Evidence map›Paper›PMID 30480345›Full record

GuidelineEuropean journal of pain (London, England)2019

Standards for the management of cancer-related pain across Europe-A position paper from the EFIC Task Force on Cancer Pain.

Michael I Bennett, Elon Eisenberg, Sam H Ahmedzai, Arun Bhaskar, Tony O'Brien, Sebastiano Mercadante, Nevenka Krčevski Škvarč, Kris Vissers, Stefan Wirz, Chris Wells and 1 more

Open access · hybridAbstract readPractice GuidelineReview
In one paragraph

Guideline in European journal of pain (London, England), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed, 7 pooled it
12.3field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

51 citing papers in PubMed, 7 syntheses or guidelines pooled it, 113 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Management of patients with cancer pain: an evaluation of AGREE II-based clinical practice guidelines.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Pooled it
  4. Pooled it
  5. Pooled it
  6. Guideline
  7. Pooled it
  8. Trial
  9. Identification of high-impact chronic pain among cancer survivors: a cross-sectional study using the Graded Chronic Pain Scale framework.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  10. Centralized Pain Diagnoses in Older Adults With and Without Cancer.Journal of pain & palliative care pharmacotherapy · 2026
    Article
  11. Article
  12. Article
  13. Financial hardship and pain among cancer survivors: a French nationwide cross-sectional analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  14. Article
  15. Article
  16. Multidisciplinary management of persistent severe cancer pain: a collaborative European approach.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
  17. Article
  18. Review
  19. Review
  20. The Impact of Standardized Training Resident on Pain Management in Patients with Advanced Lung Cancer.Journal of cancer education : the official journal of the American Association for Cancer Education · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 11 institutions in 8 countries.

Michael I BennettSt Gemma's Academic Unit of Palliative Care, University of Leeds, Leeds, UK.
Elon EisenbergPain Research Unit, Institute of Pain Medicine, Rambam Health Care Campus and Technion, Israel Institute of Technology, Haifa, Israel.
Sam H AhmedzaiUniversity of Sheffield, Sheffield, UK.
Arun BhaskarImperial College Healthcare NHS Trust, London, UK.
Tony O'BrienMarymount University Hospital & Hospice, Curraheen, Ireland.
Sebastiano MercadantePain Relief and Supportive Care, La Maddalena Cancer Center, Palermo, Italy.
Nevenka Krčevski ŠkvarčFaculty of Medicine, University of Maribor, Institute for Palliative Medicine and Care, Slovenia.
Kris VissersDepartment of Anesthesiology, Pain and Palliative Medicine, Radboud University Medical Centre, Nijmegen, Netherlands.
Stefan WirzCentre for Pain Medicine, Department of Anesthesiology, Intensive Medicine, Pain/Palliative Medicine, GFO-Hospitals Bonn and University of Bonn.
Chris WellsEuropean Pain Federation, Brussels, Belgium.
Bart MorlionThe Leuven Center for Algology and Pain Management, University Hospitals Leuven, KU Leuven, Belgium.
Cork University Hospital · IEEuropean Steel Association · BEImperial College Healthcare NHS Trust · GBKU Leuven · BELa Maddalena · ITRadboud University Medical Center · NLTechnion – Israel Institute of Technology · ILUniversity of Bonn · DEUniversity of Leeds · GBUniversity of Maribor · SIUniversity of Sheffield · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivePain is a common symptom in patients who survive cancer and in those who live with progressive advanced disease. Evidence from meta-analyses suggests that pain remains poorly controlled for a large proportion of patients; barriers to good management include poor assessment of pain, inadequate support for patient self-management and late or inadequate access to strong opioid analgesia in those with advanced disease.

methodsThe European Pain Federation (EFIC) established a Task Force in 2017 which convened a European group of experts, drawn from a diverse range of relevant clinical disciplines, to prepare a position paper on appropriate standards for the management of cancer-related pain. The expert panel reviewed the available literature and made recommendations using the GRADE system to combine quality of evidence with strength of recommendation. The panel took into account the desirable and undesirable effects of the management recommendation, including the cost and inconvenience of each when deciding the recommendation. RESULTS AND

conclusionsThe 10 standards presented are aimed to improve cancer pain management and reduce variation in practice across Europe. The Task Force believes that adoption of these standards by all 37 countries will promote the quality of care of patients with cancer-related pain and reduce unnecessary suffering. SIGNIFICANCE: Pain affects up to 40% of cancer survivors and affects at least 66% of patients with advanced progressive disease, many of whom experience poor pain control. These 10 standards are aimed to improve cancer pain management, promote the quality of care of patients and reduce variation across Europe.

Indexed as

Analgesics, OpioidCancer PainEuropeHumansPain ManagementPain MeasurementSelf-ManagementAnalgesics, Opioid

Identifiers

PMID30480345
PMCPMC7027571
OpenAlexW2902759662

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.