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Book and Media Reviews
July 4, 2007

Cancer Pain Management

Author Affiliations

Book and Media Reviews Section Editor: John L. Zeller, MD, PhD, Fishbein Fellow.

JAMA. 2007;298(1):96-101. doi:10.1001/jama.298.1.99-a

“Data from the World Health Organization indicated, in 1990, that about 4.5 million patients worldwide die each year in uncontrolled pain.” Cancer Pain Management proposes that barriers to effective pain management include difficulty assessing pain, a dearth of standardized approaches, a lack of institutional commitment to effective pain control, and fear among clinicians of addiction and analgesic overdose. This book addresses these obstacles.

The first chapter attends to the complexities of pain assessment in a patient with cancer. In particular, the authors consider the difficulties of managing patients with delirium and dementia, as well as those from other cultures. The volume thoroughly describes the neurobiology of pain and the different types of pain that may arise in these varied and complex patients. Another chapter specifically addresses pain syndromes that may arise in patients who have been cured of malignancy.