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Supportive Care in Cancer

Erschienen in:

15.05.2019 | Review Article

Opening up disruptive ways of management in cancer pain: the concept of multimorphic pain

verfasst von: Antoine Lemaire, Brigitte George, Caroline Maindet, Alexis Burnod, Gilles Allano, Christian Minello

Erschienen in: Supportive Care in Cancer | Ausgabe 8/2019

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Abstract

Purpose

Following a series of articles reviewing the basics of cancer pain management, in this article, we develop the guiding principle of our philosophy: the concept of multimorphic pain and how to integrate it as the innovative cornerstone of supportive care in cancer.

Method

Critical reflection based on literature analysis and clinical practice.

Results

This model aims to break with standard approaches, offering a more dynamic and exhaustive vision of cancer pain as a singular clinical entity, taking into account its multimorphic characteristics (cancer pain experience can and will change during cancer: aetiology, physiopathology, clinical presentation and consequences of pain) and the disruptive elements that can occur to influence its evolution (cancer evolution, concomitant treatments, pain from associated diseases, comorbidities and complications, or modifications in the environment). Our model establishes the main key stages for interdisciplinary management of cancer pain:

Early, personalised management that is targeted and multimodal;
Identification, including in advance, of potential disruptive elements throughout the care pathway, using an exhaustive approach to all the factors influencing pain, leading to patient and caregiver education;
Optimal analgesic balance throughout the care pathway;
Integration of this concept into a systemic early supportive care model from the cancer diagnosis.

Conclusions

Given the difficulties still present in the management of pain in cancer, and whilst cancer is often considered as a chronic condition, the concept of multimorphic pain proposes a practical, optimised and innovative approach for clinicians and, ultimately, for patients experiencing pain.

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Titel: Opening up disruptive ways of management in cancer pain: the concept of multimorphic pain
verfasst von: Antoine Lemaire
Brigitte George
Caroline Maindet
Alexis Burnod
Gilles Allano
Christian Minello
Publikationsdatum: 15.05.2019
Verlag: Springer Berlin Heidelberg
Erschienen in: Supportive Care in Cancer / Ausgabe 8/2019
Print ISSN: 0941-4355
Elektronische ISSN: 1433-7339
DOI: https://doi.org/10.1007/s00520-019-04831-z

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Opening up disruptive ways of management in cancer pain: the concept of multimorphic pain

Abstract

Purpose

Method

Results

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Conclusions

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Weitere Artikel der Ausgabe 8/2019

Pain and related complaints in patients with acute leukemia: time for simultaneous care in hemato-oncology

Trajectory of severity of postoperative delirium symptoms and its prospective association with cognitive function in patients with gastric cancer: results from a prospective observational study

Determinants of changes in physical activity from pre-diagnosis to post-diagnosis in a cohort of prostate cancer survivors

Special Articles: Managing Cancer Pain - Key Issues and Lessons Learned to Optimize Patient Care

Opioids in cancer-related pain: current situation and outlook

Pain in patients with newly diagnosed or relapsed acute leukemia

Neu im Fachgebiet Onkologie

Labor, CT-Anthropometrie zeigen Risiko für Pankreaskrebs

Viel pflanzliche Nahrung, seltener Prostata-Ca.-Progression

Alter verschlechtert Prognose bei Endometriumkarzinom

Darf man die Behandlung eines Neonazis ablehnen?

Update Onkologie