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Papers of the Week

Papers: 24 Jul 2021 - 30 Jul 2021


2021 Aug

Pain Physician



Pain and Opioid Use in Cancer Survivors: A Practical Guide to Account for Perceived Injustice.


Nijs J, Roose E, Lahousse A, Mostaqim K, Reynebeau I, De Couck M, Beckwee D, Huysmans E, Bults R, van Wilgen P, Leysen L
Pain Physician. 2021 Aug; 24(5):309-317.
PMID: 34323432.


The presence of pain decreases survival rates in cancer. Pain management in clinical settings is often suboptimal and secondary to other cancer-related treatments, leaving many people undertreated. Opioid use is associated with side effects and decreased survival rate in cancer patients. Hence, there is an urgent need for considering factors such as perceived injustice that sustain post-cancer pain and trigger a behavioral pattern associated with opioid use. Injustice beliefs represent a maladaptive pattern of cognitive appraisal that may be a salient target for improving pain-related coping in these patients. Perceived injustice is associated with increased opioid prescription and prospectively predicted opioid use at 1-year follow-up, urging the need for targeted interventions to diminish perceived injustice.