International Association for the Study of Pain®    IASP Press®

Progress in Pain Research and Management, Vol. 12
Editors: Richard Payne, Richard B. Patt, and C. Stratton Hill, Jr.
1998, 334 pp, hardbound, ISBN 0-931092-21-3. Special Price: $40.00
Table of Contents                        Order Form                             Reviews:                               IASP
The optimal management of cancer pain continues to be a challenge throughout the world despite nearly two decades of emphasis on the need for more aggressive and effective treatments. The clinician’s problem is first to find the cause of the pain and then to initiate individualized treatments. Critical to this process is the analysis, by objective measures, of the outcomes of therapies with the ultimate goal of patient comfort. This book discusses new aspects of pain assessment and provides up-to-date information on pharmacological, anesthetic, and neuro-surgical therapies. It also provides new information on common but difficult-to-manage pain syndromes such as metastatic bone pain and neuropathic pain.
Table of Contents: Assessment and Treatment of Cancer Pain

Part I: Cancer Pain: A Global Perspective

Palliative Care in Latin America

Status of Palliative Care Initiatives. Roberto Wenk
The Impact of the Illegal Drug Market and Parallel Distribution Systems on the Availability of Opioids for Pain Relief in Colombia. Liliana DeLima
Cancer Pain Clinical Practice Guidelines for Clinicians and Patients: Rationale, Barriers to Implementation, and Future Directions. Richard Payne and Judith A. Paice

Part II: Cancer Pain Assessment: Research and Clinical Issues

Culture and Pain Assessment in Hispanic Patients. Lupe Palos
Pain Management among Elderly Persons. Bruce A. Ferrell
Radiological Imaging in the Cancer Patient with Back Pain. Norman E. Leeds and Ashok J. Kumar
Medical Decision Making: Application to Pain Assessment and Treatment. Scott B. Cantor
Psychological Interventions for Pain: Potential Mechanisms. C. Richard Chapman

Part III: Impact of Pain on Survival: What Do We Know?

Pain Kills: Animal Models and Neuro-Immunological Links. Gayle G. Page and Shamgar Ben-Eliyahu
The Pain–Mortality Link: Unraveling the Mysteries. Peter S. Staats

Part IV: Clinical Assessment and Management of Cancer Pain

Neuropathic Pain: Mechanisms and Clinical Assessment. Robert Allen
Key Issues in Anesthetic Techniques in Cancer Pain. Michael J. Cousins
Methodological Issues in the Design of Clinical Trials. Perry G. Fine
The Current Status of Anesthetic Approaches to Cancer Pain Management. Richard B. Patt
Neurosurgical Considerations and Options for Cancer-Related Pain. Ehud Arbit
Intrathecal Opioid Therapy and Implantable Devices. Sannichie Quaicoe, Russell McLaughlin, and  Samuel Hassenbusch
Mechanisms of Bone Metastasis. Randy N. Rosier, David G. Hicks, Lisa A. Teot, J. Edward Puzas, and Regis J. O’Keefe
Management of Metastatic Bone Pain. Richard Payne and Nora Janjan
Opioid Pharmacology: Tolerance, Receptor Modulation, and New Analgesics. Charles E. Inturrisi
Nonopioid Analgesics for Cancer Pain: Update on Clinical Pharmacology. Richard Payne
Alternative Routes for Administering Analgesics at Home. Porter Storey

