Caroline E Temcheff, Michèle Déry, Renée A St-Pierre, Myriam Laventure, Jean-Pascal Lemelin
Precocious Initiation into Smoking, Alcohol Use, and Gambling among Children with Conduct Problems
Canadian journal of psychiatry. Revue canadienne de psychiatrie
provide evidencebased guidance optimum management chronic pain adult cancer survivorsan ascoconvened expert panel conducted systematic literature search studies investigating chronic pain management cancer survivors outcomes interest included symptom relief pain intensity quality life functional outcomes adverse events misuse diversion risk assessment mitigationa total 63 studies met eligibility criteria compose evidentiary basis recommendations studies tended heterogeneous terms quality size populations primary outcomes also varied across studies cases directly comparable different outcomes measurements instruments used different time points paucity highquality evidence many recommendations based expert consensusclinicians screen pain encounter recurrent disease second malignancy lateonset treatment effects patient reports newonset pain evaluated treated monitored clinicians determine need health professionals provide comprehensive pain management care patients complex needs systemic nonopioid analgesics adjuvant analgesics may prescribed relieve chronic pain andor improve function clinicians may prescribe trial opioids carefully selected patients cancer respond conservative management continue experience distress functional impairment risks adverse effects opioids assessed clinicians clearly understand terminology tolerance dependence abuse addiction relates use opioids incorporate universal precautions minimize abuse addiction adverse consequences additional information available wwwascoorgchronicpainguideline wwwascoorgguidelineswiki