ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2025
Multidisciplinary management of persistent severe cancer pain: a collaborative European approach.
Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.
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Who cites it
4 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Fibromyalgia in cancer patients: a systematic review and clinical implications for integrated care.Frontiers in pain research (Lausanne, Switzerland) · 2026Pooled it
- Expert Consensus Develops Multidisciplinary Pathway for Cancer Pain Management in Italy: A Delphi Study.Current oncology (Toronto, Ont.) · 2026Article
- Establishing an efficacy hierarchy for breakthrough cancer pain management: a network meta-analysis of rapid-onset fentanyl formulations and morphine.BMC medicine · 2026Article
- Palliative radiotherapy plus multimodal analgesia for painful bone metastases: improved pain control and survival.American journal of cancer research · 2026Article
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Authors and funding
15 authors.
Funding
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Abstract
purposeCancer pain is often undertreated, with patients frequently referred late to specialist services. This study aimed to develop expert-led recommendations to address unmet needs in the management of persistent severe cancer pain in Europe.
methodsAn online questionnaire on cancer pain management was used to identify controversies in the clinical practice of European oncologists. A series of recommendations to address these controversies was then proposed and validated, using a Delphi-like methodology, by a joint expert panel of pain specialists and oncologists.
resultsConsensus was reached on 13 recommendations. Key agreements focused on the following: (i) collaboration: establishing cancer pain committees (87% agreement) and shared protocols (100%), (i) education: implementing telematic consultations (100%) and training sessions for oncologists (100%) and (iii) referral: establishing clear referral criteria (100%) for patients with poor quality of life (QoL) (100%) or persistent pain, regardless of aetiology (87-100%), to ensure timely access to specialist care.
conclusionEffective cancer pain management necessitates enhanced collaboration between specialties, targeted education for oncologists, and locally co-created protocols with clear referral criteria. These measures are essential to ensure that patients are referred to pain specialists in a timely and appropriate manner, which is crucial for improving their QoL.
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