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Comparative analysis of Chinese and American guidelines for the diagnosis and treatment of cancer pain |
LI Hui1 RAO Yuefeng2 |
1.Department of Pharmacy, Zhejiang Province Shaoxing City Keqiao District Hospital of Traditional Chinese Medicine, Zhejiang Province, Shaoxing 312030, China; 2.Department of Pharmacy, the First Affiliated Hospital, Zhejiang University, School of Medicine, Zhejiang Province, Hangzhou 310000, China |
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Abstract Drug therapy is the most important and commonly used method for the treatment of cancer pain. Regular and effective drug therapy can relieve 80%-90% of the pain symptoms of cancer patients. For a long time, the Clinical Practice Guidelines for Adult Cancer Pain issued by the National comprehensive cancer network (NCCN) of the United States in January every year has been one of the important references for doctors around the world in the diagnosis and treatment of cancer pain. The former National Health and Family Planning Commission of China issued two versions of the Standards for the Diagnosis and Treatment of Cancer Pain in 2011 and 2018 respectively. The guidelines of the two countries are different in the suggestions of the aspects of pain assessment, pain grade, dose titration, maintenance medication, dose conversion, opioids reduction and the prevention and treatment of opioid adverse reactions. In this paper, from the perspective of clinical pharmacists, the classification and comparative interpretation of the diagnosis and treatment of cancer pain in China and the United States are carried out, hoping to provide pharmaceutical suggestions for clinicians in the diagnosis and treatment of cancer pain.
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