Key result
This review highlights global inequities in perioperative analgesia for cancer surgery and proposes strategies to address disparities in regional analgesia, multimodal analgesia, and opioid use.
Why the study?
Patients in low- and middle-income countries undergoing surgical oncologic operations are at particularly high risk for inadequate perioperative analgesia.
This review highlights global inequities in perioperative analgesia for cancer surgery and proposes strategies to address disparities in pain management.
Underscores analgesia gaps in LMIC cancer surgery; leaves open optimal implementation of proposed strategies.
Among patients undergoing surgical oncologic operations, patients in low- and middle-income countries are at particularly high risk for inadequate perioperative analgesia. This article reviews some of the guiding pillars of pain management for cancer surgery, including use of regional analgesia and acute pain service consultation, multimodal adjunctive analgesia, and judicious opioid use while presenting data on international disparities for each pillar and proposing strategies to address these inequities.
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Pellegrino et al. (2023) conducted a review in Cancer surgery. Pain management strategies was evaluated. This review highlights global inequities in perioperative analgesia for cancer surgery and proposes strategies to address disparities in regional analgesia, multimodal analgesia, and opioid use.
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