Clinical and Translational Oncology

, Volume 14, Issue 7, pp 499–504

Treatment of cancer pain: Spanish Society of Medical Oncology (SEOM) recommendations for clinical practice

  • Juan A. Virizuela
  • Yolanda Escobar
  • Javier Cassinello
  • Pablo Borrega
Clinical Guides in Oncology

DOI: 10.1007/s12094-012-0831-1

Cite this article as:
Virizuela, J.A., Escobar, Y., Cassinello, J. et al. Clin Transl Oncol (2012) 14: 499. doi:10.1007/s12094-012-0831-1


Cancer pain should be controlled in most patients, however this is not always achieved. These guidelines describe the classification, evaluation and treatment of chronic cancer pain in accordance with the WHO treatment strategy of pain stages: mild, moderate and severe. For treatment during the third stage, we cover titration and rotation of opioids, as well as their side effects and prevention. Also described is neuropathic pain and refractory pain, coadjuvant treatments and non pharmacological analgesic treatments. Finally, treatment of breakthrough pain is defined.


Chronic cancer pain Evaluation Opioids Breakthrough pain Neuropathic pain Coanalgesics 

Copyright information

© FESEO 2012

Authors and Affiliations

  • Juan A. Virizuela
    • 1
  • Yolanda Escobar
    • 2
  • Javier Cassinello
    • 3
  • Pablo Borrega
    • 4
  1. 1.Medical Oncology DepartmentHospital Virgen MacarenaSevillaSpain
  2. 2.Medical Oncology DepartmentHospital General Universitario Gregorio MarañónMadridSpain
  3. 3.Medical Oncology DepartmentHospital Universitario de GuadalajaraGuadalajaraSpain
  4. 4.Medical Oncology DepartmentHospital San Pedro de AlcántaraCáceresSpain

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