The impact of a comprehensive evaluation in the management of cancer pain Journal Article
| Authors: | Gonzales, G. R.; Elliott, K. J.; Portenoy, R. K.; Foley, K. M. |
| Article Title: | The impact of a comprehensive evaluation in the management of cancer pain |
| Abstract: | To evaluate the importance of a comprehensive evaluation in the management of patients with cancer pain, we surveyed 276 consecutive consultations (226 retrospectively and 50 prospectively) performed by the pain consultant at Memorial Sloan-Kettering Cancer Center. For all consultations, the pain diagnosis, other medical and neurologic diagnoses, investigations and suggested therapeutic interventions were recorded. The pain consultation identified a previously undiagnosed etiology for the pain in 64% of patients in both surveys. Metastatic neoplasm was the most common lesion discovered. In addition, the prospective yielded new neurologic diagnoses in 36% of patients and an unsuspected infection in 4%. Eighteen percent of prospectively surveyed patients received radiotherapy, surgery or chemotherapy based on the findings of the pain consultant. These data confirm the importance of a comprehensive neuro-oncologic evaluation in the management of cancer pain. An understanding of oncology, neurology and medicine is critical to assess and treat these patients. © 1991. |
| Keywords: | adolescent; adult; controlled study; aged; aged, 80 and over; retrospective studies; major clinical study; comparative study; cancer staging; prospective studies; neoplasms; metastasis; pain; cancer pain; oncology; radiography; malignancy; neurology; middle age; human; male; female; priority journal; article |
| Journal Title: | Pain |
| Volume: | 47 |
| Issue: | 2 |
| ISSN: | 0304-3959 |
| Publisher: | Elsevier Science BV |
| Date Published: | 1991-11-01 |
| Start Page: | 141 |
| End Page: | 144 |
| Language: | English |
| DOI: | 10.1016/0304-3959(91)90197-6 |
| PUBMED: | 1762807 |
| PROVIDER: | scopus |
| DOI/URL: | |
| Notes: | Source: Scopus |
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