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Role of collaboration between pain medicine and palliative care 

Role of collaboration between pain medicine and palliative care
Chapter:
Role of collaboration between pain medicine and palliative care
Author(s):

Heino Hugel

DOI:
10.1093/med/9780199661626.003.0022
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date: 19 July 2019

The need for access to interventional pain medicine in cancer pain management is well described in the literature. Different studies have shown that 70–90% of cancer pain can be managed following the World Health Organization ladder. However, for the remaining 10–30% advanced pain management techniques including invasive procedures may be required. A number of national cancer policies such as the cancer manual or the supportive and palliative care guidance from the National Institute for Health and Clinical Excellence in the UK stipulate that interventional pain medicine should be an integral part of standard cancer care. In addition, the Mesothelioma Framework highlights that patients with this condition should have access to percutaneous cordotomy. However, access to interventional pain management for cancer pain, at least in the UK, is patchy and joint working between palliative medicine and pain physicians is not that well established.

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