Literature DB >> 16761128

The WHO analgesic ladder for cancer pain control, twenty years of use. How much pain relief does one get from using it?

Karine Azevedo São Leão Ferreira1, Miako Kimura, Manoel Jacobsen Teixeira.   

Abstract

INTRODUCTION: Pain is a major problem in the treatment of patients with cancer. This article reviews studies concerning evaluation of patients with cancer pain treated according to The World Health Organization (WHO) analgesic ladder.
MATERIALS AND METHODS: Systematic search of PUBMED, MEDLINE, EMBASE, LILACS, BDENF, and OVID and a hand search of reference lists and textbooks from 1982 to 2004 were performed. RESULT: Analgesia was considered adequate in 45 to 100% of patients analyzed in the studies.
CONCLUSION: However, the evidence that they provide is insufficient to grant the effectiveness of the WHO guidelines because a controlled clinical trial of this intervention has never been published.

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Year:  2006        PMID: 16761128     DOI: 10.1007/s00520-006-0086-x

Source DB:  PubMed          Journal:  Support Care Cancer        ISSN: 0941-4355            Impact factor:   3.359


  50 in total

1.  Pain treatment and outcomes for patients with advanced cancer who receive follow-up care at home.

Authors:  S Mercadante
Journal:  Cancer       Date:  1999-04-15       Impact factor: 6.860

2.  Estimating clinically significant differences in quality of life outcomes.

Authors:  Kathleen W Wyrwich; Monika Bullinger; Neil Aaronson; Ron D Hays; Donald L Patrick; Tara Symonds
Journal:  Qual Life Res       Date:  2005-03       Impact factor: 4.147

3.  Validation of World Health Organization guidelines for cancer pain relief during the last days and hours of life.

Authors:  S Grond; D Zech; S A Schug; J Lynch; K A Lehmann
Journal:  J Pain Symptom Manage       Date:  1991-10       Impact factor: 3.612

4.  Sufficiently important difference: expanding the framework of clinical significance.

Authors:  Bruce Barrett; David Brown; Marlon Mundt; Roger Brown
Journal:  Med Decis Making       Date:  2005 May-Jun       Impact factor: 2.583

5.  Argentina's WHO Cancer Pain Relief Program: a patient care model.

Authors:  R Wenk; C Diaz; M Echeverria; A Aparicio; N Bertucelli; M Courtalon; M De Felipe; J Ocariz; M Clérici; T Pacini
Journal:  J Pain Symptom Manage       Date:  1991-01       Impact factor: 3.612

6.  Assessment and treatment of neuropathic cancer pain following WHO guidelines.

Authors:  Stefan Grond; Lukas Radbruch; Thomas Meuser; Rainer Sabatowski; Georg Loick; Klaus A Lehmann
Journal:  Pain       Date:  1999-01       Impact factor: 6.961

7.  Assessment of pain and patterns of analgesic use in hospice patients.

Authors:  A E Morgan; C M Lindley; J I Berry
Journal:  Am J Hosp Palliat Care       Date:  1994 Jan-Feb       Impact factor: 2.500

8.  [Pain therapy of tumor patients with special reference to tumors of the gastrointestinal tract. WHO staged schedule versus para-spinal analgesia techniques].

Authors:  M Schneider; C Eichner
Journal:  Chirurg       Date:  1994-06       Impact factor: 0.955

9.  Symptomatic relief of patients with advanced bladder carcinoma after regional intra-arterial chemotherapy.

Authors:  Elpis Mantadakis; Chronis Panagiotidis; Dimitrios Delakas; George Samonis
Journal:  Anticancer Res       Date:  2003 Nov-Dec       Impact factor: 2.480

10.  Prevalence and management of pain in Italian patients with advanced non-small-cell lung cancer.

Authors:  M Di Maio; C Gridelli; C Gallo; L Manzione; L Brancaccio; S Barbera; S F Robbiati; G P Ianniello; F Ferraù; E Piazza; L Frontini; F Rosetti; F Carrozza; A Bearz; M Spatafora; V Adamo; L Isa; R V Iaffaioli; E Di Salvo; F Perrone
Journal:  Br J Cancer       Date:  2004-06-14       Impact factor: 7.640

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  31 in total

1.  Is the WHO analgesic ladder still valid? Twenty-four years of experience.

Authors:  Grisell Vargas-Schaffer
Journal:  Can Fam Physician       Date:  2010-06       Impact factor: 3.275

2.  Professional survey on knowledge and clinical patterns of pain management in Spanish medical oncology.

Authors:  Yolanda Escobar Álvarez; César A Rodríguez Sánchez; Fernando Caballero Martínez; Virginia Recuero Cuervo; Carlos Camps Herrero
Journal:  Clin Transl Oncol       Date:  2010-12       Impact factor: 3.405

3.  Cancer pain for the 21st century: stepping off the ladder, stepping up to new challenges.

Authors:  Sam H Ahmedzai
Journal:  Br J Pain       Date:  2014-11

4.  A simple and effective daily pain management method for patients receiving radiation therapy for painful bone metastases.

Authors:  Regiane S Andrade; Julian W Proctor; Robert Slack; Ursula Marlowe; Karlotta R Ashby; Larry L Schenken
Journal:  Int J Radiat Oncol Biol Phys       Date:  2010-02-19       Impact factor: 7.038

Review 5.  New Cancer Pain Treatment Options.

Authors:  Kenneth D Candido; Teresa M Kusper; Nebojsa Nick Knezevic
Journal:  Curr Pain Headache Rep       Date:  2017-02

6.  Disclosing gaps between supportive and palliative care: the past 20 years.

Authors:  John F Smyth
Journal:  Support Care Cancer       Date:  2007-11-10       Impact factor: 3.603

7.  Long-term low-dose morphine for patients with moderate cancer pain is predominant factor effecting clinically meaningful pain reduction.

Authors:  Ru-Jun Zheng; Yan Fu; Jiang Zhu; Jiu-Ping Xu; Qiu-Fen Xiang; Lin Chen; Hua Zhong; Jun-Ying Li; Chun-Hua Yu
Journal:  Support Care Cancer       Date:  2018-05-31       Impact factor: 3.603

Review 8.  Oral paracetamol (acetaminophen) for cancer pain.

Authors:  Philip J Wiffen; Sheena Derry; R Andrew Moore; Ewan D McNicol; Rae F Bell; Daniel B Carr; Mairead McIntyre; Bee Wee
Journal:  Cochrane Database Syst Rev       Date:  2017-07-12

9.  A survey of perceptions, attitudes, knowledge and practices of medical oncologists about cancer pain management in Spain.

Authors:  Jesús García-Mata; Cecilio Álamo; Javier de Castro; Jorge Contreras; Rafael Gálvez; Carlos Jara; Antonio Llombart; Concepción Pérez; Pedro Sánchez; Susana Traseira; Juan-Jesús Cruz
Journal:  Clin Transl Oncol       Date:  2018-05-02       Impact factor: 3.405

Review 10.  Effectiveness of the World Health Organization cancer pain relief guidelines: an integrative review.

Authors:  Cathy L Carlson
Journal:  J Pain Res       Date:  2016-07-22       Impact factor: 3.133

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