Adult Cancer Pain, Version 3.2019, NCCN Clinical Practice Guidelines in Oncology

Authors:
Robert A. SwarmSiteman Cancer Center at Barnes-Jewish Hospital and Washington University School of Medicine;

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Judith A. PaiceRobert H. Lurie Comprehensive Cancer Center of Northwestern University;

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Doralina L. AnghelescuSt. Jude Children’s Research Hospital/The University of Tennessee Health Science Center;

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Madhuri AreFred & Pamela Buffett Cancer Center;

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Justine Yang BruceUniversity of Wisconsin Carbone Cancer Center;

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Sorin BugaCity of Hope National Medical Center;

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Marcin ChwistekFox Chase Cancer Center;

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Charles CleelandThe University of Texas MD Anderson Cancer Center;

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David CraigMoffitt Cancer Center;

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Ellin GaffordThe Ohio State University Comprehensive Cancer Center - James Cancer Hospital and Solove Research Institute;

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Heather GreenleeFred Hutchinson Cancer Research Center/Seattle Cancer Care Alliance;

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Eric HansenRoswell Park Comprehensive Cancer Center;

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Arif H. KamalDuke Cancer Institute;

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Mihir M. KamdarMassachusetts General Hospital Cancer Center;

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Susan LeGrandCase Comprehensive Cancer Center/University Hospitals Seidman Cancer Center and Cleveland Clinic Taussig Cancer Institute;

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Sean MackeyStanford Cancer Institute;

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M. Rachel McDowellVanderbilt-Ingram Cancer Center;

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Natalie MorylMemorial Sloan Kettering Cancer Center;

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Lisle M. NabellO’Neal Comprehensive Cancer Center at UAB;

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Suzanne Nesbit
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BCPSThe Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins;

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Nina O’ConnorAbramson Cancer Center at the University of Pennsylvania;

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Michael W. RabowUCSF Helen Diller Family Comprehensive Cancer Center;

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Elizabeth RickersonDana-Farber/Brigham and Women’s Cancer Center;

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Rebecca ShatskyUC San Diego Moores Cancer Center;

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Jill SindtHuntsman Cancer Institute at the University of Utah;

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Susan G. UrbaUniversity of Michigan Rogel Cancer Center;

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Jeanie M. YoungwerthUniversity of Colorado Cancer Center; and

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Lydia J. HammondNational Comprehensive Cancer Network

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Lisa A. GurskiNational Comprehensive Cancer Network

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In recent years, the NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines) for Adult Cancer Pain have undergone substantial revisions focusing on the appropriate and safe prescription of opioid analgesics, optimization of nonopioid analgesics and adjuvant medications, and integration of nonpharmacologic methods of cancer pain management. This selection highlights some of these changes, covering topics on management of adult cancer pain including pharmacologic interventions, nonpharmacologic interventions, and treatment of specific cancer pain syndromes. The complete version of the NCCN Guidelines for Adult Cancer Pain addresses additional aspects of this topic, including pathophysiologic classification of cancer pain syndromes, comprehensive pain assessment, management of pain crisis, ongoing care for cancer pain, pain in cancer survivors, and specialty consultations.

Individual Disclosures for the NCCN Adult Cancer Pain Panel

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