WHO analgesic ladder gone astray: wider implications
Many guidelines rely on the WHO ladder approach for the blanket treatment of cancer pain. 4 Advances in treatment and increasing cancer survival have led to a rise in chronic complications that can cause serious pain. 5 In our experience, the widespread use of the WHO ladder for cancer pain has led...
Saved in:
| Published in | BMJ (Online) Vol. 352; p. i589 |
|---|---|
| Main Authors | , |
| Format | Journal Article |
| Language | English |
| Published |
England
BMJ Publishing Group LTD
04.02.2016
|
| Subjects | |
| Online Access | Get full text |
Cover
Loading…
| Abstract | Many guidelines rely on the WHO ladder approach for the blanket treatment of cancer pain. 4 Advances in treatment and increasing cancer survival have led to a rise in chronic complications that can cause serious pain. 5 In our experience, the widespread use of the WHO ladder for cancer pain has led to serious opioid based problems in a small group of patients. [...]palliative care doctors have extended their role in the management of multiple chronic conditions that can be associated with pain. 6 Opioids are the cornerstone of their therapeutic armamentarium. |
|---|---|
| AbstractList | Many guidelines rely on the WHO ladder approach for the blanket treatment of cancer pain. 4 Advances in treatment and increasing cancer survival have led to a rise in chronic complications that can cause serious pain. 5 In our experience, the widespread use of the WHO ladder for cancer pain has led to serious opioid based problems in a small group of patients. [...]palliative care doctors have extended their role in the management of multiple chronic conditions that can be associated with pain. 6 Opioids are the cornerstone of their therapeutic armamentarium. |
| Author | Basler, Michael H Keeley, Paul W |
| Author_xml | – sequence: 1 givenname: Michael H surname: Basler fullname: Basler, Michael H email: Michael.Basler@ggc.scot.nhs.uk organization: Glasgow Royal Infirmary, Glasgow G4 0SF, UK – sequence: 2 givenname: Paul W surname: Keeley fullname: Keeley, Paul W email: Michael.Basler@ggc.scot.nhs.uk organization: Glasgow Royal Infirmary, Glasgow G4 0SF, UK |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/26847579$$D View this record in MEDLINE/PubMed |
| BookMark | eNp1kE1LAzEQhoNUbK0Ff4EsePGyNdlk8-FNilqh0IviMcxusiVlP2qyi_Tfu4vViuBphuGZZ5j3HI3qprYIXRI8J4Ty26zazl0q1QmaEJHymEhKR7_6MZqFsMUYJ1RIxdMzNE64ZCIVaoLY23IdQQ3lxgaXRyUYY3206S9EEFoP-7voww0jV-1Kl0PrmjpcoNMCymBnhzpFr48PL4tlvFo_PS_uV3FGBW1janPIc1MQSw0nWAG3LGO8yJSSjGHJOUgrTQKpBa4gs7QwRgJIwiikWUKn6ObLu_PNe2dDqysXcluWUNumC5oInqhU8UT26PUfdNt0vv9roISQFCeCHYW5b0LwttA77yrwe02wHsLUfZh6CLNHrw7CLqus-QG_ozteHFb-1XwCnV97uQ |
| CitedBy_id | crossref_primary_10_1097_SPC_0000000000000549 |
| ContentType | Journal Article |
| Copyright | Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to Copyright BMJ Publishing Group LTD Feb 4, 2016 |
| Copyright_xml | – notice: Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to – notice: Copyright BMJ Publishing Group LTD Feb 4, 2016 |
