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Moderne Schmerztherapie in der Onkologie

Modern pain treatment in oncology

  • Leitthema
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Der Onkologe Aims and scope

Zusammenfassung

Hintergrund

Ein hoher Anteil der Tumorpatienten leidet während oder im Anschluss an eine antitumoröse Therapie an mittelstarken bis sehr starken Schmerzen. Durch die Innovationen in der Tumortherapie in den letzten Jahrzenten hat sich die Anzahl insbesondere der Langzeitüberlebenden deutlich erhöht.

Methode

Einbezogen wurden eine selektive Literaturrecherche sowie Erfahrungen aus dem eigenen Patientenkollektiv.

Ergebnisse für die Schmerztherapie

Das Voranschreiten in der Therapie maligner Erkrankungen erfordert eine Angleichung in der Schmerzbehandlung dieser Patienten. Dies beinhaltet die Modifikation und Ergänzung des WHO(World Health Organization)-Stufenschemas, den kritischen Einsatz von Opioiden sowie die Einbindung von medikamentösen, psychosomatischen, interventionellen und physiotherapeutischen Behandlungskonzepten in einen multimodalen Therapieansatz bei Tumorpatienten. Der vorliegende Beitrag diskutiert diese Entwicklung anhand aktueller Literatur und klinischer Erfahrungen der Autoren.

Abstract

Background

A high number of cancer patients suffer from moderate to severe pain during or even after termination of anti-cancer therapy. Due to innovations in cancer therapies over the last decades the number of especially long-term survivors has substantially increased.

Methods

A selective publication search was carried out and experiences from the clinical daily practice are presented.

Results of pain therapy

The progress in the treatment of malignant diseases requires an equivalent development in the treatment of pain in these patients. This includes modifications and adjustments to the World Health Organization (WHO) staging scheme, a critical use of opioids as well as the implementation of medicinal, psychosomatic, interventional and physiotherapeutic treatment concepts in a multimodal therapeutic approach in cancer patients. This article discusses these developments based on the current literature and the authors’ clinical experiences..

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Correspondence to Wilhelm Ruppen.

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Interessenkonflikt

W. Ruppen und T. Schneider geben an, dass kein Interessenkonflikt besteht.

Für diesen Beitrag wurden von den Autoren keine Studien an Menschen oder Tieren durchgeführt. Für die aufgeführten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.

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Ruppen, W., Schneider, T. Moderne Schmerztherapie in der Onkologie. Onkologe 26, 139–143 (2020). https://doi.org/10.1007/s00761-019-00676-7

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  • DOI: https://doi.org/10.1007/s00761-019-00676-7

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