Order Form

The [editors] succeed in their goal of emphasizing new knowledge in cancer pain assessment and management. The book is appropriately multidisciplinary, multimodality and multinational.
Practical advice on clinical pathways for pain assessment and management, as well as intraspinal opioid reservoir placement, is helpful.
This Volume 12 in the series entitled Progress in Pain Research and Management should be added to the libraries of Pain Management of anaesthetists, as well as to teaching centre libraries. Canadian Journal of Anaestheisa
The chapter on clinical practices and guidelines reproduces some useful treatment algorithms, but deals predominantly with the implementation of the guidelines rather than with the practicalities of treatment. A useful overview of problems associated with pain management in the elderly (cancer and non-cancer pain) also provides reference to more detailed texts. Chapters on radiologic imaging and mechanisms of bone metastasis are well illustrated and rather detailed, but provide useful background information for a comprehensive chapter on the management of metastatic bone pain.
Mechanisms and clinical assessment of neuropathic pain is well presented . . .
Recent data on mechanisms of tolerance and the interaction between opioids and the NMDA receptor are summarized and well referenced.
The Progress in Pain Research and Management series overall represent good value for money, particularly with an IASP member discount. Assessment and Treatment of Cancer Pain would be a useful general reference in a department library . . . Anaesthesia and Intensive Care
[The first] refreshing section [addresses] the attempts to empower patients and families to enable them to control pain to the fullest extent possible with the introduction of the ‘cancer pain management guide’.
Another important group of patients singled out for special attention in the book are the elderly, and a very well-written chapter discusses pain assessment and the attendant problem of cognitive impairment.
There is a whole chapter devoted to ‘Radiological Imaging in the Cancer Patient with Back Pain’ with a number of detailed and well-reproduced images.
The investigation into the effects of analgesic doses of morphine on postoperative suppression of natural killer-cell activity and host resistance against metastases, makes fascinating reading ...
[N]europathic pain is examined in detail ... Bone pain is also dealt with thoroughly in two chapters.
Progress in Palliative Care
This book is a useful addition to the excellent series published by the International Association for the Study of Pain (IASP) ... There is little overlap between contributors as the topics are diverse. The emphasis of the book is to take a broad sweep of new ideas. It is well organized and clearly written. Referencing is good, relevant and contemporary. The text has a good inter-disciplinary style. Many of the contributors are recognized experts in the field.
Part II — ‘Cancer pain assessment: research and clinical issues’, contained some outstanding contributions. Pain management in the elderly was particularly good and applicable to patients with nonmalignant pain. The chapter on radiological imaging in cancer patients with back pain was clear and well illustrated. The chapters on medial decision making and psychological interventions for pain were also of universal appeal.
A wonderful chapter by Michael Cousins on ‘Key issues in anaesthetic techniques in cancer pain’ could stand alone as a basis for teaching trainees.
This book was easy to read and should be on the shelves of all departments looking after patients with cancer pain. The contents are broad ranging, but there should be something in the book to interest all professionals dealing with patients in pain. British Journal of Anaesthesia

Without a doubt, this book provides a good overview of a range of new aspects of the management of cancer patients with pain. In several chapters, familiar areas are discussed from new angles. [It] covers areas of pain management that not many other books cover [and] ... ought to be read by all who have primary responsibility for the management of patients with cancer pain. It gives a good overview of new developments and can also be used as a curriculum guide to the subject for those undergoing specialist training. [It] should absolutely be in libraries at all palliative care units, pain clinics, and oncology departments. Tidsskrift for den norske lęgeforening

This book is part of the excellent series published ‘in-house’ by the International Association for the Study of Pain (IASP). Some of the titles have been devoted purely to basic science, but this book exemplifies the interdisciplinary approach of IASP. Topics range from the basic sciences, psychology and evidence-based medicine right through to global perspectives on the barriers to the implementation of good pain control for patients with cancer.
The book introduces new concepts and challenges the reader. A chapter on medical decision making is quite provocative and there is a section that explores the impact of pain on survival. The section on pain assessment introduces problems peculiar to Hispanic patients and the elderly. Richard Chapman writes a thoughtful chapter about psychological interventions and there is a well illustrated chapter on the interpretation of magnetic resonance imaging scans.
Anyone who is familiar with the care of patients with pain due to cancer will find that this book contains useful information but more importantly, it provides a stimulus to reflect on aspects of current practice. Full marks and a hearty recommendation! Palliative Medicine

This book offers a compilation of excellent clinical and theoretical reviews which can immediately be applied to patient management …The clinical chapters are nicely blended with the theory-based ones … It is not a basic introduction to pain management, but rather an intermediate resource for clinicians ready to take pain management to the next level. This book enables the clinician to tackle many of the more difficult pain issues such as neuropathic pain, metastatic bone pain, and invasive measures for those who do not respond to pharmacologic interventions. The book also helps with clinical decision-making by describing the appropriate situations for various interventions. Finally, it lays a solid foundation for those who might be interested in pain research. It truly is a must for anyone who regularly treats patients with chronic pain and wishes to be brought up to date on the latest treatments. The Annals of Pharmacotherapy

Order Form

For additional information:
IASP Secretariat
909 NE 43rd St., Suite 306
Seattle, WA 98105-6020, USA
Tel: 206-547-6409
Fax: 206-547-1703
WWW: and


This page was updated on August 7, 2002