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Clinical Practice Guideline 9 Cancer Pain. Note This Clinical Practice Guideline for the Management of Cancer Pain is posted online by AHCPR at AHCPR archives. It has been used as a primary source of basic information about management of pain in end of life care. HPA or. Management of Cancer Pain. Clinical Guideline Number 9. AHCPR Publication No. March 1. 99. 4. Link to the National Guideline ClearinghouseInside Front CoverThe Agency for Health Care Policy and Research AHCPR was. December 1. 98. 9 under Public Law 1. Omnibus Budget. Reconciliation Act of 1. AHCPR carries out its mission by conducting and supporting general. The legislation also established within AHCPR the Office of the Forum. Quality and Effectiveness in Health Care the Forum. The Forum has. primary responsibility for facilitating the development, periodic. The guidelines. will assist practitioners in the prevention, diagnosis, treatment, and. Other components of AHCPR include the following. The Center for. Medical Effectiveness Research has principal responsibility for patient. The. Center for General Health Services Extramural Research supports research. The Center for General. Health Services Intramural Research uses large data sets for policy. The Center for Research Dissemination and. Liaison produces and disseminates findings from AHCPR supported. The Office of Health Technology Assessment responds to requests. Federal health programs for assessment of health care technologies. The Office of Science and Data Development develops specialized data. Guidelines are available in formats suitable for health care. AHCPR. invites comments and suggestions from users for consideration in. Please send written. Director, Office of the Forum, AHCPR, Willco Building, Suite. WebMD experts and contributors provide answers to your health questions. Original Article. A Randomized, Controlled Trial of Methylprednisolone or Naloxone in the Treatment of Acute SpinalCord Injury Results of the Second National. Background and PurposeThe authors present an overview of the current evidence and management recommendations for evaluation and treatment of adults with acute. Executive Boulevard, Rockville, MD 2. Guideline Development and Use. Guidelines are systematically developed statements to assist. This guideline was developed by a. Agency for Health Care Policy and Research AHCPR. The. panel employed an explicit, science based methodology and expert. Extensive literature searches were conducted, and critical reviews. Peer review and field review were undertaken to evaluate the. The panels recommendations are primarily based on the. When the scientific literature was. In. some instances, there was not unanimity of opinion. The guideline reflects the state of knowledge, current at the time of. Given the inevitable. We believe that the. AHCPR assisted clinical guideline development process will make positive. United States. We encourage. The recommendations may not be appropriate. Decisions to adopt any particular. J. Jarrett Clinton, MD. Administrator. Agency for Health Care Policy and Research. Publication of this guideline does not necessarily represent. U. S. Department of Health and Human Services. Foreword. Cancer is increasingly prevalent in the United States, and the pain. Cancer is diagnosed in. Americans annually, and one of five deaths in the. United States about 1,4. Patients with cancer often have multiple pain problems, but in most. Nevertheless. undertreatment is common because of a lack of knowledge by clinicians. This guideline was developed by an interdisciplinary panel of. The. guideline provides a synthesis of scientific research and expert. Approximately 4. 70 health care professionals and 7. The Clinical Practice Guideline for the Management of Cancer. Pain was commissioned by the Agency for Health Care Policy and. Research AHCPR. It follows and makes reference to an earlier guideline. AHCPR. The cancer pain guideline includes a section on the management of. HIV positiveAIDS related pain because of similarities in the sources of. This guideline is designed to help. It reflects a multimodal approach to the management. Abstract. Cancer is diagnosed in over one million Americans annually, and one. United States about 1,4. Despite recent advances in the understanding of pain and pain. This guideline is designed to