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Cancer Pain 2022
08:30am - 05:00pm Pacific - August 18, 2022 | Room: Vintners Theater
Dr. David J. Copenhaver, MD, Division Chief, Pain Medicine, UC Davis Health; Dr. Sanjeet Narang, MD, Director, Oncology Pain Management, Brigham and Women's Hospital; Dr. Amy Allen Case, MD, FAAHPM, Lee Foundation Endowed Chair of the Department of Palliative and Supportive Care; Palliative Care Program Chief, Roswell Park Comprehensive Cancer Center; Dr. David Hui, MD, Tenured Associate Professor of Palliative, Rehabilitation, and Integrative Medicine, MD Anderson Cancer Center; Dr. Hemant Kalia, MD, Program Director, Interventional Spine & Pain Fellowship Program, Rochester Regional Health; Dr. Parag G. Patil, MD, PhD, Associate Professor of Biomedical Engineering, College of Engineering, University of Michigan School of Medicine; Dr. Jill E. Sindt, MD, Associate Director of Pain Medicine, Huntsman Cancer Hospital, Supportive Oncology & Survivorship Service
Tags: Cancer Pain

2.7.3 Patients with Cancer-Related Pain and Patients in Palliative Care

Cancer pain affects millions of Americans.306,354 In addition, there are more than 14 million cancer survivors in the United States as a result of remarkable advances in cancer diagnosis and therapy. An estimated 40% of cancer survivors continue to experience persistent pain as a result of treatments such as surgery, chemotherapy, and radiation therapy.

Persistent pain is also common and significant in patients with a limited prognosis, as often encountered in hospice and palliative care environments.355

GAPS AND RECOMMENDATIONS

GAP 1: These patient populations are frequently managed by practitioners who do not specialize in pain or palliative care. Many oncologists and primary care physicians are not trained to recognize or treat persistent pain associated with cancer or other chronic medical problems with limited prognosis.

• RECOMMENDATION 1A: Clinicians should assess and address pain at each patient encounter. Causes of pain such as recurrent disease, second malignancy, or late-onset treatment effects should be evaluated, treated, and monitored.

GAP 2: Patients with persistent pain associated with cancer and/or cancer treatment or other chronic medical problems with limited prognosis in palliative care often receive less optimal care with restricted treatment modalities.

• RECOMMENDATION 2A: When clinically indicated, use multimodal and multidisciplinary treatment as part of cancer-related pain management and palliative care.

  • U.S. Department of Health and Human Services (2019, May). Pain Management Best Practices Inter-Agency Task Force
    Report: Updates, Gaps, Inconsistencies, and Recommendations. Retrieved from U. S. Department of Health and Human
    Services

Cannabis and Cancer Pain


Additional Reading

  • Afsharimani, B., Kindl, K., Good, P., & Hardy, J. (2015). Pharmacological options for the management of refractory cancer pain—what is the evidence?. Supportive Care in Cancer, 23(5), 1473-1481.

Thursday
Welcome to 9th Cancer Pain Meeting
08:30am - 08:45am Pacific - August 18, 2022 | Room: Vintners Theater
Dr. David J. Copenhaver, MD, Division Chief, Pain Medicine, UC Davis Health
Tags: No CME

The welcome remarks are not accredited for continuing education.


Thursday
Fear vs. Anxiety: How We Treat Them Differently for End of Life
08:45am - 09:30am Pacific - August 18, 2022 | Room: Vintners Theater
Dr. David J. Copenhaver, MD, Division Chief, Pain Medicine, UC Davis Health

Thursday
Special Considerations Managing Non-Malignant Pain in Cancer Patients
09:30am - 10:15am Pacific - August 18, 2022 | Room: Vintners Theater
Dr. David Hui, MD, Tenured Associate Professor of Palliative, Rehabilitation, and Integrative Medicine, MD Anderson Cancer Center

Thursday
Break
10:15am - 10:30am Pacific - August 18, 2022
Tags: No CME

Breaks are not accredited for continuing education.


