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Assessment and treatment of breakthrough cancer pain: from theory to clinical practice
- Source :
- Journal of Pain Research
- Publication Year :
- 2017
- Publisher :
- Informa UK Limited, 2017.
-
Abstract
- Breakthrough cancer pain (BTcP) is a common condition in oncological patients. However, its management is still suboptimal. Improved knowledge of BTcP and its management in clinical practice may have immediate importance for all physicians involved in the supportive care of cancer patients. This review critically discusses the most important concepts for the correct diagnosis of BTcP and presents some intriguing cases of the management of this condition in clinical practice. Overall, the most appropriate therapeutic choice appears to be a rapid-onset opioid (ROO), and in particular, the nasal route of administration is the quickest and most convenient mode of administration for the management of BTcP, especially when the patient needs rapid resolution of pain. To this end, intranasal fentanyl spray may have a particular relevance in clinical practice. Future research should focus on accepted definitions of BTcP to investigate the optimal management of this highly heterogeneous pain condition. Therapeutic decision-making of patients, clinicians, and payers will likely be driven from results of well-designed clinical trials of ROOs.<br />Video abstract
- Subjects :
- medicine.medical_specialty
business.industry
Intranasal Fentanyl Spray
Intranasal fentanyl spray
Breakthrough cancer pain
Alternative medicine
Nasal route
Review
Rapid-onset Opioid
Optimal management
Clinical Practice
Clinical trial
03 medical and health sciences
Rapid-onset opioid
0302 clinical medicine
Anesthesiology and Pain Medicine
030220 oncology & carcinogenesis
medicine
Physical therapy
Intensive care medicine
business
Cancer pain
030217 neurology & neurosurgery
Subjects
Details
- ISSN :
- 11787090
- Volume :
- 10
- Database :
- OpenAIRE
- Journal :
- Journal of Pain Research
- Accession number :
- edsair.doi.dedup.....71e0cb5734349b41d60d72ff01a332a1