Pain Management for Patients With Advanced Cancer in the Opioid Epidemic Era.
Pain Management for Patients With Advanced Cancer in the Opioid Epidemic Era.
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DOI：
10.1200/edbk_100020
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发表时间：
2019-01-01
期刊：
影响因子：
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通讯作者：
Bruera, Eduardo
中科院分区：
文献类型：
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作者：
Dalal, Shalini;Bruera, Eduardo
对于大多数晚期癌症患者来说，使用阿片类药物治疗疼痛是必要的，然而，面对阿片类药物的流行和新出现的证据表明，癌症患者也面临非医用阿片类药物使用的风险，使用阿片类药物已变得具有挑战性。本文提出了一项评估和治疗计划，该计划包括对所有考虑接受阿片类药物治疗的癌症患者进行普遍筛查和监测，以评估其阿片类药物滥用和伤害的风险。及时识别并进行适当管理，包括转诊高危患者，将使肿瘤学专业人员能够优化风险-获益，并支持阿片类药物对癌症患者的安全使用。
Use of opioids for the treatment of pain is necessary for the majority of patients with advanced cancer, however its use has become challenging in the face of the opioid epidemic and the emerging evidence that patients with cancer are also at risk for nonmedical opioid use. This article proposes an assessment and treatment plan that incorporates universal screening with monitoring for all patients with cancer who are considered for opioid treatment to assess their risk for opioid misuse and harm. Timely identification with appropriate management, including referral of at-risk patients, will allow oncology professionals to optimize the risk-to-benefit and support the safe use of opioids for patients with cancer.