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Survey of chronic pain in Europe: Prevalence, impact on daily life, and treatment
TLDR
It is documented that chronic pain is a major health care problem in Europe that needs to be taken more seriously and interesting differences between countries were observed, possibly reflecting differences in cultural background and local traditions in managing chronic pain. Expand
Morphine and alternative opioids in cancer pain: the EAPC recommendations
TLDR
The revised recommendations presented here give guidance on the use of morphine and the alternative strong opioid analgesics which have been introduced in many parts of the world in recent years. Expand
Symptom Prevalence and Control during Cancer Patients’ Last Days of Life
TLDR
Data reported emphasize the clinical relevance of physical symptoms in the last days of life in terminal cancer patients and how these serve to indicate imminent death. Expand
Strategies to manage the adverse effects of oral morphine: an evidence-based report.
TLDR
Evidence-based recommendations for clinical-practice formulated by an Expert Working Group of the European Association of Palliative Care are presented, highlighting the need for careful evaluation to distinguish between morphine adverse effects from comorbidity, dehydration, or drug interactions, and initial consideration of dose reduction. Expand
A validation study of the WHO method for cancer pain relief
TLDR
It is shown that a correct use of the analgesic ladder can reduce pain to a third of its initial intensity and concluded that analgesics, as proposed by WHO, are the most suitable treatment arm in controlling pain in palliative treatment for advanced cancer patients. Expand
WHO guidelines for the use of analgesics in cancer pain.
TLDR
Through an adequate use of the analgesic ladder, pain can be relieved in the great majority of cancer patients, the World Health Organization has created a Collaborating Centre for Cancer Pain Relief in Milan. Expand
A new international framework for palliative care.
TLDR
It is recommended that palliative care should be defined as follows: Palliatives care is the person-centred attention to symptoms, psychological, social and existential distress in patients with limited prognosis, in order to optimise the quality of life of patients and their families or close friends. Expand
Characteristics of terminal cancer patients who committed suicide during a home palliative care program.
TLDR
A psychological autopsy study was carried out on five terminal cancer patients who committed suicide while they were cared for at home by well-trained palliative care teams, finding multiple vulnerability factors were present simultaneously in all patients. Expand
Clinical experience with oral methadone administration in the treatment of pain in 196 advanced cancer patients.
TLDR
Oral methadone administered every 8 hours was shown to be an appropriate analgesic therapy in the treatment of advanced cancer-related pain and it should be considered in clinical practice for the Treatment of cancer pain. Expand
Effect of home care on the place of death of advanced cancer patients.
TLDR
Home care is a feasible alternative for implementing palliative care in a selected population of patients with advanced cancer and Palliation of physical symptoms is more easily achieved than the control of psychological suffering. Expand
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