| DBID | CGR CUY CVF ECM EIF NPM AAYXX CITATION 3V. 7RV 7X7 7XB 88I 8AF 8FE 8FH 8FI 8FJ 8FK 8G5 ABUWG AFKRA ASE AZQEC BBNVY BENPR BHPHI BTHHO CCPQU DWQXO FPQ FYUFA GHDGH GNUQQ GUQSH HCIFZ K6X K9. KB0 LK8 M2O M2P M7P MBDVC NAPCQ PQEST PQQKQ PQUKI Q9U 7X8 |
| DOI | 10.1136/bmj.i589 |
| DatabaseName | Medline MEDLINE MEDLINE (Ovid) MEDLINE MEDLINE PubMed CrossRef ProQuest Central (Corporate) Nursing & Allied Health Database Health & Medical Collection ProQuest Central (purchase pre-March 2016) Science Database (Alumni Edition) STEM Database ProQuest SciTech Collection ProQuest Natural Science Collection Hospital Premium Collection Hospital Premium Collection (Alumni Edition) ProQuest Central (Alumni) (purchase pre-March 2016) Research Library (Alumni Edition) ProQuest Central (Alumni) ProQuest Central British Nursing Index ProQuest Central Essentials Biological Science Collection ProQuest Central Natural Science Collection BMJ Journals ProQuest One Community College ProQuest Central Korea British Nursing Index (BNI) (1985 to Present) Health Research Premium Collection Health Research Premium Collection (Alumni) ProQuest Central Student Research Library Prep SciTech Premium Collection British Nursing Index ProQuest Health & Medical Complete (Alumni) Nursing & Allied Health Database (Alumni Edition) Biological Sciences Research Library Science Database Biological Science Database Research Library (Corporate) Nursing & Allied Health Premium ProQuest One Academic Eastern Edition (DO NOT USE) ProQuest One Academic ProQuest One Academic UKI Edition ProQuest Central Basic MEDLINE - Academic |
| DatabaseTitle | MEDLINE Medline Complete MEDLINE with Full Text PubMed MEDLINE (Ovid) CrossRef Research Library Prep ProQuest Central Student ProQuest Central Essentials ProQuest Health & Medical Complete (Alumni) ProQuest AP Science ProQuest Central (Alumni Edition) SciTech Premium Collection ProQuest One Community College Research Library (Alumni Edition) ProQuest Natural Science Collection ProQuest Central Health Research Premium Collection Natural Science Collection ProQuest Central Korea Biological Science Collection ProQuest Research Library ProQuest Science Journals (Alumni Edition) ProQuest Biological Science Collection ProQuest Central Basic ProQuest Science Journals ProQuest One Academic Eastern Edition British Nursing Index ProQuest Nursing & Allied Health Source ProQuest Hospital Collection Health Research Premium Collection (Alumni) Biological Science Database ProQuest SciTech Collection ProQuest Hospital Collection (Alumni) Nursing & Allied Health Premium ProQuest Health & Medical Complete ProQuest One Academic UKI Edition BMJ Journals ProQuest Nursing & Allied Health Source (Alumni) ProQuest One Academic ProQuest Central (Alumni) MEDLINE - Academic |
| DatabaseTitleList | Research Library Prep |
