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Standards for the management of cancer-related pain across Europe. A position paper from the EFIC Task Force on Cancer Pain
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Accepted version
Date
2018-11-27
Authors
Bennett, Michael I.
Eisenberg, Elon
Ahmedzai, Sam H.
Bhaskar, Arun
O'Brien, Tony
Mercadante, Sebastiano
Škvarč, Nevenka Krčevski
Vissers, Kris
Wirz, Stefan
Wells, Chris
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Volume Title
Publisher
Wiley
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Abstract
Background and Objective: Pain is a common symptom in patients that survive cancer and in those that live with progressive advanced disease. Evidence from meta‐analyses suggests that pain remains poorly controlled for a large proportion of patients; barriers to good management include poor assessment of pain, inadequate support for patient self‐management, and late or inadequate access to strong opioid analgesia in those with advanced disease. Methods: The European Pain Federation (EFIC) established a Task Force in 2017 which convened a European group of experts, drawn from a diverse range of relevant clinical disciplines, to prepare a position paper on appropriate standards for management of cancer‐related pain. The expert panel reviewed the available literature and made recommendations using the GRADE system to combine quality of evidence with strength of recommendation. The panel took into account the desirable and undesirable effects of the management recommendation, including the cost and inconvenience of each when deciding the recommendation. Results and conclusions: The 10 standards presented are aimed to improve cancer pain management and reduce variation in practice across Europe. The Task Force believes that adoption of these standards by all 37 countries will promote the quality of care of patients with cancer related pain and reduce unnecessary suffering.
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Keywords
Cancer pain , Palliative care , European Pain Federation (EFIC) , Cancer‐related pain , Pain management
Citation
Bennett, M. I., Eisenberg, E., Ahmedzai, S. H., Bhaskar, A., O'Brien, T., Mercadante, S., Škvarč, N. K., Vissers, K., Wirz, S., Wells, C. and Morlion, B. (2018) 'Standards for the management of cancer-related pain across Europe. A position paper from the EFIC Task Force on Cancer Pain', European Journal of Pain, In Press, doi: 10.1002/ejp.1346
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© 2018 This article is protected by copyright. All rights reserved. This is the peer reviewed version of the following article: Bennett, M. I. et al (2018), Standards for the management of cancer‐related pain across Europe. A position paper from the EFIC Task Force on Cancer Pain. Eur J Pain. Accepted Author Manuscript, which has been published in final form at https://doi.org/10.1002/ejp.1346. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.