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Open Access 01-05-2024 | Nerve Block | Review

The use of interventional procedures for cancer pain. A brief review

Authors: Yi-Ching Lee, Timothy Brake, Emma Zhao, Alix Dumitrescu, Wei Lee, Benjamin Tassie, Kok-Eng Khor, Andy Yi-Yang Wang

Published in: Supportive Care in Cancer | Issue 5/2024

Abstract

Context

Pain is a common experience in people living with cancer. Concerns around opioid prescribing have seen a move toward a multi-modality management approach, which includes interventional pain procedures.

Purpose

In this paper we discuss the interventional pain procedures used to treat cancer pain at two major tertiary centers in Australia.

Methods and results

This expert review provides practical insights on cancer pain management from healthcare providers in different specialties. These insights can be used to guide the management of a wide range of cancer pain types.

Conclusions

Furthermore, this review identifies the need for a systematic and comprehensive approach to the management of cancer pain that is broader than that of a single specialty. With recent advances in pain management procedures, an interdisciplinary approach is essential in order to provide an up to date, patient tailored approach to pain management.

This review will help inform the development of a cancer pain intervention registry.

Haumann J, Joosten EBA, van den Beuken-van MH (2017) Pain prevalence in cancer patients: status quo or opportunities for improvement? Curr Opin Support Palliat Care 11(2):99–104CrossRefPubMed

Van Den Beuken-Van Everdingen MHJ, Hochstenbach LMJ, Joosten EAJ, Tjan-Heijnen VCG, Janssen DJA (2016) Update on prevalence of pain in patients with cancer: systematic review and meta-analysis. J Pain Symptom Manag 51(6):1070–90.e9. https://doi.org/10.1016/j.jpainsymman.2015.12.340CrossRef

Glare PA, Davies PS, Finlay E, Gulati A, Lemanne D, Moryl N et al (2014) Pain in cancer survivors. J Clin Oncol 32(16):1739CrossRefPubMedPubMedCentral

Fallon M, Giusti R, Aielli F, Hoskin P, Rolke R, Sharma M et al (2018) Management of cancer pain in adult patients: ESMO clinical practice guidelines. Ann Oncol 29:iv166–iiv91CrossRefPubMed

Schmidt BL, Hamamoto DT, Simone DA, Wilcox GL (2010) Mechanism of cancer pain. Mol Interv 10(3):164CrossRefPubMedPubMedCentral

Ventafridda V, Saita L, Ripamonti C, De Conno F (1985) WHO guidelines for the use of analgesics in cancer pain. Int J Tissue React 7(1):93–96PubMed

Mestdagh F, Steyaert A, Lavand'homme P (2023) Cancer pain management: a narrative review of current concepts, strategies, and techniques. Curr Oncol 30(7):6838–6858. https://doi.org/10.3390/curroncol30070500CrossRefPubMedPubMedCentral

Heptonstall N, Scott-Warren J, Berman R, Filippiadis D, Bell J (2023) Role of interventional radiology in pain management in oncology patients. Clin Radiol 78(4):245–253. https://doi.org/10.1016/j.crad.2022.05.022CrossRefPubMed

Vargas-Schaffer G (2010) Is the WHO analgesic ladder still valid? Twenty-four years of experience. Can Fam Physician 56:514–517PubMedPubMedCentral

10.

Dawson S, Koneti KK (2022) The role of pain management in cancer prehabilitation. In: Chakraborty A, Balakrishnan A (eds) Prehabilitation for cancer surgery. Springer Nature Singapore, Singapore, pp 217–247CrossRef

11.

Larson MR, Duberstein PR, Talbot NL, Caldwell C, Moynihan JA (2000) A presurgical psychosocial intervention for breast cancer patients. psychological distress and the immune response. J Psychosom Res 48(2):187–194. https://doi.org/10.1016/s0022-3999(99)00110-5CrossRefPubMed

12.

