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Données épidémiologiques sur la douleur du cancer en France. Évolution sur deux décennies de la prévalence et de l’intensité de la douleur chez les malades atteints de cancer

Epidemiologic data on cancer pain. Evolution of prevalence and intensity of pain in cancer patients during two decades in France

  • Article de Synthèse / Review Article
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Douleur et Analgésie

Résumé

La douleur est fréquemment rencontrée en cancérologie, du fait de la maladie, du traitement de la maladie, ou d’une raison intercurrente. Ses mécanismes sont variés, elle peut être inflammatoire, neuropathique, somatique, viscérale, aiguë, chronique. Elle a un impact négatif sur la qualité de vie et potentiellement sur la survie. Son traitement fait appel à diverses approches, symptomatiques ou plus spécifiques. La prise en charge est fréquemment considérée comme peu satisfaisante, comme cela a été retrouvé en France. Quelques explications et propositions sont avancées.

Abstract

Pain is frequently encountered in patients with cancer, due to cancer itself, to cancer treatment, or to an independent cause. It is linked with various mechanisms as inflammatory, neuropathic, somatic or visceral, acute or chronic. It has a negative impact on patients’ quality of life, and probably on patients’ survival. Cancer pain treatment is based on the efficacy of various approaches such symptomatic or specific interventions. Cancer pain management is often considered as poor, as found in the results of French surveys. Some explanations and proposals are offered.

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Authors and Affiliations

  1. Centre d’évaluation et de traitement de la douleur, département d’anesthésie-réanimation, hôpital Bichat, 46 rue Henri Huchard, F-75018, Paris, France

    C. Welsch & L. Brasseur

  2. Département anesthésie-réanimation-douleur, Institut Curie, 26 rue d’Ulm, F-75006, Paris, France

    T. Delorme

  3. « Action Douleur », 80 avenue de l’Épi d’Or, F-91400, Orsay, France

    F. Larue

  4. Inserm E332, hôpital Ambroise Paré, 9 avenue Charles de Gaulle, F-92100, Boulogne-Billancourt, France

    A. Beauchet

  5. Service interdisciplinaire de soins de support pour le patient en oncologie, centre Alexis Vautrin, F-54511, Vandœuvre-lès-Nancy cedex, France

    I. Krakowski

Authors
  1. C. Welsch
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  2. T. Delorme
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  3. F. Larue
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  4. A. Beauchet
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  5. I. Krakowski
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  6. L. Brasseur
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Corresponding author

Correspondence to L. Brasseur.

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Welsch, C., Delorme, T., Larue, F. et al. Données épidémiologiques sur la douleur du cancer en France. Évolution sur deux décennies de la prévalence et de l’intensité de la douleur chez les malades atteints de cancer. Douleur analg 26, 126–132 (2013). https://doi.org/10.1007/s11724-013-0345-9

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  • DOI: https://doi.org/10.1007/s11724-013-0345-9

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