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Natalie Moryl, Nessa Coyle, Samuel Essandoh and Paul Glare

U nfortunately, some cancer survivors with chronic cancer-related pain meet significant barriers limiting their access to medications previously determined effective and well-tolerated. An unintended consequence is pain that had been well

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Robert Swarm, Amy Pickar Abernethy, Doralina L. Anghelescu, Costantino Benedetti, Craig D. Blinderman, Barry Boston, Charles Cleeland, Nessa Coyle, Oscar A. deLeon-Casasola, June G. Eilers, Betty Ferrell, Nora A. Janjan, Sloan Beth Karver, Michael H. Levy, Maureen Lynch, Natalie Moryl, Barbara A. Murphy, Suzanne A. Nesbit, Linda Oakes, Eugenie A. Obbens, Judith A. Paice, Michael W. Rabow, Karen L. Syrjala, Susan Urba and Sharon M. Weinstein

Overview Pain, defined as “a sensory and emotional experience associated with actual or potential tissue damage or described in terms of such damage,” 1 is one of the most common symptoms associated with cancer. Cancer pain or cancer

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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

appropriate. All recommendations are category 2A unless otherwise noted. Clinical trials: NCCN believes that the best management for any cancer patient is in a clinical trial. Participation in clinical trials is especially encouraged. Overview Pain

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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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Jana Portnow, Christine Lim and Stuart A. Grossman

None of the authors have received any financial support for this study. References 1 McGrath PJ Hsu E Cappelli M . Pain from pediatric cancer: a survey of an outpatient oncology clinic . J Psychosoc Oncol 1990 ; 8 : 109

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Crystal S. Denlinger, Jennifer A. Ligibel, Madhuri Are, K. Scott Baker, Wendy Demark-Wahnefried, Debra L. Friedman, Mindy Goldman, Lee Jones, Allison King, Grace H. Ku, Elizabeth Kvale, Terry S. Langbaum, Kristin Leonardi-Warren, Mary S. McCabe, Michelle Melisko, Jose G. Montoya, Kathi Mooney, Mary Ann Morgan, Javid J. Moslehi, Tracey O’Connor, Linda Overholser, Electra D. Paskett, Muhammad Raza, Karen L. Syrjala, Susan G. Urba, Mark T. Wakabayashi, Phyllis Zee, Nicole McMillian and Deborah Freedman-Cass

appropriate. All recommendations are category 2A unless otherwise noted. Clinical trials: NCCN believes that the best management for any cancer patient is in a clinical trial. Participation in clinical trials is especially encouraged. Pain in Survivors

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Judith A. Paice

How do you provide good pain control and, at the same time, ensure that our patients are safe?” asked Judith A. Paice, PhD, RN, Director of the Cancer Pain Program, Division of Hematology-Oncology, and Research Professor of Medicine, Feinberg

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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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Judith A. Paice

“ Unrelieved pain is a public health crisis, and opioid misuse and overdose deaths are emergencies. These 2 crises have converged, and unintended consequences of efforts to squelch the opioid crisis have led to challenges in pain management

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

Treatment of chronic pain with opioids is associated with the risk of abuse, misuse, diversion, and addiction. 1 Patients receiving chronic opioid therapy (COT) for malignant or nonmalignant pain should be assessed for risk factors of abuse and