Treating cancer and no-cancer pain in older and oldest old patients

G. Colloca, F. Lattanzio, L. Balducci, G. Onder, G. Ronconi, F. Landi, G. Morlans, R. Bernabei

Research output: Contribution to journalArticlepeer-review

Abstract

Pain is one of the most frequent reasons for consultations in general practice, presenting either alone or associated with some comorbidity. In all care settings for older and oldest old patients, a gap exists between best-practice recommendations and current clinical practice. Clinical manifestations of persistent pain are often complex and multifactorial in the frail population, so the approach to pain management in older persons differs from that for younger people. The purpose of this review is to describe the best approach to assess and manage persistent cancer and no-cancer pain in the elderly, to explain the principles of pain treatment in this so often frail and complex population and compare the different drugs that should be used or avoided in older and oldest old patients considering the age-related physiologic changes. Considerable emphasis is placed on conditions more common in the elderly such as neuropathic pain or typical subsets of the aging population such as the assessment of pain in people with dementia.

Original languageEnglish
Pages (from-to)1706-1714
Number of pages9
JournalCurrent Pharmaceutical Design
Volume21
Issue number13
Publication statusPublished - 2015

Keywords

  • Cancer pain
  • Cognitive impairment
  • Dementia
  • Elderly
  • Neuropathic pain
  • Persistent pain

ASJC Scopus subject areas

  • Drug Discovery
  • Pharmacology
  • Medicine(all)

Fingerprint Dive into the research topics of 'Treating cancer and no-cancer pain in older and oldest old patients'. Together they form a unique fingerprint.

Cite this