Scientific Online Resource System

Social Medicine

Онкологичната болка - един нерешен медико-социален проблем

Н. Йорданов, С. Aлександрова-Янкуловска, Г. Грънчарова

Abstract

В навечерието на Световния ден на Хосписите и палиативните грижи и в последната година от декадата за контрол на болката, обявена от Световната асоциация за изучаване на болката и Световната здравна организация (СЗО), трябва откровено да признаем: контролът на болката при рак е нерешен не само национален, но и световен медицински морален и етичен проблем, независимо от съществуващите прости, ефективни и евтини методи. Медицинската
общественост, държавните институции и обществото със своята инертност, некомпетентност и с години наслоявани
предразсъдъци е в дълг към всички страдащи и изживяващи дните си в болка пациенти.

Keywords

cancer pain, opioids, healthcare politics, palliative care

Full Text


References

Закон за Здравето. обн. ДВ. бр.70 от 10 август 2004 г.

НЗОК НРД 2015. [cited 2015 May 26]. p. Клинични пътеки 2014 ; Клинична пътека 297 – Палиа. www.nhif.bg/web/guest/233

НСБАЛО. Заболяемост от рак в България – 2012. Списание Национален раков регистър НСБАЛО – София. 2014.

СЗО, Ръководство за предлагане и достъпност на контролирани лекарства.

apps.who.int/iris/bitstream/10665/44519/3/9789241564175_bul.pdf

Ferlay J, Soerjomataram I, Ervik M, Dikshit R, Eser S, Mathers C, et al. GLOBOCAN 2012 v1.0, Cancer Incidence and Mortality Worldwide: IARC CancerBase. No. 11 [Internet]. Lyon, France: International Agency for Research on Cancer. 2013. p. http://globocan.iarc.f.

Australian Capital Territory. Medical Treatment Act 1994, №72. 1994.

www.legislation.act.gov.au/a/1994-72/19941101-4406/.../1994-72.pdf

Breivik H, Cherny N, Collett B, de Conno F, Filbet M, Foubert AJ, et al. Cancer-related pain: a pan-European survey of prevalence, treatment, and patient attitudes. Ann Oncol. 2009; 20:1420–33.

Brennan F, Carr D, Cousins M. Pain management: a fundamental human

right. Anesth Analg, journals.lww.com/ anesthesia-analgesia/Abstract/

/07000/Pain_Management__A_Fundamental_Human_Right.37.aspx

California Law. CALIFORNIA BUSINESS AND PROFESSIONS CODE. [cited 2015 Sep 27]. www.leginfo.ca.gov/.html/bpc_table_of_contents.html

Cherny N, Baselga J, de Conno F, Radbruch L. Formulary availability and

regulatory barriers to accessibility of opioids for cancer pain in Europe: A report from the ESMO/EAPC. Ann Oncol. 2010;21:615–26.

Deandrea S, Montanari M, Moja L, Apolone G. Prevalence of undertreatment

in cancer pain. A review. Ann Oncol. 2008;19:1985-91.

Duthey B, Scholten W. Adequacy of opioid analgesic consumption at country,

global, and regional levels in 2010, its relationship with development level compared with 2006. J Pain Symptom Manage. 2014;47(2):283–97.

February LO, Oncol L. Use of Opioid Analgesics in the Treatment of Cancer Pain : Evidence-based Recommendations from the EAPC Web version of the article published in Lancet Oncology. 2012;2012(February).

IASP. Decade against pain - 2014-2015 Neuropathic Pain - IASP. 2014.

www.iasp-pain.org/GlobalYear/NeuropathicPain?navItemNumber=580

Intercollegiate S, Network G. SIGN 106: Control of pain in adults with cancer. 2008;(November).

National Comprehensive Cancer Network. Adult Cancer Pain V1.2015.

; www.nccn.org/professionals/physician_gls/PDF/pain.pdf

Ripamonti CI, Santini D, Maranzano E, Berti M, Roila F. Management of cancer pain: ESMO clinical practice guide. Ann Oncol. 2012; 23(suppl. 7).

Solano J, Gomes B, Higginson I. A comparison of symptom prevalence in

far advanced cancer, AIDS, heart disease, ... J Pain Symptom Manage.

; 31(1):58–69. http://www.ncbi.nlm.nih.gov/pubmed/16442483

Ventafridda V, Saita L, Ripamonti C, De Conno F. WHO guidelines for the use of analgesics in cancer pain. Int J Tissue React. 1985;7(1):93–6.

WHO Model list of essential medicine. www.who.int/selection_medicines/committees/

expert/20/EML_2015_FINAL_amended_AUG2015.pdf?ua=1

WHPCA. World Day 2015 of hospice and palliative care [Internet]. 2015 [cited 2015 Sep 27]. http://www.thewhpca.org/world-day-2015

Wool MS, Mor V. A multidimensional model for understanding cancer pain. Cancer Invest. 2005;23:727–34.

WHO. Constitution of the WHO. Handb basic Doc 5th ed. 1952; (January

:3–20. www.who.int/governance/eb/who_constitution_en.pdf

IASP. Declaration of Montréal - IASP [Internet]. [cited 2015 Sep 27].

http://www.iasp-pain.org/DeclarationofMontreal?navItemNumber=582




DOI: http://dx.doi.org/10.14748/sm.v1i3.1461

Refbacks

Font Size


|