Approach to the management of pain in metastatic bone disease.

Aproximación al manejo del dolor en la enfermedad ósea metastásica.

Published 2016-03-01

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Vol. 3 No. 1 (2016): Marzo
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Approach to the management of pain in metastatic bone disease.
Rev. colomb. hematol. oncol. [Internet]. 2016 Mar. 1 [cited 2024 Dec. 22];3(1):24-32. Disponible en: https://doi.org/10.51643/22562915.146
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Ana Antolínez
Asociación Colombiana de Hematología y Oncología
    Pedro Pérez
    Asociación Colombiana de Hematología y Oncología
      Diego González
      Asociación Colombiana de Hematología y Oncología
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        Ana Antolínez,

        Especialista en entrenamiento de Medicina del Dolor y Cuidados Paliativos, Universidad Militar Nueva Granada, Instituto Nacional de Cancerología (Bogotá, Colombia).

        Pedro Pérez,

        Especialista en entrenamiento de Medicina del Dolor y Cuidados Paliativos, Universidad Militar Nueva Granada, Instituto Nacional de Cancerología (Bogotá, Colombia).

        Diego González,

        Especialista en entrenamiento de Medicina del Dolor y Cuidados Paliativos, Universidad Militar Nueva Granada, Instituto Nacional de Cancerología (Bogotá, Colombia).

        Introduction: Metastatic bone disease is a common and devastating condition for cancer patients in terms of reduced functionality, autonomy, pain and decreased quality of life. Bone pain induced by cancer metastases has a complex multifactorial etiology and is considered difficult pain management. Despite the existence of multiple therapeutic tools for this condition, a large group of patients did not receive appropriate pain management. Objectives: The aim of this article is to review the different strategies for management of bone pain secondary to metastatic disease. Materials and methods: We performed a literature search in PubMed, ScienceDirect and MD Consult, with MeSH words and free text from 1989 where 211 articles were obtained. 80 of these articles were selected due to their relevance. Conclusions: Bone pain in metastatic bone disease etiology is considered multifactorial, and difficult to manage; there are different therapeutic strategies for management; multimodal analgesia strategy is widely recommended. Pain specialist plays a key role not only in guiding the pharmacological management but in structuring a coordinated multidisciplinary approach aimed at achieving the objectives.

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