Pain management for post-treatment survivors of complex cancers: A qualitative study of opioids and cannabis Journal Article


Authors: Salz, T.; Chimonas, S.; Jinna, S.; Brens, J.; Kriplani, A.; Salner, A.; Rabinowits, G.; Currier, B.; Daly, B.; Korenstein, D.
Article Title: Pain management for post-treatment survivors of complex cancers: A qualitative study of opioids and cannabis
Abstract: Aim: We aimed to understand experiences with opioids and cannabis for post-treatment cancer survivors. Patients & methods: We conducted seven focus groups among head and neck and lung cancer survivors, using standard qualitative methodology to explore themes around 1) post-treatment pain and 2) utilization, perceived benefits and perceived harms of cannabis and opioids. Results & conclusion: Survivors (N = 25) experienced addiction fears, stigma and access challenges for both products. Opioids were often perceived as critical for severe pain. Cannabis reduced pain and anxiety for many survivors, suggesting that anxiety screening, as recommended in guidelines, would improve traditional pain assessment. Opioids and cannabis present complex harms and benefits for post-treatment survivors who must balance pain management and minimizing side effects.
Keywords: practice guideline; opioid; follow-up; breast-cancer; long-term; neck-cancer; cell lung-cancer; head; cancer survivors; cannabis; preventive care; symptom burden; cancer; of-life questionnaire; head and heck neoplasms
Journal Title: Pain Management
Volume: 14
Issue: 2
ISSN: 1758-1869
Publisher: Future Medicine  
Date Published: 2024-02-01
Start Page: 87
End Page: 99
Language: English
ACCESSION: WOS:001156381600001
DOI: 10.2217/pmt-2023-0067
PROVIDER: wos
PMCID: PMC10918509
PUBMED: 38318666
Notes: The MSK Cancer Center Support Grant (P30 CA008748) is acknowledged in the PDF -- Corresponding author is MSK author: Talya Salz -- Source: Wos
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MSK Authors
  1. Talya Salz
    67 Salz
  2. Jessica Marie Brens
    10 Brens
  3. Robert M Daly
    78 Daly
  4. Sankeerth Jinna
    14 Jinna