Thursday
Cannabinoids in Palliative Care
10:30am - 11:30am Pacific - August 18, 2022 | Room: Vintners Theater
Dr. Amy Allen Case, MD, FAAHPM, Lee Foundation Endowed Chair of the Department of Palliative and Supportive Care; Palliative Care Program Chief, Roswell Park Comprehensive Cancer Center

Thursday
Talking Blocks: Autonomic Nervous System Blocks
11:30am - 12:15pm Pacific - August 18, 2022 | Room: Vintners Theater
Dr. Sanjeet Narang, MD, Director, Oncology Pain Management, Brigham and Women's Hospital

Rocco, A. G., Palombi, D., & Raeke, D. (1995). Anatomy of the lumbar sympathetic chain. Regional Anesthesia and Pain Medicine, 20(1), 13-19.


Thursday
Networking Lunch
12:15pm - 01:15pm Pacific - August 18, 2022 | Room: Vintners Theater
Tags: No CME

Networking Lunches are not accredited for continuing education.


Thursday
Facial Pain in the Setting of Cancer
01:15pm - 02:00pm Pacific - August 18, 2022 | Room: Vintners Theater
Dr. David J. Copenhaver, MD, Division Chief, Pain Medicine, UC Davis Health

Thursday
Neurosurgical Approaches to Cancer Pain
02:00pm - 02:45pm Pacific - August 18, 2022 | Room: Vintners Theater
Dr. Parag G. Patil, MD, PhD, Associate Professor of Biomedical Engineering, College of Engineering, University of Michigan School of Medicine

Thursday
Break
02:45pm - 03:00pm Pacific - August 18, 2022
Tags: No CME

Breaks are not accredited for continuing education.


Thursday
Neuromodulation in Cancer Pain: SCS, DRG, PNS
03:00pm - 04:00pm Pacific - August 18, 2022 | Room: Vintners Theater

1. Explore algorithmic evidenced based approach to cancer pain management

2. Evaluate evidence for neuromodulation treatment options for cancer pain management

3. Assess gaps and barriers for adoption of neuromodulation therapies in cancer pain management.


Thursday
Modified Protocols for Interventional Treatments of Cancer Pain
04:00pm - 05:00pm Pacific - August 18, 2022 | Room: Vintners Theater

Stearns, L. M., Abd-Elsayed, A., Perruchoud, C., Spencer, R., Hammond, K., Stromberg, K., & Weaver, T. (2020). Intrathecal drug delivery systems for cancer pain: an analysis of a prospective, multicenter product surveillance registry. Anesthesia and analgesia, 130(2), 289.


Thursday

Receptions are not accredited for continuing education.

Open to all In-Person Attendees


Friday
Welcome to 29th Napa Pain Conference
07:30am - 07:45am Pacific - August 19, 2022 | Room: Museum Theater
Dr. Eric J. Grigsby, MD, MBA, Founder & CEO, Neurovations: A Patient Care and Innovation Company

The welcome remarks are not accredited for continuing education.


Friday
10th Annual Lindahl Lecture
07:45am - 08:45am Pacific - August 19, 2022 | Room: Museum Theater
Katalin Karikó, PhD, Co-inventor of the modified mRNA technology used in vaccines to prevent COVID-19 infection, Perelman School of Medicine, University of Pennsylvania

Friday
Break
08:45am - 09:00am Pacific - August 19, 2022
Tags: No CME

Breaks and Q&A are not accredited for continuing education.


Friday
Breakout 1A: Q&A with Katalin Karikó
09:00am - 10:15am Pacific - August 19, 2022 | Room: Museum Theater
Katalin Karikó, PhD, Co-inventor of the modified mRNA technology used in vaccines to prevent COVID-19 infection, Perelman School of Medicine, University of Pennsylvania; Dr. Eric J. Grigsby, MD, MBA, Moderator, Founder & CEO, Neurovations: A Patient Care and Innovation Company
Tags: No CME

Breaks and Q&A are not accredited for continuing education.


