[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address Please contact the publisher to request reinstatement.
[Skip to Content Landing]
December 1978

Pain of Terminal Cancer Patients

Arch Intern Med. 1978;138(12):1801-1802. doi:10.1001/archinte.1978.03630370025014

The belief that cancer inevitably leads to a painful death is widespread. This may contribute to society's "cancerophobia" with subsequent frequent delays in seeking medical attention for suspected malignant neoplasms. We evaluated the degree of pain experienced by dying patients, with and without cancer, at a large medical center. Patterns of analgesic administration and physician and nurse progress notes demonstrated that patients dying with cancer had significantly higher preterminal daily pain ratings and significantly fewer pain-free days than patients dying without cancer (P <.01). Nevertheless, approximately one quarter of cancer patients died without any pain or analgesic administration. A painful death from cancer is thus not inevitable.

(Arch Intern Med 138:1801-1802, 1978)