Use of opioid analgesics in the treatment of cancer pain: evidence-based recommendations from the EAPC.
نویسندگان
چکیده
Here we provide the updated version of the guidelines of the European Association for Palliative Care (EAPC) on the use of opioids for the treatment of cancer pain. The update was undertaken by the European Palliative Care Research Collaborative. Previous EAPC guidelines were reviewed and compared with other currently available guidelines, and consensus recommendations were created by formal international expert panel. The content of the guidelines was defined according to several topics, each of which was assigned to collaborators who developed systematic literature reviews with a common methodology. The recommendations were developed by a writing committee that combined the evidence derived from the systematic reviews with the panellists' evaluations in a co-authored process, and were endorsed by the EAPC Board of Directors. The guidelines are presented as a list of 16 evidence-based recommendations developed according to the Grading of Recommendations Assessment, Development and Evaluation system.
منابع مشابه
The Role of Opioid Analgesics in the Treatment of Pain in Cancer Patients
Cancer pain treatment is based on the analgesic ladder, established in 1986 by the World Health Organization (WHO; see Fig. 1) (WHO, 1996). Cancer pain management guidelines in Europe are based on EAPC (European Association for Palliative Care) recommendations. Oral morphine is recommended by the Expert Working Group of the EAPC at the third step of the WHO analgesic ladder, which comprises add...
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Workpackage 3.1 (WP 3.1), within the European Palliative Research Collaborative (EPCRC), was aimed at critically revising and updating the European Association for Palliative Care recommendations on cancer pain management. The aim of this paper is to report the results of the first phase in the revision process which consists of a literature review and an expert consensus about the contents to ...
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متن کاملLong-term opioid use in non-cancer pain.
BACKGROUND The long-term use of opioid analgesic drugs to treat chronic non-cancer pain (CNCP) is a major component of pain pharmacotherapy. The interpretation of the evidence concerning its efficacy and risks is currently debated. METHODS An interdisciplinary evidence- and consensus-based S3 guideline was updated on the basis of a systematic literature search (CENTRAL, Medline, and Scopus da...
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عنوان ژورنال:
- The Lancet. Oncology
دوره 13 2 شماره
صفحات -
تاریخ انتشار 2012