| Database_xml | – sequence: 1 dbid: NPM name: PubMed url: https://proxy.k.utb.cz/login?url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database – sequence: 2 dbid: EIF name: MEDLINE url: https://proxy.k.utb.cz/login?url=https://www.webofscience.com/wos/medline/basic-search sourceTypes: Index Database – sequence: 3 dbid: BENPR name: ProQuest Central url: https://www.proquest.com/central sourceTypes: Aggregation Database |
| DeliveryMethod | fulltext_linktorsrc |
| Discipline | Medicine |
| EISSN | 1756-1833 |
| EndPage | i589 |
| ExternalDocumentID | 4008195561 10_1136_bmj_i589 26847579 ttp://bmj.com/content/352/bmj.i589.full |
| Genre | Letter Correspondence |
| GroupedDBID | 0R~ 23N 39C 4.4 40O 53G 5GY 7RV 7X7 88I 8AF 8F7 8FE 8FH 8FI 8FJ 8G5 AACGO AANCE AAWJN ABBHK ABIVO ABJNI ABPLY ABTLG ABUWG ABVAJ ABXSQ ACGFS ACGOD ACMFJ ACPRK ADACV ADULT AEUPB AEXZC AFKRA AGFXO AHMBA AHNKE AHQMW AJYBZ ALIPV ALMA_UNASSIGNED_HOLDINGS AQVQM AZQEC BBNVY BENPR BHPHI BPHCQ BTHHO C45 CCPQU CS3 DCCCD DOOOF DWQXO EBS EJD F5P FYUFA GNUQQ GUQSH H13 HAJ HCIFZ HMCUK HZ~ IPSME JAAYA JBMMH JENOY JHFFW JKQEH JLS JLXEF JPM JSG JSODD JST L7B LK8 M2O M2P M7P NAPCQ NXWIF O9- OVD PQQKQ PROAC R53 RHF RHI RMJ RV8 SA0 TEORI UKHRP VVN WOQ YFH YQY CGR CUY CVF ECM EIF NPM AAYXX CITATION 3V. 7XB 8FK ASE FPQ K6X K9. MBDVC PQEST PQUKI Q9U 7X8 ADQXQ |
| ID | FETCH-LOGICAL-b373t-3ecaccdf1e3d6109a6e4b46fb998440866a8e8d2a5ea69abe3fdd8aa8143a5b23 |
| IEDL.DBID | 7X7 |
| ISSN | 1756-1833 |
| IngestDate | Fri Aug 16 08:24:44 EDT 2024 Thu Oct 10 22:10:32 EDT 2024 Fri Aug 23 02:44:34 EDT 2024 Sat Sep 28 07:57:00 EDT 2024 Wed Aug 21 03:28:07 EDT 2024 |
| IsDoiOpenAccess | false |
| IsOpenAccess | true |
| IsPeerReviewed | true |
| IsScholarly | true |
| Language | English |
| LinkModel | DirectLink |
| MergedId | FETCHMERGED-LOGICAL-b373t-3ecaccdf1e3d6109a6e4b46fb998440866a8e8d2a5ea69abe3fdd8aa8143a5b23 |
| Notes | SourceType-Other Sources-1 content type line 63 ObjectType-Correspondence-1 |
| OpenAccessLink | https://eprints.gla.ac.uk/130082/1/130082.pdf |
| PMID | 26847579 |
| PQID | 1777830274 |
| PQPubID | 2043523 |
| ParticipantIDs | proquest_miscellaneous_1762959628 proquest_journals_1777830274 crossref_primary_10_1136_bmj_i589 pubmed_primary_26847579 bmj_primary_10_1136_bmj_i589 |
| PublicationCentury | 2000 |
| PublicationDate | 20160204 2016-Feb-04 2016-02-04 |
| PublicationDateYYYYMMDD | 2016-02-04 |
| PublicationDate_xml | – month: 2 year: 2016 text: 20160204 day: 4 |
| PublicationDecade | 2010 |
| PublicationPlace | England |
| PublicationPlace_xml | – name: England – name: London |
| PublicationTitle | BMJ (Online) |
| PublicationTitleAlternate | BMJ |
| PublicationYear | 2016 |
| Publisher | BMJ Publishing Group LTD |
| Publisher_xml | – name: BMJ Publishing Group LTD |
| SSID | ssj0002378965 |
| Score | 2.2350566 |
| Snippet | Many guidelines rely on the WHO ladder approach for the blanket treatment of cancer pain. 4 Advances in treatment and increasing cancer survival have led to a... |
| SourceID | proquest crossref pubmed bmj |
| SourceType | Aggregation Database Index Database Publisher |
| StartPage | i589 |
| SubjectTerms | Analgesics Analgesics, Opioid - therapeutic use Cancer Chronic illnesses Humans Neoplasms - physiopathology Pain - drug therapy Pain management Palliative care Practice Guidelines as Topic World Health Organization |