Breakout 1B: Vertebrogenic Back Pain
09:00am - 10:30am Pacific - August 19, 2022 | Room: Ecolab Theater
Jeffrey C. Lotz, PhD, David S. Bradford M.D. Endowed Chair in Orthopaedic Surgery and Vice Chair of Research; Dr. Zachary McCormick, MD, Chief of Spine and Musculoskeletal Medicine; Vice Chair PM&R; Dr. Matthew Smuck, MD, Chief of PM&R and Professor of Orthopaedic Surgery

Friday
The Vertebral End Plate in Low Back Pain
09:00am - 09:30am Pacific - August 19, 2022 | Room: Ecolab Theater
Jeffrey C. Lotz, PhD, David S. Bradford M.D. Endowed Chair in Orthopaedic Surgery and Vice Chair of Research, UCSF

Friday
Diagnosing Vertebrogenic Back Pain
09:30am - 10:00am Pacific - August 19, 2022 | Room: Ecolab Theater
Dr. Zachary McCormick, MD, Chief of Spine and Musculoskeletal Medicine; Vice Chair PM&R, University of Utah

Friday
Basivertebral Nerve Ablation
10:00am - 10:30am Pacific - August 19, 2022 | Room: Ecolab Theater
Dr. Matthew Smuck, MD, Chief of PM&R and Professor of Orthopaedic Surgery, Stanford University

Breakout 1C: Patient Assessment & Management
09:00am - 10:30am Pacific - August 19, 2022 | Room: Vintners Theater
Dr. Steven Richeimer, MD, Chief, Division of Pain Medicine; Dr. Aaron K. Calodney, MD, DABA, FASA, FIPP, ABIPP, Director of Clinical Research; Dr. Parag G. Patil, MD, PhD, Associate Professor of Biomedical Engineering, College of Engineering

Friday
Psychopharmacology & Pain
09:00am - 09:30am Pacific - August 19, 2022 | Room: Vintners Theater
Dr. Steven Richeimer, MD, Chief, Division of Pain Medicine, Keck School of Medicine, University of Southern California
Track: Medical Management

Friday
Where Minimally Invasive Procedures Fall Within Diagnosis & Treatment Algorithms
09:30am - 10:00am Pacific - August 19, 2022 | Room: Vintners Theater
Dr. Aaron K. Calodney, MD, DABA, FASA, FIPP, ABIPP, Director of Clinical Research, Precision Spine Care

Friday
When to Refer to Surgery
10:00am - 10:30am Pacific - August 19, 2022 | Room: Vintners Theater
Dr. Parag G. Patil, MD, PhD, Associate Professor of Biomedical Engineering, College of Engineering, University of Michigan School of Medicine

Friday
Break
10:30am - 10:45am Pacific - August 19, 2022
Tags: No CME

Breaks and Q&A are not accredited for continuing education.


Breakout 2A: Oral Abstracts & The NIH's Future of Pain Research Funding
10:45am - 12:00pm Pacific - August 19, 2022 | Room: Museum Theater

This session is not provided for CME credits.


Friday
Oral Abstracts & Q&A
10:45am - 11:45am Pacific - August 19, 2022 | Room: Museum Theater
Tags: No CME
  • Mechanistic Insights into Anterolateral System Modulation with Conventional and Burst Stimulation 
  • Post Dural Puncture Headache After Removal of Spinal Cord Stimulator Leads: A Case Report 
  • A self-anchoring injectable helical wire rope structure electrode enables ease of placement and clear imaging 
  • Human Transcription Error Assessment within a Simulated Electronic Health Record System
  • Multimodal Imaging Analysis of Fibromyalgia Syndrome Reveals Structural and Functional Abnormalities in Cortico-Thalamic Loops

This session is not provided for CME credits.


Friday
The Future of Pain Research Funding
11:45am - 12:15pm Pacific - August 19, 2022 | Room: Museum Theater
Linda L. Porter, PhD, Director, Office of Pain Policy, NIH National Institute of Neurological Disorders and Strokes (NINDS)

This session is not provided for CME credits.