医学
癌症疼痛
指南
缓和医疗
德尔菲法
梅德林
替代医学
止痛药
癌症
重症监护医学
不利影响
家庭医学
护理部
精神科
内科学
病理
统计
数学
麻醉学
政治学
法学
作者
Hironori Mawatari,Takuya Shinjo,Tatsuya Morita,Hiroyuki Kohara,Kinomi Yomiya
标识
DOI:10.1089/jpm.2021.0438
摘要
Background: Pain is one of the most common symptoms in cancer patients. The Japanese Society for Palliative Medicine (JSPM) first published its clinical guidelines for the management of cancer pain in 2010. Since then, more research on cancer pain management has been reported, and new drugs have become available in Japan. Thus, the JSPM has now revised the clinical guidelines using a validated methodology. Methods: This guideline was developed through a systematic review, discussion, and the Delphi method, following a formal guideline development process. Results: Thirty-five recommendations were created: 19 for the pharmacological management of cancer pain, 6 for the management of opioid-induced adverse effects, and 10 for pharmacological treatment procedures. Due to the lack of evidence that directly addressed our clinical questions, most of the recommendations had to be based on consensus among committee members and other guidelines. Discussion: It is critical to continue to build high-quality evidence in cancer pain management, and revise these guidelines accordingly.
科研通智能强力驱动
Strongly Powered by AbleSci AI