| Title | WHO analgesic ladder gone astray: wider implications |
| URI | http://dx.doi.org/10.1136/bmj.i589 https://www.ncbi.nlm.nih.gov/pubmed/26847579 https://www.proquest.com/docview/1777830274 https://search.proquest.com/docview/1762959628 |
| Volume | 352 |
| hasFullText | 1 |
| inHoldings | 1 |
| isFullTextHit | |
| isPrint | |
| link | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwfV1bS8MwGA1uA_FFvDudo4Kvdba5-yIqG0PYFHG4t5I0mUy0m7sg_nvztdnUB_dW2pDASZqcfF9yDkJnWEsrpU1DRakKCTFpKGN9EQpQN9cgaJK7RHS6rN0jd33a9wG3qT9WuZgT84najFKIkTcizjloVXFyNf4IwTUKsqveQqOEKlHsyIQbz7zPlzGWGHMhGfWasxFmDf3-ej6k4Oleco9_16J_CGa-0LS20KZniMF10aXbaM1mO2i943Pgu4g8t-8DlYE_h0M4eIOpYxK8jDIbKIhbfF0Gn3C3Lhj-Oiy-h3qt5tNtO_TeB6HGHM9CbFOVpmYQWWxAEV0xSzRhA-22R2ASzZgSVphYUauYVNrigTFCKeGwVVTHeB-VM9fyIQrg7qlNBZHWkR9DhTLarfuOuDimRw2jVVRzWCTjQt0iyXcFmCXwDqCqotMFSCvK1BboJf4fmCY_PeaqWH52oxdSEiqzozmUYbEEAyBRRQcF6stGQIeGUy6PVld-jDYciSlOUpMaKs8mc3viiMJM1_PRUEeVm2b34fEbfma9jA |
| link.rule.ids | 315,786,790,12083,21416,27955,27956,31752,31753,33777,33778,43343,43838,74100,74657 |
| linkProvider | ProQuest |
| linkToHtml | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwfV1bT8IwGG0UE_XFeBdFnYmvE1nvvhhjJFMBXyDytrRrMRgdyCXGf2-_raA-yNuyNW1y2rWn39eeg9A51tJKadNQUapCQkwaykhfhgLUzTUImuQuEc0WizvkoUu7PuA29scqZ3NiPlGbQQox8mqNcw5aVZxcDz9CcI2C7Kq30FhGKwRjAuOcd_k8xhJhLiSjXnO2hllVv79e9Cl4ui-7x79r0T8EM19o6ptowzPE4Kbo0i20ZLNttNr0OfAdRJ7jp0Bl4M_hEA7eYOoYBS-DzAYK4hZfV8En3K0L-r8Oi--iTv2ufRuH3vsg1JjjSYhtqtLU9GoWG1BEV8wSTVhPu-0RmEQzpoQVJlLUKiaVtrhnjFBKOGwV1RHeQ6XMtXyAArh7alNBpHXkx1ChjHbrviMujulRw2gZVRwWybBQt0jyXQFmCbwDqMrobAbSgjKVGXqJ_wfGyU-PuSrmn93ohZSEyuxgCmVYJMEASJTRfoH6vBHQoeGUy8PFlZ-itbjdbCSN-9bjEVp3hKY4VU0qqDQZTe2xIw0TfZKPjG-Rbb7f |
| linkToPdf | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwfV1bT8IwGG0EE-KL8S6KOhNfJ7DefTFGJXgBfZDI29KuncHoQC4x_nv7jYL6IG_L1rTJadee9vt6DkInWEsrpU1CRakKCTFJKCNdCwWom2sQNMldIlpt1uyQ2y7t-vynkU-rnM2J-URt-gmckVfrnHPQquKkmvq0iMerxvngIwQHKYi0ejuNAlp2q2QNbBx4l8_PWyLMhWTU68_WMavq99fTHgV_94J7_Lsu_UM280WnsYZWPVsMLqbdu46WbLaBSi0fD99E5Ln5EKgMvDoc2sEbTCPD4KWf2UDBGcbXWfAJ9-yC3q_E8S3UaVw_XTZD74MQaszxOMQ2UUli0rrFBtTRFbNEE5Zqt1UCw2jGlLDCRIpaxaTSFqfGCKWEw1lRHeFtVMxcy7sogHuoNhFEWkeEDBXKaMcBHIlxrI8aRsuo4rCIB1OlizjfIWAWwzuAqoyOZyAtKFOZoRf7_2EU__Seq2L-2Y1kCE-ozPYnUIZFEsyARBntTFGfNwKaNJxyube48iNUcoMivr9p3-2jFcdtpgnWpIKK4-HEHjj-MNaH-cD4BklSwws |
| openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=WHO+analgesic+ladder+gone+astray%3A+wider+implications&rft.jtitle=BMJ+%28Online%29&rft.au=Basler%2C+Michael+H&rft.au=Keeley%2C+Paul+W&rft.date=2016-02-04&rft.eissn=1756-1833&rft.volume=352&rft.spage=i589&rft.epage=i589&rft_id=info:doi/10.1136%2Fbmj.i589&rft.externalDBID=NO_FULL_TEXT |
| thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=1756-1833&client=summon |
| thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=1756-1833&client=summon |
| thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=1756-1833&client=summon |