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Palliative Care


Leadership
CHAIR
Gregory Crawford, MD
Australia
  VICE-CHAIR
Sandip Mukhopadhyay, MD
India

 

Palliative Care Subgroup: Cancer Pain
Leadership: Chair: Mellar Davis, MD - USA and Vice-Chair: Akhila Reddy, MD - USA

 

>> How to Join
To join a Study Group, login to your account, and click the Manage My Account/Profile.  Scroll down to your profile data and select "Edit". Then select the study group as one of your three Study Group selections. Click SAVE.

To join a Subgroup, you must be a member of the parent Study Group. Login to your account, and click Manage My Account/Profile.  Scroll down to your profile data and select "Edit". Then select the subgroup. Click SAVE.
Subgroups do not count toward your three Study Group selections.
>> More information or to contact Study Group/Subgroup leadership
To contact a Study Group or Subgroup Leader, search for their name in the member directory.
For more information or questions, contact the MASCC office at [email protected].

Mission and Goals

The goal of this study group is to foster international collaborations related to education and research in supportive and palliative oncology to improve the quality of cancer care.


Guidelines

Management of nausea and vomiting in advanced cancer - Guideline summary slide set and PDF
Updated MASCC/ESMO consensus recommendations: Management of nausea and vomiting in advanced cancer
Walsh D, et al, Supportive Care in Cancer 2016 Aug 17:25, pages 333–340

Management of Cancer Pain: ESMO Clinical Practice Guidelines
Ripamonti CI, Santini D, Maranzano E, Berti M, Roila F; ESMO Guidelines Working Group.
Ann Oncol. 2012 Oct;23 Suppl 7:vii139-54.

Integration of Palliative Care Into Standard Oncology Care: American Society of Clinical Oncology Clinical Practice Guideline Update
Ferrell BR, Temel JS, Temin S, Alesi ER, Balboni TA, Basch EM, Firn JI, Paice JA, Peppercorn JM, Phillips T, Stovall EL, Zimmermann C, Smith TJ. J Clin Oncol. 2017 Jan;35(1):96-112.


Study Group News

MASCC Recommendations for the Management of Constipation in Patients with Advanced Cancer
A subgroup of the Palliative Care Study Group has published evidence-based recommendations for the management of constipation in patients with advanced cancer, in whom constipation, a side effect of opioid medications, is a common problem.
Following a search of Medline, the Cochrane Database of Systematic Reviews, and the Cochrane Central Register of Controlled Trials, recommendations were categorized by level of evidence as either “recommendation,” "suggestion,” or "no guideline possible.” The results, published by Supportive Care in Cancer in August 2019,* include 15 recommendations relating to the assessment, treatment, and re-assessment of constipation. The resulting paper gives an overview of constipation in patients with advanced cancer, the methodology involved in developing the recommendations, and the evidence to support the recommendations and the grading of the evidence.
Two recommendations were made with the highest levels of evidence:

  1. Conventional laxatives should be considered first-line treatment for patients with functional constipation.

  2. Peripherally acting mu-opioid receptor antagonists (PAMORAs) should always be considered for patients with opioid-induced constipation.

Suggestions include regular assessment for all patients with advanced cancer and individualized management plans. Others pertain to re-assessment and/or management of patients with secondary, refractory, or resistant constipation, treatment of reversible causes, and lifestyle changes. These recommendations provide a framework for managing constipation in advanced cancer.
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*Davies A, Leach C, Caponero R, Dickman A, Fuchs D, Paice J, Emmanuel A. MASCC recommendations on the management of constipation in patients with advanced cancer. Support Care Cancer. 2019 Aug 9. The authors include Andrew Davies, MD, (Royal Surrey County Hospital, Guildford, UK), Charlotte Leach (Royal Surrey County Hospital, Guildford, UK), Ricardo Caponero (Hospital Alemão Oswaldo Cruz, São Paulo, Brazil), Andrew Dickman (Royal Liverpool Hospital, Liverpool, UK), D Fuchs (Kepler University Hospital, Linz, Austria), Judith Paice (Norhwestern University, Chicago, IL, USA), and Anton Emmanuel (University College London Hospitals, London, UK).


Recent Projects

Referral Criteria for Outpatient Speciality Palliative Cancer Care
Referral Criteria for Outpatient Speciality Palliative Cancer Care: An International Consensus. Hui D, Mori M, Watanabe SM, Caraceni A, Strasser F, Saarto T, Cherny N, Glare P, Kaasa S, Bruera E. Referral criteria for outpatient specialty palliative cancer care: an international consensus. Lancet Oncol 2016 Dec;17(12):e552-e559.

MASCC/ESMO/EAPC Survey of Palliative Care Programs
MASCC/ESMO/EAPC Survey of Palliative Care Programs. Davis MP, Strasser F, Cherny N, Levan N. MASCC/ESMO/EAPC survey of palliative programs. Supportive Care in Cancer 2015; 23:1951-68.

Integration of Oncology and Palliative Care Programs
Indicators of Integration of Oncology and Palliative Care Programs: An International Consensus. Hui D, Bansal S, Strasser F, Morita T, Caraceni A, Davis M, Cherny N, Kaasa S, Currow D, Abernethy A, Nekolaichuk C, Bruera E. Ann Oncol. 2015 Sep;26(9):1953-9.


Recent Member Publications

Recent Study Group member publications related to palliative care.


Relevant Journals and Organizations

American Journal of Hospice & Palliative Medicine
BMJ Supportive & Palliative Care
The Journal of Community and Supportive Oncology
Palliative Medicine
Progress in Palliative Care

European Association for Palliative Care
American Academy of Hospice and Palliative Medicine
National Hospice and Palliative Care Organization
International Association for Hospice and Palliative Care

 

Last Updated on Wednesday, June 16, 2021 02:59 PM