Journal of Pain and Symptom Management

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Table of Contents

May 1, 2018 - 12:00am
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Editorial Board

May 1, 2018 - 12:00am
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Magnetic resonance guided focused ultrasound surgery for bone metastasis: from pain palliation to biological ablation?

April 19, 2018 - 12:00am
Magnetic resonance-guided focused ultrasound surgery (MRgFUS), also known as high intensity focused ultrasound (HIFU), is a totally non-invasive procedure that combines two technologies: First, high intensity focused ultrasound waves which are converted to thermal energy at precise focal point. This rises tissue temperature in the target area to approximately 65°C to 85°C resulting in irreversible thermal ablation of the tissue. Second, magnetic resonance imaging (MRI) based three–dimensional imaging of the focal point plus real time monitoring of the tissue temperature in the target zone.
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Authors reply to Letter/Comment from Shadmani & Mansori re Cancer pain with a neuropathic component: a cross-sectional study of its clinical characteristics, associated psychological distress, treatments and predictors at referral to a cancer pain clinic.

April 10, 2018 - 12:00am
We thank Shadmani and Mansori for their letter regarding our cross-sectional study of cancer pain with a neuropathic component at referral to a cancer pain clinic.1 We agree that a cross-sectional design precludes the valid determination of causal inference.
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Adverse events caused by aspiration implemented for death rattle in patients in the terminal stage of cancer: a retrospective observational study.

April 10, 2018 - 12:00am
Death rattle during terminal cancer occurs in 12-92% of patients; a systematic review reported an average rate of 35%1. Common treatments for death rattle include anticholinergic drugs, reducing the administration of fluids, and aspiration of secretions and oral care. There is no widely accepted standard of care for this condition.2
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Comment on: Cancer Pain With a Neuropathic Component: A Cross-sectional Study of Its Clinical Characteristics, Associated Psychological Distress, Treatments, and Predictors at Referral to a Cancer Pain Clinic

April 10, 2018 - 12:00am
We studied with interest the paper entitled “Cancer Pain with a Neuropathic Component: A Cross-sectional Study of Its Clinical Characteristics, Associated Psychological Distress, Treatments, and Predictors at Referral to a Cancer Pain Clinic” ” written by Reis-Pina Pet al. which was published in the Journal of Pain and Symptom Management in 2018 1. The purpose of the research was to to determine the prevalence, clinical characteristics, associated psychological distress, pre-referral treatment, and predictors of cancer pain with an NPC in patients referred to a cancer pain clinic.
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Recommendations for evaluation and management of pain in patients with mucopolysaccharidosis in Latin America

April 9, 2018 - 12:00am
The mucopolysaccharidosis (MPS) constitute a heterogeneous group of rare genetic disorders caused by enzymatic deficiencies that lead to the accumulation of glycosaminoglycans (GAGs). Several types of MPS are described, historically numbered from I to IX. Clinical observations strongly suggest the presence of chronic pain in patients with all types of MPS. There are few data in the literature on the evaluation and management of pain in these patients, a fact which can compromise the quality of life even more.
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Validation of the Proxy Version of Symptom Screening in Pediatrics Tool (SSPedi) in Children Receiving Cancer Treatments

April 6, 2018 - 12:00am
Primary objectives were to evaluate the inter-rater reliability and validity of proxy-report Symptom Screening in Pediatrics Tool (SSPedi) in children with cancer and pediatric hematopoietic stem cell transplant (HSCT) recipients. Secondary objective was to describe the inter-rater reliability of each SSPedi item.
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Validation of the Simplified Chinese Version of the Memorial Symptom Assessment Scale Short Form (MSAS-SF-SC) among Cancer Patients

April 5, 2018 - 12:00am
Comprehensive symptom assessment is crucial for symptom management. The Memorial Symptom Assessment Scale Short Form (MSAS-SF) has been validated for symptom assessment in cancer patients, but there is no Simplified Chinese version.
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From Fear to Confidence: Changing Providers’ Attitudes about Pediatric Palliative and Hospice Care

