Evidence map›Paper›PMID 34295184›Full record

ReviewJournal of pain research2021

The American Society of Pain and Neuroscience (ASPN) Best Practices and Guidelines for the Interventional Management of Cancer-Associated Pain.

Mansoor M Aman, Ammar Mahmoud, Timothy Deer, Dawood Sayed, Jonathan M Hagedorn, Shane E Brogan, Vinita Singh, Amitabh Gulati, Natalie Strand, Jacqueline Weisbein and 14 more

Open access · goldAbstract readReview
In one paragraph

Review in Journal of pain research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 56 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
56citing papers in PubMed, 3 pooled it
13.9field-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

56 citing papers in PubMed, 3 syntheses or guidelines pooled it, 97 citations in OpenAlex.

  1. Pooled it
  2. 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
  3. Pooled it
  4. Trial
  5. Review
  6. Perioperative considerations for patients with multiple myeloma.European journal of anaesthesiology and intensive care · 2026
    Review
  7. Article
  8. Article
  9. Observational
  10. Review
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Review
  17. Chronic Pain in the Cancer Survivor.Current pain and headache reports · 2025
    Review
  18. Article
  19. Review
  20. Review
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

24 authors at 20 institutions in 4 countries.

Mansoor M AmanDepartment of Anesthesiology, Division of Pain Medicine, Advocate Aurora Health, Oshkosh, WI, USA.
Ammar MahmoudDepartment of Anesthesiology, Division of Pain Medicine, Northern Light Health Eastern Maine Medical Center, Bangor, ME, USA.
Timothy DeerThe Spine and Nerve Center of the Virginias, Charleston, WV, USA.ORCID 0000-0001-8907-7730
Dawood SayedDepartment of Anesthesiology, Pain and Perioperative Medicine, University of Kansas Medical Center, Kansas City, KS, USA.ORCID 0000-0001-8867-2140
Jonathan M HagedornDepartment of Anesthesiology and Perioperative Medicine, Division of Pain Medicine, Mayo Clinic, Rochester, MN, USA.ORCID 0000-0003-1039-8166
Shane E BroganDepartment of Anesthesiology, Division of Pain Medicine, University of Utah, Salt Lake City, UT, USA.
Vinita SinghDepartment of Anesthesiology, Division of Pain Medicine, Emory University, Atlanta, GA, USA.ORCID 0000-0002-8103-1401
Amitabh GulatiDepartment of Anesthesiology and Critical Care, Memorial Sloan Kettering Cancer Center, New York, NY, USA.ORCID 0000-0003-1654-8639
Natalie StrandDepartment of Anesthesiology, Division of Pain Medicine, Mayo Clinic, Phoenix, AZ, USA.ORCID 0000-0002-9489-2550
Jacqueline WeisbeinDepartment of Anesthesiology, Chronic Pain Division, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
Johnathan H GoreeInterventional Pain Medicine, Napa Valley Orthopedic Medical Group, Napa, CA, USA.ORCID 0000-0003-0548-852X
Fangfang XingSwedish Pain Services, Swedish Health Services, Seattle, WA, USA.
Ali ValimahomedGramercy Pain Center, Holmdel, NJ, & Advanced Orthopedics Sports Medicine Institute, Freehold, NJ, USA.
Daniel J PakDepartment of Anesthesiology, Division of Pain Medicine, New York-Presbyterian Hospital/Weill Cornell Medical College, New York, NY, USA.
Antonios El HelouDepartment of Neurosciences, Division of Neurosurgery, The Moncton Hospital, Moncton, NB. Assistant Professor, Department of Surgery, Dalhousie University, Halifax, NS, Canada.
Priyanka GhoshRemedy Medical Group, San Francisco, CA, USA.
Krishna ShahAssistant Professor of Anesthesiology, Baylor St. Luke's Medical Center, Baylor College of Medicine, Houston, TX, USA.
Vishal PatelDepartment of Anesthesiology, Division of Pain Medicine, Advocate Aurora Health, Oshkosh, WI, USA.
Alexander EscobarDepartment of Anesthesiology and Pain Medicine, University of Toledo Medical Center, Toledo, OH, USA.
Keith SchmidtAMITA Neurosciences Institute, Comprehensive Pain Management Program, St. Alexius Medical Center, Hoffman Estates, IL, USA.
Jay ShahSamWell Institute for Pain Management, Colonia, NJ, USA.
Vishal VarshneyDepartment of Anesthesia, Providence Healthcare, Vancouver, BC, Canada & Department of Anesthesiology, Pharmacology, Therapeutics, University of British Columbia, Vancouver, BC, Canada.
William RosenbergCenter for the Relief of Pain, Midwest Neurosurgery Associates, Kansas City, Missouri, USA.
Sanjeet NarangDepartment of Anesthesiology, Pain and Perioperative Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
Aurora Health Care · USBaylor College of Medicine · USBrigham and Women's Hospital · USCamp Quality New Jersey · USDalhousie University · CAEastern Maine Medical Center · USEmory University · USMayo Clinic in Arizona · USMemorial Sloan Kettering Cancer Center · USMRIGlobal · USNapa Valley College · USNeurosciences Institute · USNewYork–Presbyterian Hospital · USPain Management Institute · USProvidence Health Care · CASwedish Medical Center · USThe Spine & Nerve Centers of the Virginias · USUniversity of Arkansas for Medical Sciences · USUniversity of Kansas Medical Center · USUniversity of Toledo Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Moderate to severe pain occurs in many cancer patients during their clinical course and may stem from the primary pathology, metastasis, or as treatment side effects. Uncontrolled pain using conservative medical therapy can often lead to patient distress, loss of productivity, shorter life expectancy, longer hospital stays, and increase in healthcare utilization. Various publications shed light on strategies for conservative medical management for cancer pain and a few international publications have reviewed limited interventional data. Our multi-institutional working group was assembled to review and highlight the body of evidence that exists for opioid utilization for cancer pain, adjunct medication such as ketamine and methadone and interventional therapies. We discuss neurolysis via injections, neuromodulation including targeted drug delivery and spinal cord stimulation, vertebral tumor ablation and augmentation, radiotherapy and surgical techniques. In the United States, there is a significant variance in the interventional treatment of cancer pain based on fellowship training. As a first of its kind, this best practices and interventional guideline will offer evidenced-based recommendations for reducing pain and suffering associated with malignancy.

Indexed as

cancer painintrathecal drug deliveryketamineneurolysisneuromodulationpain pumpradiofrequencyspinal cord stimulationvertebral augmentation

Identifiers

PMID34295184
PMCPMC8292624
OpenAlexW3180092157

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.