Analysis and treatment of different types of neuropathic cancer pain.
J Pain Symptom Manage
; 26(6): 1123-31, 2003 Dec.
Article
em En
| MEDLINE
| ID: mdl-14654264
ABSTRACT
Neuropathic pain is a major problem in the treatment of cancer pain. We performed a retrospective analysis of 213 cancer patients with neuropathic pain treated by a pain service following the World Health Organization guidelines for relief of cancer pain. Of these, 79% presented with nerve compression pain, 16% with nerve injury pain, and 5% with sympathetically-maintained pain. Whereas nerve compression and nerve injury pain were caused most frequently by cancer growth, sympathetically-maintained pain was caused most frequently by cancer treatment. There were no significant differences in the use of analgesics, the mean pain intensity, or the efficacy of analgesic treatment among the three groups. Nerve injury pain and sympathetically-maintained pain were treated more frequently with adjuvant analgesics, especially antidepressants and anticonvulsants. The variety of different neuropathic pain syndromes should be separated in future studies of the efficacy of different treatment approaches.
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Base de dados:
MEDLINE
Assunto principal:
Analgésicos
/
Neoplasias
/
Neuralgia
Idioma:
En
Ano de publicação:
2003
Tipo de documento:
Article