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Robert A. Swarm

of Pain Management at Siteman Cancer Center at Barnes-Jewish Hospital and Washington University School of Medicine and Chair of the NCCN Panel on Adult Cancer Pain. The key current goals for controlling cancer pain are to 1) fully integrate symptom

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NCCN Collaborates to Alleviate Adult Cancer Pain in China Approximately 70% of patients with cancer require pain therapy during the course of their disease, making pain management a significant and overarching aspect of oncology care. Dr

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Robert A. Swarm, Amy Pickar Abernethy, Doralina L. Anghelescu, Costantino Benedetti, Sorin Buga, Charles Cleeland, Oscar A. deLeon-Casasola, June G. Eilers, Betty Ferrell, Mark Green, Nora A. Janjan, Mihir M. Kamdar, Michael H. Levy, Maureen Lynch, Rachel M. McDowell, Natalie Moryl, Suzanne A. Nesbit, Judith A. Paice, Michael W. Rabow, Karen L. Syrjala, Susan G. Urba, Sharon M. Weinstein, Mary Dwyer and Rashmi Kumar

cancer pain is considerably more complex than this 3-tiered “cancer pain ladder” suggests. These guidelines are unique in several important ways. First, they list the principles of pain management: Pain management is essential for maximizing patient

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Robert A. Swarm and Maria Dans

Palliative Care are designed to help expand patient access to pain management and palliative care globally and to improve care in low-resource settings. NCCN Guidelines document evidence-based, consensus-driven management to ensure that all patients receive

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NCCN Guidelines Insights: Survivorship, Version 2.2019

Featured Updates to the NCCN Guidelines

Tara Sanft, Crystal S. Denlinger, Saro Armenian, K. Scott Baker, Gregory Broderick, Wendy Demark-Wahnefried, Debra L. Friedman, Mindy Goldman, Melissa Hudson, Nazanin Khakpour, Divya Koura, Robin M. Lally, Terry S. Langbaum, Allison L. McDonough, Michelle Melisko, Kathi Mooney, Halle C.F. Moore, Javid J. Moslehi, Tracey O’Connor, Linda Overholser, Electra D. Paskett, Lindsay Peterson, William Pirl, M. Alma Rodriguez, Kathryn J. Ruddy, Sophia Smith, Karen L. Syrjala, Amye Tevaarwerk, Susan G. Urba, Phyllis Zee, Nicole R. McMillian and Deborah A. Freedman-Cass

an overall poor quality of life. 39 – 43 However, pain in survivors is often ineffectively managed. 44 , 45 Barriers to optimal pain management in cancer survivors include healthcare providers’ lack of training, fear of side effects and addiction

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Augusto Caraceni, Andrew Davies, Philippe Poulain, Hernán Cortés-Funes, Sunil J. Panchal and Guido Fanelli

Adequate Pain Management: A Fundamental Human Right Recognition of the prevalence and impact of pain has spread to policymakers and health care providers worldwide. In 2010, the first International Pain Summit was held in conjunction with the

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Robert A. Swarm, Judith A. Paice, Doralina L. Anghelescu, Madhuri Are, Justine Yang Bruce, Sorin Buga, Marcin Chwistek, Charles Cleeland, David Craig, Ellin Gafford, Heather Greenlee, Eric Hansen, Arif H. Kamal, Mihir M. Kamdar, Susan LeGrand, Sean Mackey, M. Rachel McDowell, Natalie Moryl, Lisle M. Nabell, Suzanne Nesbit, BCPS, Nina O’Connor, Michael W. Rabow, Elizabeth Rickerson, Rebecca Shatsky, Jill Sindt, Susan G. Urba, Jeanie M. Youngwerth, Lydia J. Hammond and Lisa A. Gurski

activities, motivation, interactions with family and friends, and overall quality of life. 3 Evidence is mounting in oncology that quality of life and survival are linked to early and effective palliative care, including pain management. 4 – 9 Although

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Doralina L. Anghelescu, Jennifer Harman Ehrentraut and Lane G. Faughnan

behaviors and abnormal UDT. 29 St. Jude Experience The authors describe the experience of their cancer center pain service in treating 38 young adults (age range, 16-29 years; median 19 years) referred for chronic pain management and expected to

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Praveen Adusumilli, Vidya Viswanath and Raghunadha Rao Digumarthi

%, no relief by 6.1%, and worsening by <1%. Conclusion: Pain management is near ideal with the availability of services of pain and palliative care specialist in a cancer center.

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Jimmie C. Holland, Brian J. Kelly and Mark I. Weinberger

repeated as clinically indicated as part of routine care. Learning from the success of pain management, the panel suggested using a 0 to 10 scale in the form of a Distress Thermometer (DT) to allow patients to indicate their level of distress, either