Sebastiano Mercadante1. 1. Anesthesia & Intensive Care Unit and Pain Relief and Palliative Care Unit, La Maddalena Cancer Center, Palermo, Via San Lorenzo, Palermo, Italy. terapiadeldolore@la-maddalena.it
Abstract
RATIONALE: The evaluation of the analgesic effects of radiotherapy in painful bone metastases is a matter of controversies due to a lack of appropriate tools to define the outcome. An integration of competences in monitoring the pain response and modifying the opioid treatment according to changes of the clinical condition is mandatory. PROPOSED METHOD: A meaningful score, used in previous works to monitor the global response to an analgesic intervention in advanced cancer patients, is proposed. A case report, in which opioids are first titrated and then tapered, is described as an example of application of this method.
RATIONALE: The evaluation of the analgesic effects of radiotherapy in painful bone metastases is a matter of controversies due to a lack of appropriate tools to define the outcome. An integration of competences in monitoring the pain response and modifying the opioid treatment according to changes of the clinical condition is mandatory. PROPOSED METHOD: A meaningful score, used in previous works to monitor the global response to an analgesic intervention in advanced cancerpatients, is proposed. A case report, in which opioids are first titrated and then tapered, is described as an example of application of this method.
Authors: Edward Chow; Jackson S Y Wu; Peter Hoskin; Lawrence R Coia; Soren M Bentzen; Peter H Blitzer Journal: Radiother Oncol Date: 2002-09 Impact factor: 6.280
Authors: Kathryn E Mittauer; Patrick M Hill; Mark W Geurts; Anna-Maria De Costa; Randall J Kimple; Michael F Bassetti; John E Bayouth Journal: Front Oncol Date: 2019-10-22 Impact factor: 6.244