With the acceleration of China's aging society,elderly patients have become a high-risk group for malignant tumors and exhibit high prevalence of pain.For a long time,the diagnosis,treatment,and management of canc...With the acceleration of China's aging society,elderly patients have become a high-risk group for malignant tumors and exhibit high prevalence of pain.For a long time,the diagnosis,treatment,and management of cancer pain in elderly Chinese patients have been inadequate.This study used"Older adults,geriatric patients,cancer pain,pain assessment,pain management,elderly cancer,geriatric oncology,medication management,palliative care,interdisciplinary pain management,Analgesics,quality of life"as key words.We systematically searched PubMed,Web of Science,CNKI,and Wanfang databases from their inception to September 2024.The search primarily included phase I to III clinical trials,randomized controlled trials,meta-analyses,systematic reviews,and case reports.Elderly patients typically present with complex pain mechanisms,including both cancer-related and non-cancer pain,cognitive dysfunction,comorbidities,and polypharmacy,posing significant challenges for clinical diagnosis and treatment.Notable clinical differences exist between elderly and younger patients in the epidemiology,assessment,diagnosis,and treatment of cancer pain.Currently,the awareness of comprehensive management for elderly cancer pain patients is limited,and specific,implementable clinical guidelines are lacking.Therefore,developing a comprehensive,localized management model for elderly cancer pain patients in China—incorporating factors such as age-related impacts,organ function status,and comorbidities—has become an urgent necessity.展开更多
文摘With the acceleration of China's aging society,elderly patients have become a high-risk group for malignant tumors and exhibit high prevalence of pain.For a long time,the diagnosis,treatment,and management of cancer pain in elderly Chinese patients have been inadequate.This study used"Older adults,geriatric patients,cancer pain,pain assessment,pain management,elderly cancer,geriatric oncology,medication management,palliative care,interdisciplinary pain management,Analgesics,quality of life"as key words.We systematically searched PubMed,Web of Science,CNKI,and Wanfang databases from their inception to September 2024.The search primarily included phase I to III clinical trials,randomized controlled trials,meta-analyses,systematic reviews,and case reports.Elderly patients typically present with complex pain mechanisms,including both cancer-related and non-cancer pain,cognitive dysfunction,comorbidities,and polypharmacy,posing significant challenges for clinical diagnosis and treatment.Notable clinical differences exist between elderly and younger patients in the epidemiology,assessment,diagnosis,and treatment of cancer pain.Currently,the awareness of comprehensive management for elderly cancer pain patients is limited,and specific,implementable clinical guidelines are lacking.Therefore,developing a comprehensive,localized management model for elderly cancer pain patients in China—incorporating factors such as age-related impacts,organ function status,and comorbidities—has become an urgent necessity.
