Advance in the Management of Cancer Pain

Dear Colleagues,

The comprehensive treatment of cancer patients with pain is multidimodal, with pharmacotherapy playing a key role. This Special Issue, “Advance in the Management of Cancer Pain,” is aimed at presenting current knowledge on the evaluation and treatment of cancer patients with pain. A holistic approach to cancer patients with pain is suggested as they suffer not only from physical, but also from psychological, social, and spiritul pain. Many patients are concurrently treated with anticancer systemic and local therapies. This must be taken into account when initiating and continuing pain management. Other symptoms must also be taken into consideration.

Pharmacology measures remain the main approach to patients with chronic pain. However, non-pharmacological measures may often be successfully applied, either alone or in combination with pharmacotherapy, improving analgesia and reducing the adverse effects of analgesics. These include physical methods of pain management as well as psychological, social, and spiritual interventions. Newer, less invasive routes of analgesic administration are also explored, improving convenience and limiting adverse effects. Pharmacology comprises different approaches, including non-opioids, opioids, and adjuvant analgesics.

Still, many questions remain open, including the safety of analgesics, potential drug interactions, and more effective analgesic effects. Recent problems associated with opioid administration open a discussion on the safety and efficacy of this indispensable group of analgesics for patients suffering from severe pain.

Prof. Dr. Wojciech Leppert
Guest Editor

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