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cancer pain/hovedpine

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[Application of guidelines for the treatment of headache and cancer pain by private practitioners].

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In a regional pain management network in Cologne, sponsored by the German Ministry of Health, structures of outpatient pain treatment in general practice and the adherence to pain management guidelines were examined. The 3-year project was divided into a 1-year observational period to analyze the

Mood state and quality of sleep in cancer pain patients: a comparison to chronic daily headache.

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Cancer pain is commonly believed to be a unique type of pain and dissimilar to noncancer pain; however, only limited research efforts have been directed at examining this belief. The aim of this study was to explore whether patients with chronic daily headache (CDH) and patients with chronic cancer
OBJECTIVE Fentanyl is a synthetic opioid and transdermal therapeutic system (TTS), designed to release the drug into the skin at a constant rate, ranging from 25 to 100 microgram/hr, for up to 3 days. For the control of chronic cancer pain, Durogesic(R) patches (Janssen Co., USA) are now widely

[Treatment of severe cancer pain via spinal catheters].

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Twenty-seven patients with pain from non-curable cancer, who did not respond to systemic pain treatment with opioids and coanalgesics without the occurrence of unacceptable side effects, were treated with intrathecal infusions. Two patients were treated satisfactorily with morphine alone, while the
BACKGROUND Pain is one of the principal symptoms for which the general public seeks medical attention, and it is frequently treated by GPs. Although acupuncture is mainly practised in the private field, it enjoys growing acceptance in the public system too, which helps bring down the high cost of

Complications of intrathecal opioids and bupivacaine in the treatment of "refractory" cancer pain.

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OBJECTIVE To test the concept that externalized tunneled intrathecal catheters lead to a high risk of complications, such as meningitis and epidural abscess, and therefore should not be used for durations of intrathecal pain treatment of > 1 week. METHODS Prospective, cohort, nonrandomized,
The technique of long-term, open catheterization of the spinal subarachnoid space for infusion of analgesics in patients with refractory cancer pain is sparsely reported in the literature. We report on a technique using 18G Portex nylon catheters and 16G-17G Tuohy needles, and its problems and
The therapeutic value of buprenorphine was investigated in 31 patients suffering from moderate to severe cancer pain by intramuscular administration at the single doses of 0.2 mg and 0.3 mg in comparison with pentazocine 30 mg. Analgesic effect of buprenorphine 0.3 mg was significantly superior to

Sex differences in the medical care of VA patients with chronic non-cancer pain.

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OBJECTIVE Despite a growing number of women seeking medical care in the veterans affairs (VA) system, little is known about the characteristics of their chronic pain or the pain care they receive. This study sought to determine if sex differences are present in the medical care veterans received for
OBJECTIVE This study was conducted to compare safety and efficacy outcomes between opioids formulated with technologies designed to deter or resist tampering (i.e., abuse-deterrent formulations [ADFs]) and non-ADFs for commonly prescribed opioids for treatment of non-cancer pain in

Bilateral CT-guided percutaneous cordotomy for cancer pain relief.

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OBJECTIVE CT-guided percutaneous cordotomy is a useful procedure for treating unilateral cancer pain, however, bilateral cordotomy can be required on some occasions. We evaluated the effectiveness and complications of bilateral cordotomy. METHODS Two hundred and thirty-four patients who suffered

Cancer pain and common pain: a comparison of patient-reported intensities.

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OBJECTIVE To compare patient reports of present and worst cancer-related pain intensity to the recalled intensity of several commonly experienced types of pain. METHODS A secondary analysis on baseline data from patients with cancer pain. METHODS Tertiary-care facilities and patients' homes.

Chronic and cancer pain management.

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OBJECTIVE Chronic pain management in children is not recognized and treated adequately. The purpose of this review is to recognize some common chronic pain problems in children and offer guidelines for their management. RESULTS This points to newer research in understanding complex regional pain

Antiepileptic drugs for chronic non-cancer pain in children and adolescents.

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Pain is a common feature of childhood and adolescence around the world, and for many young people, that pain is chronic. The World Health Organization (WHO) guidelines for pharmacological treatments for children's persisting pain acknowledge that pain in children is a major public health concern of
OBJECTIVE An urgent need is to improve the efficacy and safety of use of strong opioids in chronic non-cancer pain (CNCP) through responsible prescription rules supported by scientific evidence. METHODS Clinical questions addressing the indication, the benefice, the risk and the precautions were
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