK. Treatment of cancer pain. Lancet 2011;377:2236-2247.
  14. Bennett MI. Effectiveness of antiepileptic or antidepressant drugs when added to opioids for cancer pain: systemic review. Palliat Med 2011;25:553.
  15. Vasudev NS, Brown JE. Medical management of metastatic bone disease. Curr Opin Support Palliat Care 2010;4:189-194.
  16. Patrick DL, Ferketich SL, Frame PS, et al. National Institutes of Health State-of-the-Science Conference Statement: Symptom management in cancer: pain, depression, and fatigue, July 15-17, 2002. Journal of the National Cancer Institute Monographs 2004:9-16.
  17. Cleeland CS, Gonin R, Hatfield AK, et al. Pain and its treatment in outpatients with metastatic cancer. The New England journal of medicine 1994;330:592-596.