Abstract:
PURPOSE OF REVIEW:An overview on breakthrough cancer pain (BTCP), including inherent limitations of the terminology, assessment, clinical presentation, and treatment options. RECENT FINDINGS:The estimated prevalence of BTCP is dependent on the defined cutoffs for controlled background pain and the magnitude of the pain flare. In addition, pain flares outside the definition of BTCP are prevalent. In the 11th Revision of the International Classification of Diseases, the temporal characteristics of cancer pain are described as continuous background pain and intermittent episodic pain. BTCP should be assessed by validated methods, and the patient perspective should be included. The pain may be related to neoplastic destruction of bone, viscera, or nerve tissue and is characterized by rapid onset, high intensity, and short duration. Treatment directed towards painful metastases must be considered. Due to pharmacological properties mirroring the pain characteristics, transmucosal fentanyl formulations are important for the treatment of BTCP. Oral immediate release opioids can be used for slow-onset or predictable BTCP. For more difficult pain conditions, parenteral, or even intrathecal pain medication, may be indicated. SUMMARY:All clinically relevant episodic pains must be adequately treated in accordance with the patient's preferences. Transmucosal fentanyl formulations are effective for BTCP.
journal_name
Curr Opin Support Palliat Carejournal_title
Current opinion in supportive and palliative careauthors
Løhre ET,Thronæs M,Klepstad Pdoi
10.1097/SPC.0000000000000494subject
Has Abstractpub_date
2020-06-01 00:00:00pages
94-99issue
2eissn
1751-4258issn
1751-4266pii
01263393-202006000-00003journal_volume
14pub_type
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journal_title:Current opinion in supportive and palliative care
pub_type: 杂志文章,评审
doi:10.1097/SPC.0b013e328355e082
更新日期:2012-09-01 00:00:00
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journal_title:Current opinion in supportive and palliative care
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journal_title:Current opinion in supportive and palliative care
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journal_title:Current opinion in supportive and palliative care
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journal_title:Current opinion in supportive and palliative care
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journal_title:Current opinion in supportive and palliative care
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更新日期:2009-03-01 00:00:00
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journal_title:Current opinion in supportive and palliative care
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journal_title:Current opinion in supportive and palliative care
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更新日期:2014-06-01 00:00:00
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journal_title:Current opinion in supportive and palliative care
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doi:10.1097/SPC.0b013e32836484bb
更新日期:2013-09-01 00:00:00
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journal_title:Current opinion in supportive and palliative care
pub_type: 杂志文章,评审
doi:10.1097/SPC.0000000000000161
更新日期:2015-09-01 00:00:00
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journal_title:Current opinion in supportive and palliative care
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更新日期:2008-06-01 00:00:00
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pub_type: 杂志文章
doi:10.1097/SPC.0000000000000480
更新日期:2020-03-01 00:00:00
abstract:PURPOSE OF REVIEW:Experienced breathlessness and recalled breathlessness are two different entities, which may be associated with different factors and might have different impacts on function for the individual. The aim was to review the knowledge from the last 2 years concerning experienced breathlessness and recalle...
journal_title:Current opinion in supportive and palliative care
pub_type: 杂志文章,评审
doi:10.1097/SPC.0000000000000448
更新日期:2019-09-01 00:00:00
abstract:PURPOSE OF REVIEW:The oligometastases is considered an intermediate state of the disease between localized and wide spread metastases. Local ablative therapy to oligometastatic prostate cancer is gaining significant traction and stereotactic body radiotherapy (SBRT) is an emerging treatment modality for this patient po...
journal_title:Current opinion in supportive and palliative care
pub_type: 杂志文章,评审
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更新日期:2018-09-01 00:00:00
abstract:PURPOSE OF REVIEW:To review recent research on cancer-related cognitive impairment (CRCI) in children, including correlational studies and interventions in which outcomes have included cognitive test performance, neuroimaging or academic performance. RECENT FINDINGS:Impairments in processing speed, working memory, exe...
journal_title:Current opinion in supportive and palliative care
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更新日期:2017-03-01 00:00:00
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journal_title:Current opinion in supportive and palliative care
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更新日期:2012-06-01 00:00:00
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journal_title:Current opinion in supportive and palliative care
pub_type: 杂志文章,评审
doi:10.1097/SPC.0b013e3282f283b6
更新日期:2007-12-01 00:00:00
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journal_title:Current opinion in supportive and palliative care
pub_type: 杂志文章,评审
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journal_title:Current opinion in supportive and palliative care
pub_type: 杂志文章,评审
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更新日期:2008-03-01 00:00:00
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journal_title:Current opinion in supportive and palliative care
pub_type: 杂志文章,评审
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更新日期:2016-03-01 00:00:00
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journal_title:Current opinion in supportive and palliative care
pub_type: 杂志文章,评审
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更新日期:2012-09-01 00:00:00
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journal_title:Current opinion in supportive and palliative care
pub_type: 杂志文章,评审
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更新日期:2017-12-01 00:00:00