Yang A, Sokolof J, Gulati A (2018) The effect of preoperative exercise on upper extremity recovery following breast cancer surgery: a systematic review. Int J Rehabil Res 41(3):189–196. https://doi.org/10.1097/MRR.0000000000000288CrossRefPubMed

13.

Joshi M, Chambers WA (2010) Pain relief in palliative care: a focus on interventional pain management. Expert Rev Neurother 10(5):747–756CrossRefPubMed

14.

Koyyalagunta D, Simmonds MJ, Novy DM (2019) General pain management concepts. In: Gulati A, Puttanniah V, Bruel BM, Rosenberg WS, Hung JC (eds) Essentials of interventional cancer pain management. Springer, Cham, pp 47–54CrossRef

15.

Stearns LJ, Narang S, Albright RE, Hammond K, Xia Y, Richter HB et al (2019) Assessment of health care utilization and cost of targeted drug delivery and conventional medical management vs conventional medical management alone for patients with cancer-related pain. JAMA Netw Open 2(4):e191549–e19154eCrossRefPubMedPubMedCentral

16.

Hung JC, Azam N, Puttanniah V, Malhotra V, Gulati A (2014) Neurolytic transversus abdominal plane block with alcohol for long-term malignancy related pain control. Pain Physician 17(6):E755–EE60CrossRefPubMed

17.

Vayne-Bossert P, Afsharimani B, Good P, Gray P, Hardy J (2016) Interventional options for the management of refractory cancer pain—what is the evidence? Support Care Cancer 24:1429–1438CrossRefPubMed

18.

Fonoff ET, Lopez WO, de Oliveira YS, Teixeira MJ (2016) Microendoscopy-guided percutaneous cordotomy for intractable pain: case series of 24 patients. J Neurosurg 124(2):389–396. https://doi.org/10.3171/2014.12.Jns141616CrossRefPubMed

19.

Hao D, Fiore M, Di Capua C, Gulati A (2022) Ultrasound-guided peripheral nerve blocks: a practical review for acute cancer-related pain. Curr Pain Headache Rep 26(11):813–820. https://doi.org/10.1007/s11916-022-01089-9CrossRefPubMed

20.

Klepstad P, Kurita GP, Mercadante S, Sjøgren P (2015) Evidence of peripheral nerve blocks for cancer-related pain: a systematic review. Minerva Anestesiol 81(7):789–793PubMed

21.

Aman MM, Mahmoud A, Deer T, Sayed D, Hagedorn JM, Brogan SE et al (2021) The American Society of Pain and Neuroscience (ASPN) best practices and guidelines for the interventional management of cancer-associated pain. J Pain Res 14:2139–2164. https://doi.org/10.2147/jpr.S315585CrossRefPubMedPubMedCentral

22.

Arcidiacono PG, Calori G, Carrara S, McNicol ED, Testoni PA (2011) Celiac plexus block for pancreatic cancer pain in adults. Cochrane Database Syst Rev 2011(3):Cd007519. https://doi.org/10.1002/14651858.CD007519.pub2CrossRefPubMedPubMedCentral

23.

Shwita AH, Amr YM, Okab MI (2015) Comparative study of the effects of the retrocrural celiac plexus block versus splanchnic nerve block, C-arm guided, for upper gastrointestinal tract tumors on pain relief and the quality of life at a six-month follow up. Korean J Pain 28(1):22–31. https://doi.org/10.3344/kjp.2015.28.1.22CrossRefPubMedPubMedCentral

24.

Bhatnagar S, Joshi S, Rana SP, Mishra S, Garg R, Ahmed SM (2014) Bedside ultrasound-guided celiac plexus neurolysis in upper abdominal cancer patients: a randomized, prospective study for comparison of percutaneous bilateral paramedian vs. unilateral paramedian needle-insertion technique. Pain Pract 14(2):E63–E68. https://doi.org/10.1111/papr.12107CrossRefPubMed

25.

