Page 58 - CPG - Clinical Practice Guidelines - Management of Cancer Pain

Management of Cancer Pain (Second Edition)

arms. 76 - 77, level I Both meta-analyses failed to mention the quality
assessment of the primary papers.

Advanced radiotherapy techniques e.g. stereotactic body radiotherapy
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high-quality RCTs showed: 78, level I
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rate at three months (RR=1.41, 95% CI 1.12 to 1.77); however,
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• Radiotherapy may be offered to control pain in symptomatic bone
metastasis.
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that corticosteroids were more effective in reducing PFE compared with
placebo in cancer pain (RR=0.67, 95% CI 0.48 to 0.93). 79, level I

Hemibody radiotherapy for cancer pain in widespread bone metastasis
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Radiotherapy is also used for the reduction of pain related to advanced
malignancy which includes: 9
{ thoracic pain from lung cancer
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cancers
{ pain due to locally advanced head and neck cancers
The pain response rates range from 67% to 77% and overall
symptomatic response rates range from 74% to 79%. The commonly
used fractionation is palliative hypofractionation.
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for palliative radiotherapy in painful bone metastasis and pain related
to advanced malignancy. However, radiotherapy should be considered
early in the course of the disease. 9

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Other cancer therapies which include chemotherapy and hormonal
therapy can be a mode used to reduce pain and improve quality of

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