A “TNM” SYSTEM FOR EVALUATING AND TREATING CANCER PAIN
The Edmonton classification system

Robin L. Fainsinger, MD and Cheryl L. Nekolaichuk, PhD

The majority of people with advanced cancer are expected to develop pain syndromes, and these vary in complexity.1 While we anticipate achieving good pain management for the majority of cases,2,3 some of those with complex pain syndromes are more difficult to treat. Clinicians may need to introduce multiple interventions and more time may be required to achieve stable pain control.

 

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Top-line summary
Cancer pain syndromes affect many or most people with cancer. At present no well-defined, internationally accepted assessment instrument exists to help determine which cancer pain syndromes are more difficult or time-consuming to control. A standardized, comprehensive and simple classification of cancer pain would enable clinicians to better manage patients and allocate resources, and researchers to compare results of outcome surveys and clinical trials — promoting the incorporation of good-quality evidence into patient care. Here, Oncology Exchange presents the Edmonton Classification System for Cancer Pain (ECS-CP). The authors describe its evolution from the Edmonton Staging System, recent research to validate the tool and standardize its use, and expectations for future development.
 
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