April 2, 2018 - 12:00am
Children have limited access to hospice care: few existing hospice programs have dedicated pediatric teams, and adult hospice providers feel inadequately trained to care for children.
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Table of Contents

April 1, 2018 - 12:00am
Categories: Pain News Feed

Editorial Board

April 1, 2018 - 12:00am
Categories: Pain News Feed

Recommendations for evaluation and management of pain in patients with mucopolysaccharidosis in Latin America

March 31, 2018 - 12:00am
The mucopolysaccharidosis (MPS) constitute a heterogeneous group of rare genetic disorders caused by enzymatic deficiencies that lead to the accumulation of glycosaminoglycans (GAGs). Several types of MPS are described, historically numbered from I to IX. Clinical observations strongly suggest the presence of chronic pain in patients with all types of MPS. There are few data in the literature on the evaluation and management of pain in these patients, a fact which can compromise the quality of life even more.
Categories: Pain News Feed

Transition Points for the Routine Integration of Palliative Care in Patients with Advanced Cancer

March 30, 2018 - 12:00am
Increasing emphases are being placed upon early integration of palliative care for patients with advanced cancers, yet barriers to implementation in clinical practice remain. Criteria to standardise referral have been endorsed, but their application are yet to be tested at the population level.
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Treatment of Anal Cancer Pain – A Case Report

March 30, 2018 - 12:00am
Treatment of pain related to anal cancer remains challenging. A literature review shows very little data on how best to treat such pain. Opioids are frequently used to manage localized pain associated with anal cancer, but the efficacy of such treatment remains largely unknown. In addition, many expensive opioids and procedures tried in other studies and countries are lacking in less developed countries such as ours. We present that case of a young man diagnosed with stage III anal cancer and extreme sharp pain treated with suppositories containing a steroid and anesthetic resulting in significant improvement in his pain.
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Title: Impact of ambiguous and restrictive regulations on opioid-prescribing practice in Georgia

March 29, 2018 - 12:00am
Chronic pain management with opioids in incurable patients remains a challenge of modern medicine regardless of the evidence-based effectiveness of opioids and recommendations of authorities such as the World Health Organization (WHO) and International Narcotics Control Board (INCB). Many countries, including Georgia, maintain overly restrictive regulations that contribute to inadequate pain management.
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Informal Caregiver Challenges for Advanced Cancer Patients during End-of-Life Care in Johannesburg, South Africa and Distinctions Based on Place of Death

March 28, 2018 - 12:00am
In sub-Saharan Africa, late diagnosis with cancer is common. Many dying patients rely on family members for care; little is known about the challenges African informal caregivers face.
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Validation of the Edmonton Symptom Assessment System: Ascites Modification.

March 26, 2018 - 12:00am
Few patient-reported outcomes are available to measure the symptoms associated with malignant-related ascites in patient care and clinical research. Although the Edmonton Symptom Assessment System: Ascites Modification (ESAS:AM) is a brief tool to measure symptoms associated with malignant-related ascites, it remains to be fully validated.
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Let’s Work Together: Collaborative Research is Needed to Overcome Difficulty Enrolling Families for Bereaved Sibling Research

March 26, 2018 - 12:00am
Understanding the impact of palliative care services for bereaved siblings has been identified as a priority for pediatric palliative care (PPC) research (1). Bereavement care interventions in pediatrics have been studied sparingly (2), and even less attention has been directed towards school-based interventions. Given that school-age children spend a large proportion of their time in school, understanding and improving school-based interventions for bereaved siblings is an important unexplored area.
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Preference for Palliative Care in Cancer Patients: Are Men and Women Alike?

March 26, 2018 - 12:00am
Men and those with low educational attainment are less likely to receive palliative care. Understanding these disparities is a high priority issue.
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