[Tumor-associated pain].

IF 1.1 4区 医学 Q3 ANESTHESIOLOGY Schmerz Pub Date : 2024-02-01 Epub Date: 2024-01-11 DOI:10.1007/s00482-023-00782-x
Stefan Wirz, Jens Keßler, Hannes Hofbauer
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Abstract

Tumor-associated pain has a high prevalence and is still a challenging aspect of pain medicine. Treatment-related etiologies often coexist with pain caused by the oncological disease itself. For cancer pain as well, a pathophysiologically oriented analysis of nociceptive, nociplastic and neuropathic pain is advisable for planning a tailored treatment. The analgesic three-step ladder of the World Health Organization (WHO) should be customized in this context, incorporating antineuropathic or antihypersensitizing pharmacological approaches as well as minimally invasive techniques. Psycho-oncological and exercise therapy interventions should be considered. In cases of long-term courses of treatment or following curative oncological treatment, chronically persistent or chronic tumor-associated pain can occur, necessitating multimodal therapeutic approaches analogue to noncancer pain conditions. Close integration with palliative medicine enhances the therapeutic effectiveness during the transition from nonpalliative to palliative treatment phases.

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[肿瘤相关疼痛]。
肿瘤相关疼痛的发病率很高,仍然是疼痛医学的一个挑战。与治疗相关的病因往往与肿瘤疾病本身引起的疼痛并存。对于癌痛,从病理生理学角度分析痛觉性疼痛、神经痉挛性疼痛和神经病理性疼痛也是规划有针对性治疗的明智之举。在这种情况下,世界卫生组织(WHO)的镇痛三阶梯疗法应结合抗神经病理性或抗过敏性药物疗法以及微创技术进行定制。还应考虑肿瘤心理治疗和运动疗法干预。在长期治疗或治愈性肿瘤治疗后,可能会出现长期持续性或慢性肿瘤相关性疼痛,这就需要采取与非癌症疼痛类似的多模式治疗方法。在从非姑息治疗阶段向姑息治疗阶段过渡的过程中,与姑息医学紧密结合可提高治疗效果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Schmerz
Schmerz 医学-临床神经学
CiteScore
2.00
自引率
20.00%
发文量
64
审稿时长
6-12 weeks
期刊介绍: Der Schmerz is an internationally recognized journal and addresses all scientists, practitioners and psychologists, dealing with the treatment of pain patients or working in pain research. The aim of the journal is to enhance the treatment of pain patients in the long run. Review articles provide an overview on selected topics and offer the reader a summary of current findings from all fields of pain research, pain management and pain symptom management. Freely submitted original papers allow the presentation of important clinical studies and serve the scientific exchange. Case reports feature interesting cases and aim at optimizing diagnostic and therapeutic strategies. Review articles under the rubric ''Continuing Medical Education'' present verified results of scientific research and their integration into daily practice.
期刊最新文献
[Health services research in acute pain medicine : Where do we come from in Germany?] [Surgical treatment of trigeminal pain]. [What is health services research?] [Interdisciplinary multimodal pain therapy: does the dose make a difference? : A comparison from routine clinical care]. [What determines the overall quality of postoperative pain management? A question of perspective].
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