Vig S, Bhan S, Bhatnagar S (2021) Celiac plexus block—an old technique with new developments. Pain Physician 24(5):379–398PubMed

26.

Bhaskar AK, Simpson KH (2022) Interventional management of pain in cancer and palliative care. Medicine (Abingdon 1995, UK ed) 50(12):762–766. https://doi.org/10.1016/j.mpmed.2022.09.002CrossRef

27.

Silverman JE, Gulati A (2018) An overview of interventional strategies for the management of oncologic pain. Pain Manag 8(5):389–403. https://doi.org/10.2217/pmt-2018-0022CrossRefPubMed

28.

Dupoiron D, Duarte R, Carvajal G, Aubrun F, Eldabe S (2022) Rationale and recent advances in targeted drug delivery for cancer pain: is it time to change the paradigm? Pain Physician 25(3):E414–Ee25PubMed

29.

Duarte R et al (2023) Effectiveness and safety of intrathecal drug delivery systems for the management of cancer pain: a systematic review and meta-analysis. Neuromodulation: Technology at the Neural Interface 26(6):1126–1141. https://doi.org/10.1016/j.neurom.2022.03.003

30.

Peng L, Min S, Zejun Z, Wei K, Bennett MI (2015) Spinal cord stimulation for cancer-related pain in adults. Cochrane Database Syst Rev 2015(6):Cd009389. https://doi.org/10.1002/14651858.CD009389.pub3CrossRefPubMedPubMedCentral

31.

Raslan AM (2005) Percutaneous computed tomography-guided transdiscal low cervical cordotomy for cancer pain as a method to avoid sleep apnea. Stereotact Funct Neurosurg 83(4):159–164. https://doi.org/10.1159/000088992CrossRefPubMed

32.

Kurita GP, Sjøgren P, Klepstad P, Mercadante S (2019) Interventional techniques to management of cancer-related pain: clinical and critical aspects. Cancers (Basel) 11(4):443. https://doi.org/10.3390/cancers11040443CrossRefPubMed

33.

Poolman M, Makin M, Briggs J, Scofield K, Campkin N, Williams M et al (2020) Percutaneous cervical cordotomy for cancer-related pain: national data. BMJ Support Palliat Care 10(4):429–434. https://doi.org/10.1136/bmjspcare-2019-002057CrossRefPubMedPubMedCentral

34.

Szylak R, Bhargava D, Pridgeon M, Srinivasaiah R, Vijayendra V, Osman-Farah J (2023) Open thoracic cordotomy for cancer pain with intraoperative neuromonitoring: a case series and critical review of the literature. World Neurosurg 179:e90–e101. https://doi.org/10.1016/j.wneu.2023.08.016

35.

Patti JW, Neeman Z, Wood BJ (2002) Radiofrequency ablation for cancer-associated pain. J Pain 3(6):471–473. https://doi.org/10.1054/jpai.2002.126785

36.

Rosian K, Hawlik K, Piso R (2018) Efficacy assessment of radiofrequency ablation as palliative pain treatment in patients with painful metastatic spinal lesions: a systematic review. Pain Physician 21:E467–E476

37.

Gudugintta M (2006) Vertebroplasty: a new treatment for vertebral compression fractures. Aust Fam Physician 35(5):304–307

38.

Kam NM, Maingard J, Kok HK, Ranatunga D, Brooks D, Torreggiani WC et al (2017) Combined vertebral augmentation and radiofrequency ablation in the management of spinal metastases: an update. Curr Treat Options in Oncol 18(12):74. https://doi.org/10.1007/s11864-017-0516-7CrossRef

39.

Facchini G, Parmeggiani A, Peta G, Martella C, Gasbarrini A, Evangelisti G et al (2021) The role of percutaneous transarterial embolization in the management of spinal bone tumors: a literature review. Eur Spine J 30(10):2839–2851. https://doi.org/10.1007/s00586-021-06963-5CrossRefPubMed

40.

