PMID- 36702650 OWN - NLM STAT- MEDLINE DCOM- 20230414 LR - 20230418 IS - 1471-6771 (Electronic) IS - 0007-0912 (Linking) VI - 130 IP - 5 DP - 2023 May TI - Towards precision pain medicine for pain after cancer: the Cancer Pain Phenotyping Network multidisciplinary international guidelines for pain phenotyping using nociplastic pain criteria. PG - 611-621 LID - S0007-0912(22)00738-3 [pii] LID - 10.1016/j.bja.2022.12.013 [doi] AB - Pain after cancer remains underestimated and undertreated. Precision medicine is a recent concept that refers to the ability to classify patients into subgroups that differ in their susceptibility to, biology, or prognosis of a particular disease, or in their response to a specific treatment, and thus to tailor treatment to the individual patient characteristics. Applying this to pain after cancer, the ability to classify post-cancer pain into the three major pain phenotypes (i.e. nociceptive, neuropathic, and nociplastic pain) and tailor pain treatment accordingly, is an emerging issue. This is especially relevant because available evidence suggests that nociplastic pain is present in an important subgroup of those patients experiencing post-cancer pain. The 2021 International Association for the Study of Pain (IASP) clinical criteria and grading system for nociplastic pain account for the need to identify and correctly classify patients according to the pain phenotype early in their treatment. These criteria are an important step towards precision pain medicine with great potential for the field of clinical oncology. Within this framework, the Cancer Pain Phenotyping (CANPPHE) Network, an international and interdisciplinary group of oncology clinicians and researchers from seven countries, applied the 2021 IASP clinical criteria for nociplastic pain to the growing population of those experiencing post-cancer pain. A manual is provided to allow clinicians to differentiate between predominant nociceptive, neuropathic, or nociplastic pain after cancer. A seven-step diagnostic approach is presented and illustrated using cases to enhance understanding and encourage effective implementation of this approach in clinical practice. CI - Copyright (c) 2022 The Author(s). Published by Elsevier Ltd.. All rights reserved. FAU - Nijs, Jo AU - Nijs J AD - Pain in Motion Research Group (PAIN), Department of Physiotherapy, Human Physiology and Anatomy, Faculty of Physical Education & Physiotherapy, Vrije Universiteit Brussel, Belgium; Chronic Pain Rehabilitation, Department of Physical Medicine and Physiotherapy, University Hospital Brussels, Belgium; Department of Health and Rehabilitation, Unit of Physiotherapy, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Sweden. Electronic address: jo.nijs@vub.be. FAU - Lahousse, Astrid AU - Lahousse A AD - Pain in Motion Research Group (PAIN), Department of Physiotherapy, Human Physiology and Anatomy, Faculty of Physical Education & Physiotherapy, Vrije Universiteit Brussel, Belgium; Chronic Pain Rehabilitation, Department of Physical Medicine and Physiotherapy, University Hospital Brussels, Belgium; Research Foundation - Flanders (FWO), Brussels, Belgium; Rehabilitation Research (RERE) Research Group, Department of Physiotherapy, Human Physiology and Anatomy, Faculty of Physical Education & Physiotherapy (KIMA), Vrije Universiteit Brussel, 1090 Brussels, Belgium. FAU - Fernandez-de-Las-Penas, Cesar AU - Fernandez-de-Las-Penas C AD - Department of Physical Therapy, Occupational Therapy, Physical Medicine and Rehabilitation, Universidad Rey Juan Carlos (URJC), Alcorcon, Madrid, Spain. FAU - Madeleine, Pascal AU - Madeleine P AD - Sport Sciences - Performance & Technology, Department of Health Science & Technology, Aalborg University, Aalborg, Denmark. FAU - Fontaine, Christel AU - Fontaine C AD - Medical Oncology Department, University Hospital Brussels, Belgium. FAU - Nishigami, Tomohiko AU - Nishigami T AD - Prefectural University of Hiroshima, Japan. FAU - Desmedt, Christine AU - Desmedt C AD - Katholieke Universiteit Leuven, Belgium. FAU - Vanhoeij, Marian AU - Vanhoeij M AD - Breast Clinic, University Hospital Brussels, Belgium; Faculty of Medicine and Pharmacy, Vrije Universiteit Brussel, Belgium. FAU - Mostaqim, Kenza AU - Mostaqim K AD - Pain in Motion Research Group (PAIN), Department of Physiotherapy, Human Physiology and Anatomy, Faculty of Physical Education & Physiotherapy, Vrije Universiteit Brussel, Belgium. FAU - Cuesta-Vargas, Antonio I AU - Cuesta-Vargas AI AD - Catedra de Fisioterapia, Universidad de Malaga, Andalucia Tech, Instituto de Investigacion Biomedica de Malaga (IBIMA) Grupo de Clinimetria (F-14), Malaga, Spain. FAU - Kapreli, Eleni AU - Kapreli E AD - Clinical Exercise Physiology & Rehabilitation Research Laboratory, Physiotherapy Department, Faculty of Health Sciences, University of Thessaly, Lamia, Greece. FAU - Bilika, Paraskevi AU - Bilika P AD - Clinical Exercise Physiology & Rehabilitation Research Laboratory, Physiotherapy Department, Faculty of Health Sciences, University of Thessaly, Lamia, Greece. FAU - Polli, Andrea AU - Polli A AD - Pain in Motion Research Group (PAIN), Department of Physiotherapy, Human Physiology and Anatomy, Faculty of Physical Education & Physiotherapy, Vrije Universiteit Brussel, Belgium; Research Foundation - Flanders (FWO), Brussels, Belgium; Laboratory of Clinical Epigenetics, Department of Public Health and Primary Care, Centre for Environment & Health, KU Leuven, Leuven, Belgium. FAU - Leysen, Laurence AU - Leysen L AD - Pain in Motion Research Group (PAIN), Department of Physiotherapy, Human Physiology and Anatomy, Faculty of Physical Education & Physiotherapy, Vrije Universiteit Brussel, Belgium. FAU - Elma, Omer AU - Elma O AD - Pain in Motion Research Group (PAIN), Department of Physiotherapy, Human Physiology and Anatomy, Faculty of Physical Education & Physiotherapy, Vrije Universiteit Brussel, Belgium. FAU - Roose, Eva AU - Roose E AD - Pain in Motion Research Group (PAIN), Department of Physiotherapy, Human Physiology and Anatomy, Faculty of Physical Education & Physiotherapy, Vrije Universiteit Brussel, Belgium; Rehabilitation Research (RERE) Research Group, Department of Physiotherapy, Human Physiology and Anatomy, Faculty of Physical Education & Physiotherapy (KIMA), Vrije Universiteit Brussel, 1090 Brussels, Belgium; Universiteit Hasselt, REVAL, Agoralaan-gebouw A, 3590 Diepenbeek, Belgium. FAU - Rheel, Emma AU - Rheel E AD - Pain in Motion Research Group (PAIN), Department of Physiotherapy, Human Physiology and Anatomy, Faculty of Physical Education & Physiotherapy, Vrije Universiteit Brussel, Belgium; Department of Experimental-Clinical and Health Psychology, Ghent University, Ghent, Belgium. FAU - Yilmaz, Sevilay Tumkaya AU - Yilmaz ST AD - Pain in Motion Research Group (PAIN), Department of Physiotherapy, Human Physiology and Anatomy, Faculty of Physical Education & Physiotherapy, Vrije Universiteit Brussel, Belgium. FAU - De Baets, Liesbet AU - De Baets L AD - Pain in Motion Research Group (PAIN), Department of Physiotherapy, Human Physiology and Anatomy, Faculty of Physical Education & Physiotherapy, Vrije Universiteit Brussel, Belgium. FAU - Huysmans, Eva AU - Huysmans E AD - Pain in Motion Research Group (PAIN), Department of Physiotherapy, Human Physiology and Anatomy, Faculty of Physical Education & Physiotherapy, Vrije Universiteit Brussel, Belgium; Chronic Pain Rehabilitation, Department of Physical Medicine and Physiotherapy, University Hospital Brussels, Belgium; Research Foundation - Flanders (FWO), Brussels, Belgium. FAU - Turk, Ali AU - Turk A AD - Kutahya Health Sciences University, Faculty of Medicine, Department of Radiation Oncology, Kutahya, Turkey. FAU - Saracoglu, Ismail AU - Saracoglu I AD - Kutahya Health Sciences University, Kutahya, Turkey. LA - eng PT - Journal Article DEP - 20230124 PL - England TA - Br J Anaesth JT - British journal of anaesthesia JID - 0372541 RN - 0 (Analgesics) SB - IM CIN - Br J Anaesth. 2023 May;130(5):515-518. PMID: 36890060 MH - Humans MH - *Cancer Pain/diagnosis/etiology/therapy MH - Precision Medicine MH - Pain MH - Analgesics MH - *Neoplasms/complications OTO - NOTNLM OT - cancer pain OT - central sensitisation OT - guidelines OT - neuropathic pain OT - nociceptive pain OT - nociplastic pain OT - oncology OT - precision medicine EDAT- 2023/01/27 06:00 MHDA- 2023/04/14 06:42 CRDT- 2023/01/26 21:59 PHST- 2022/09/01 00:00 [received] PHST- 2022/11/22 00:00 [revised] PHST- 2022/12/10 00:00 [accepted] PHST- 2023/04/14 06:42 [medline] PHST- 2023/01/27 06:00 [pubmed] PHST- 2023/01/26 21:59 [entrez] AID - S0007-0912(22)00738-3 [pii] AID - 10.1016/j.bja.2022.12.013 [doi] PST - ppublish SO - Br J Anaesth. 2023 May;130(5):611-621. doi: 10.1016/j.bja.2022.12.013. Epub 2023 Jan 24.