Treatment of cancer pain: Spanish Society of Medical Oncology (SEOM) recommendations for clinical practice

Clin Transl Oncol. 2012 Jul;14(7):499-504. doi: 10.1007/s12094-012-0831-1.

Abstract

Cancer pain should be controlled in most patients, however this is not always achieved. These guidelines describe the classification, evaluation and treatment of chronic cancer pain in accordance with the WHO treatment strategy of pain stages: mild, moderate and severe. For treatment during the third stage, we cover titration and rotation of opioids, as well as their side effects and prevention. Also described is neuropathic pain and refractory pain, coadjuvant treatments and non pharmacological analgesic treatments. Finally, treatment of breakthrough pain is defined.

Publication types

  • Practice Guideline

MeSH terms

  • Analgesics / therapeutic use
  • Analgesics, Opioid / therapeutic use
  • Breakthrough Pain / etiology
  • Breakthrough Pain / therapy
  • Chronic Pain / etiology
  • Chronic Pain / therapy
  • Humans
  • Medical Oncology / legislation & jurisprudence
  • Medical Oncology / organization & administration
  • Neoplasms / complications*
  • Neoplasms / therapy
  • Neuralgia / etiology
  • Neuralgia / therapy
  • Pain / classification
  • Pain / etiology*
  • Pain Management / methods*
  • Pain Measurement
  • Practice Guidelines as Topic*
  • Societies, Medical / organization & administration
  • Spain

Substances

  • Analgesics
  • Analgesics, Opioid