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Evaluation and assessment of cancer pain and cancer pain treatment

Authors

  • A. Caraceni

    Corresponding author
    1. Neurology Unit, Rehabilitation and Palliative Care Unit, Anesthesia and Critical Care Department, National Cancer Institute of Milan, Milan, Italy
      Address: Augusto Caraceni
      Rehabilitation and Palliative Care Unit
      Anesthesia and Critical Care Department
      National Cancer Institute of Milan
      Via Venezian 1
      20133 Milan
      Italy
      e-mail: caraceni@istitutotumori.mi.it
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Address: Augusto Caraceni
Rehabilitation and Palliative Care Unit
Anesthesia and Critical Care Department
National Cancer Institute of Milan
Via Venezian 1
20133 Milan
Italy
e-mail: caraceni@istitutotumori.mi.it

Abstract

Evaluation and assessment are the first steps of any strategy for the management of cancer pain, and are fundamental for any clinical research project in this field. Different clinical systems for evaluation and classification of cancer pain syndromes are available and their clinical usefulness should be tested. The measurement of pain intensity is necessary to document and assess the outcome of established and new treatments. Visual analogue scales, verbal and numerical rating scales and some multidimensional tools such as the Brief Pain Inventory and the McGill Pain Questionnaire are helpful in the assessment of cancer pain provided the limitations of their validity are considered. Specific questions arise when these tools are used in long-term repeated assessments of cancer patients. Assessment and measuring techniques deserve more investigations to optimize standard valid procedures and to enable us to exchange clinical information and produce comparable data in research.

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