Cancer Pain: Assessment and Management by Eduardo D. Bruera, Russell K. Portenoy

By Eduardo D. Bruera, Russell K. Portenoy

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Bucher et al. (62) reported that 86% of patients had a problem with pain in the last 4 weeks of life. The prevalence of pain by primary tumor site Nine studies were identified that provided prevalence data on pain in more than one cancer type in the general adult cancer population. These show a wide range in reported prevalence by tumor site, but those cancers with more than 70% of patients with pain reported in more than one study are: • • • • Head and neck (mean 80%, range 67%–91%) Genitourinary (mean 77%, range 58%–90%) Esophagus (mean 74%, range 71%–77%) Prostate (mean 74%, range 56%–94%) One hundred percent of patients with advanced multiple myeloma (65) and with advanced sarcoma (64) were experiencing pain.

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