{"title":"Understanding and managing cancer pain","authors":"Rafael Miguel MD (Guest Editor)","doi":"10.1016/S1537-5897(03)00002-8","DOIUrl":"10.1016/S1537-5897(03)00002-8","url":null,"abstract":"","PeriodicalId":101158,"journal":{"name":"Seminars in Pain Medicine","volume":"1 1","pages":"Pages 1-2"},"PeriodicalIF":0.0,"publicationDate":"2003-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1537-5897(03)00002-8","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79982706","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Michael A Weitzner MD , Cheryl A Cockram RN, MSN , Jennifer M Strickland PharmD, BCPS
{"title":"Depression and pain: the influence of substance abuse","authors":"Michael A Weitzner MD , Cheryl A Cockram RN, MSN , Jennifer M Strickland PharmD, BCPS","doi":"10.1016/S1537-5897(03)00006-5","DOIUrl":"10.1016/S1537-5897(03)00006-5","url":null,"abstract":"<div><p>Pain is a common problem for cancer patients, with approximately 70% of patients experiencing severe pain at some point in the course of their illness. Nearly 75% of advanced cancer patients in the USA have pain and, despite the availability of treatments, 25% of cancer patients still die in severe pain. Many factors can influence the pain experience for the cancer patient. One major factor is the presence of clinical depression. Studies have shown that approximately 25% of cancer patients will experience clinical depression during the course of their illness that will require treatment with antidepressants. Certainly, the presence of a clinical depression will negatively impact how patients experience their cancer pain, making them more vulnerable to stress. With the rapidly increasing incidence of substance abuse in the USA, one way that many people cope with their depression and other stressors is with the misuse and abuse of substances. The cancer patient is not immune to this form of self-medication or frank abuse. Understanding the role of depression and substance abuse in the expression and experience of pain is essential for the pain physician working with this complex patient population. Incorporation of screening questions, both verbal and written, to the comprehensive pain evaluation can increase the physician’s recognition of risk factors for depression and substance abuse, allowing for earlier referral to mental health practitioners who can actively participate in the multidisciplinary pain assessment and treatment.</p></div>","PeriodicalId":101158,"journal":{"name":"Seminars in Pain Medicine","volume":"1 1","pages":"Pages 3-15"},"PeriodicalIF":0.0,"publicationDate":"2003-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1537-5897(03)00006-5","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88576564","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ricardo Plancarte MD , Jose Alvarez MD , Maria Christina Arrieta
{"title":"Interventional treatment of cancer pain","authors":"Ricardo Plancarte MD , Jose Alvarez MD , Maria Christina Arrieta","doi":"10.1016/S1537-5897(03)00004-1","DOIUrl":"10.1016/S1537-5897(03)00004-1","url":null,"abstract":"<div><p><span>While opioids are the mainstay of cancer pain management, they have their limitations. Some patients may only tolerate moderate doses of opioids, manifesting side-effects such as sedation, confusion, and constipation. Another reason for opioid ineffectiveness may be the development of opioid-resistant pain. For these reasons, the search for analgesia may result in interventions. A wide array of procedures exists (e.g., local anesthetic/steroid deposition, </span>neurolysis by chemical or thermic means, or the implantation of spinal pumps to deliver medications not effective by the oral/transcutaneous route) that have their own indications and side-effects profile. The pain practitioner, interventionalist or not, needs to be aware of the various options in order that an appropriate choice for comfort may be made.</p></div>","PeriodicalId":101158,"journal":{"name":"Seminars in Pain Medicine","volume":"1 1","pages":"Pages 34-42"},"PeriodicalIF":0.0,"publicationDate":"2003-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1537-5897(03)00004-1","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86147832","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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