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Cancer Pain Relief.

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World Health Organization, Genevas, Switzerland, 1986.. $7.80 (paperback). Single copies available from WHO Publications Center., 49 Sheridan Avenue, Albany, NY 12210: .

Ann Intern Med. 1987;106(4):647. doi:10.7326/0003-4819-106-4-647_2
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Six million persons a year worldwide are diagnosed as having cancer and 4 million will die; two thirds of all cases are in developing countries. Thirty to seventy percent of persons dying of cancer will have significant pain problems. Eight of the twenty-two drugs commonly used for pain relief are covered by 1961 and 1971 conventions to stop the illegal trade and use of controlled drugs, except for medicinal and scientific purposes. Too rigid application of the rules may inhibit adequate pain control in patients with advanced cancer. The risk of addiction in such patients is minimal and should not


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