Managing Pain in Patients and Survivors: Challenges Within the United States Opioid Crisis

Author:
Judith A. Paice
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 PhD, RN
Volume/Issue:
Volume 17: Issue 5.5
Online Publication Date:
May 2019
DOI:
https://doi.org/10.6004/jnccn.2019.5010
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Advances in cancer treatment have led to a growing number of survivors. At least 40% of those survivors live with chronic pain and need pain control medication. This coincides with an epidemic of opioid misuse and overdose deaths, resulting in restrictive practices that can impact patients who experience severe pain. Oncologists and other healthcare professionals who treat patients with cancer need to balance considerations of opioid misuse with effective pain control and become better educated about risk factors and management of opioids in cancer survivors.

Correspondence: Judith A. Paice, PhD, RN, Division of Hematology/Oncology, Robert H. Lurie Comprehensive Cancer Center of Northwestern University, 676 North St. Clair Street, Suite 850, Chicago, IL 60611. Email: j-paice@northwestern.edu
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Print ISSN:
1540-1405
Online ISSN:
1540-1413
Publisher:
National Comprehensive Cancer Network
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  • 1.

    van den Beuken-van Everdingen MH, Hochstenbach LM, Joosten EA, et al.. Update on prevalence of pain in patients with cancer: systematic review and meta-analysis. J Pain Symptom Manage 2016;51:1070–1090.

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 2.

    Centers for Disease Control and Prevention. CDC WONDER. Current Multiple Cause of Death Data, 1999-2017. Available at: https://wonder.cdc.gov/. Accessed April 9, 2019.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 3.

    May A. African-American, Hispanic deaths by fentanyl overdose rising sharply. USA Today. March 22, 2019. Available at: https://www.usatoday.com/story/news/health/2019/03/22/fentanyl-drug-overdose-deaths-african-americans-hispanics/3243635002/. Accessed March 29, 2019.

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    • Search Google Scholar
    • Export Citation
  • 4.

    Centers for Disease Control and Prevention. CDC Guideline for Prescribing Opioids for Chronic Pain. Available at: https://www.cdc.gov/drugoverdose/prescribing/guideline.html. Accessed April 9, 2019.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 5.

    Hojsted J, Sjogren P. Addiction to opioids in chronic pain patients: a literature review. Eur J Pain 2007;11:490–518.

  • 6.

    Paice JA. Under pressure: the tension between access and abuse of opioids in cancer pain management. J Oncol Pract 2017;13:595–596.

  • 7.

    Paice JA. Cancer pain management and the opioid crisis in America: how to preserve hard-earned gains in improving the quality of cancer pain management. Cancer 2018;124:2491–2497.

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    • Search Google Scholar
    • Export Citation
  • 8.

    Paice JA, Portenoy R, Lacchetti C, et al.. Management of chronic pain in survivors of adult cancers: American Society of Clinical Oncology practice guideline. J Clin Oncol 2016;34:3325–3345.

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Copyright:
Copyright © 2019 by the National Comprehensive Cancer Network 2019
Page Numbers:
4
Article Category:
Research Article
Print Publication Date:
01 May 2019
Online Publication Date:
May 2019

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