help any clinician. The guideline was developed by an interdisciplinary panel of. The panel used a. The guideline makes recommendations about the assessment and. Interventions described include the use of 1. The cost of cancer pain in suffering, disability, and quality of life. The guidelines recommend that cancer pain be treated. In most. instances, pain can be treated effectively with relatively low cost. Given this evidence, health system barriers that. This document is in the public domain and may be used and reprinted. AHCPR appreciates citation as to. Jacox A, Carr DB, Payne R, et al. Management. of Cancer Pain. Clinical Practice Guideline No. AHCPR. Publication No. Rockville, MD. Agency for Health Care Policy. Research, U. S. Department of Health and Human Services, Public. Health Service, March 1. Dedication. The. Clinical Practice Guideline for the Management of Cancer. Pain is dedicated to the memory of Jeanne Stover, a member of the. Jeanne represented the National. Coalition for Cancer Survivorship on the panel. A 2. 3 year survivor of. She was a founding member of Living Through Cancer, a cancer self help. Albuquerque, New Mexico. The panel appreciates the insights and. Jeanne shared with us. Panel Members. Ada Jacox, RN, Ph. D, FAAN, 1. 99. Co Chair. Independence Foundation Chair in Health Policy. School of Nursing. The Johns Hopkins University. Baltimore, Maryland. Specialties Health Policy, Outcomes Research. Daniel B. Carr, MD, Co Chair, 1. Special Consultant 1. Director, Division of Pain Management. Department of Anesthesia. Massachusetts General Hospital. Boston, Massachusetts. Specialties Anesthesiology, Endocrinology. Richard Payne, MD, Member 1. Co Chair 1. 99. Director, Pain and Symptom Management Section. MD Anderson Cancer Center. Houston, Texas. Specialties Neurology, Oncology. Charles B. Berde, MD, Ph. D 1. 99. 2 9. Director, Pain Treatment Service. Childrens Hospital. Boston, Massachusetts. Specialties Pediatrics, Anesthesia, Critical Care. William Breitbart, MD 1. Associate Member. Memorial Sloan Kettering Cancer Center. New York, New York. Specialty Psychiatry, Internal Medicine. Joanna M. Cain, MD 1. Director, Womens Clinic. Division of Gynecologic Oncology. University of Washington Hospital. Seattle, Washington. Specialties Obstetrics, Gynecologic Oncology. C. Richard Chapman, Ph. D 1. 99. 1 9. Professor, Department of Anesthesiology. University of Washington School of Medicine. Director, Pain and Toxicity Research Program. Fred Hutchinson Cancer Research Center. Seattle, Washington. Specialty Psychology. Charles S. Cleeland, Ph. D 1. 99. 2 9. Director, Pain Research Group. Professor, Neurology. Department of Neurology. University of Wisconsin Medical School. Madison, Wisconsin. Specialty Psychology. Betty R. Ferrell, RN, Ph. D, FAAN 1. 99. Associate Research Scientist, Nursing Research. City of Hope Medical Center. Duarte, California. Spealties Oncology, Nursing. Rebecca S. Finley, Pharm. D, MS 1. 99. 2 9. Head, Section of Pharmacy Services. University of Maryland Cancer Center. Associate Professor of Oncology. Associate Professor of Pharmacy Practice. University of Maryland School of Pharmacy. Baltimore, Maryland. Specialty Institutional Pharmacy. Nancy O. Hester, RN, Ph. D, FAAN 1. 99. Associate Professor, School of Nursing. University of Colorado Health Sciences Center. Denver, Colorado. Specialties Pediatrics, Research Methods. C. Stratton Hill, Jr., MD 1. Professor of Medicine. University of Texas. MD Anderson Cancer Center. Houston, Texas. Specialty Oncology. W. David Leak, MD, FACPM 1. Medical Director, Pain Control Consultants. Adjunct Staff,Cleveland Clinic Foundation. Westerville, Ohio. Specialty Pain Medicine. Arthur G. Lipman, Pharm. D 1. 99. 1 9. Professor of Clinical Pharmacy. College of Pharmacy. University of Utah. Salt Lake City, Utah. Specialty Pharmacology in Pain Symptom Control. Catherine L. Logan 1. Executive Director and Founder, Living Through Cancer, Inc. Board of Advisors, National Coalition for Cancer Survivorship. Albuquerque, New Mexico. Consumer Representative. Charles L. Mc. Garvey, PT, MS 1. Chief, Physical Therapy Section. Rehabilitation Medicine Department. Warren G. Magnuson Clinical Center. National Institutes of Health. Bethesda, Maryland. Specialty Physical Therapy. Christine A. Miaskowski, RN, Ph. D, FAAN 1. 99. 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