Heianna J, Makino W, Toguchi M, Iraha T, Ishikawa K, Kusada T et al (2021) Transarterial chemoembolization for the palliation of painful bone metastases refractory to first-line radiotherapy. J Vasc Interv Radiol 32(3):384–392. https://doi.org/10.1016/j.jvir.2020.10.031CrossRefPubMed

41.

Lovell M, Agar M, Luckett T, Davidson PM, Green A, Clayton J (2013) Australian survey of current practice and guideline use in adult cancer pain assessment and management: perspectives of palliative care physicians. J Palliat Med 16(11):1403–1409. https://doi.org/10.1089/jpm.2013.0245CrossRefPubMedPubMedCentral

42.

Brink-Huis A, Tv A, Schoonhoven L (2008) Pain management: a review of organisation models with integrated processes for the management of pain in adult cancer patients. J Clin Nurs 17(15):1986–2000. https://doi.org/10.1111/j.1365-2702.2007.02228.xCrossRefPubMed

43.

Scarborough BM, Smith CB (2018) Optimal pain management for patients with cancer in the modern era. CA Cancer J Clin 68(3):182–196. https://doi.org/10.3322/caac.21453CrossRefPubMedPubMedCentral

44.

Cancer Institute NSW: Cancer incidence and mortality—remoteness/socioeconomic position. https://www.cancer.nsw.gov.au/research-and-data/cancer-data-and-statistics/data-available-now/cancer-statistics-nsw/cancer-incidence-and-mortality (2023). Accessed 27 July 2023.

45.

Yates PM, Edwards HE, Nash RE, Walsh AM, Fentiman BJ, Skerman HM et al (2002) Barriers to effective cancer pain management: a survey of hospitalized cancer patients in Australia. J Pain Symptom Manag 23(5):393–405. https://doi.org/10.1016/s0885-3924(02)00387-1CrossRef

46.

Glare P, Aubrey K, Gulati A, Lee YC, Moryl N, Overton S (2022) Pharmacologic management of persistent pain in cancer survivors. Drugs 82(3):275–291. https://doi.org/10.1007/s40265-022-01675-6CrossRefPubMedPubMedCentral

47.

Gallaway MS, Townsend JS, Shelby D, Puckett MC (2020) Pain among cancer survivors. Prev Chronic Dis 17:E54. https://doi.org/10.5888/pcd17.190367CrossRefPubMedPubMedCentral

48.

Yasin J, Thimmappa N, Kaifi JT, Avella DM, Davis R, Tewari SO et al (2020) CT-guided cryoablation for post-thoracotomy pain syndrome: a retrospective analysis. Diagn Interv Radiol 26(1):53–57. https://doi.org/10.5152/dir.2019.19179CrossRefPubMed

49.

Cancer Institute NSW: cancer type summaries—incidence. https://www.cancer.nsw.gov.au/research-and-data/cancer-data-and-statistics/data-available-now/cancer-statistics-nsw/cancer-type-summaries (2023). Accessed 27 July 2023.

50.

Cancer Institute NSW: cancer type summaries—survival. https://www.cancer.nsw.gov.au/research-and-data/cancer-data-and-statistics/data-available-now/cancer-statistics-nsw/cancer-type-summaries (2023). Accessed 27 July 2023.

Title: The use of interventional procedures for cancer pain. A brief review
Authors: Yi-Ching Lee
Timothy Brake
Emma Zhao
Alix Dumitrescu
Wei Lee
Benjamin Tassie
Kok-Eng Khor
Andy Yi-Yang Wang
Publication date: 01-05-2024
Publisher: Springer Berlin Heidelberg
Keywords: Nerve Block
Opioids
Opioids
Published in: Supportive Care in Cancer / Issue 5/2024
Print ISSN: 0941-4355
Electronic ISSN: 1433-7339
DOI: https://doi.org/10.1007/s00520-024-08467-6

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