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Abstract
Introducción: El dolor es el síntoma más común en pacientes con cáncer, y se ha convertido en un reto para el personal de salud en el quehacer diario debido a que su abordaje y manejo es multidimensional y complejo. El inadecuado control del dolor genera incapacidad física o emocional afectando la calidad de vida del paciente. Objetivo: Desarrollar una guía de práctica clínica para ofrecer a los especialistas en medicina de dolor y cuidados paliativos, y otros profesionales de salud implicados en la atención del paciente con dolor oncológico, recomendaciones sobre las intervenciones terapéuticas disponibles para el manejo de esta condición. Métodos: Para la elaboración de la presente guía de práctica clínica se siguieron los lineamientos contenidos en la “Guía metodológica para la elaboración de Guías de Práctica Clínica” del Ministerio de Salud y Protección Social. Se conformó un grupo desarrollador de la guía que diseñó 20 preguntas clínicas con la estrategia PICO. Se realizó la búsqueda de guías preexistentes en sitios reconocidos. Un consenso informal de expertos, basados en la literatura encontrada, definió las recomendaciones para su elaboración, socialización y aprobación institucional. Resultados: Se dio respuesta a las preguntas clínicas sobre definición, clasificación, evaluación, y manejo del dolor oncológico mediante las recomendaciones basadas en la revisión de literatura no sistemática. Conclusión: La presenta guía ayuda al soporte de las decisiones clínicas en el manejo del dolor oncológico acorde con las necesidades del paciente y de los recursos disponibles en la institución.
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