Proper treatment of pain as a public health priority

Karolina Pocheć, Anna Fabian-Danielewska


Pain is a global public health problem. Untreated, insufficiently treated or poorly controlled is the most common health problem. It affects the structure of society, its functioning and the economic situation on a global scale. Therefore, effective pain control should be one of the priority objectives of European health policy. Pain is a complex phenomenon. It is necessary to correctly diagnose it and treat it properly.


Pain; Cancer; Oncology; Analgesic ladder

Full Text:



International Association for the Study of Pain and delegates of International Pain Summit 2010.Declaration that Access to Pain Management Is a Fundamental Human Right, 2010 ( _Information1&Template=/CM/ContentDisplay.cfm&ContentID=11728) [Accessed 22 August 2011].

World Health Organization. Ensuring balance in national policies on controlled substances:guidance for availability and accessibility of controlled medicines. WHO, 2011(http://www.whoint/medicines/areas/quality_safety/GLs_Ens_Balance_NOCP_Col_EN_sanend.pdf) [Accessed 22 August 2011].

Human Rights Watch. “Please, do not make us suffer any more…” Pain Treatment, Palliative Care and Human Rights. Human Rights Watch, 2009 ( [Accessed 22 August 2011].

Human Rights Watch. Global state of pain treatment. Access to palliative care as a human right. Human Rights Watch, 2011 ( [Accessed 22 August 2011].

International Federation of Health and Human Rights Organisations. Denial of essential pain relief. IFHHRO, 2010 ( [Accessed 22 August 2011].

Hilgier M., Jarosz J., Leczenie bólu nowotworowego. Przewodnik lekarza, Dodatek specjalny, Onkologia 2000

Wordliczek J, Kotlińska-Lemieszek A, Leppert W et al. Farmakoterapia bólu u chorych na nowotwory- zalecenia Polskiego Towarzystwa Badania Bólu, Polskiego Towarzystwa Medycyny Paliatywnej, Polskiego Towarzystwa Onkologicznego, Polskiego Towarzystwa Medycyny Rodzinnej, Polskiego Towarzystwa Anestezjologii i Intensywnej Terapi.Ból 2017; 18: 11-53.

Worodliczek J., DobrogowskiJ., Ból ostry, Seria Wydawnictwa Medycznego Centrum Kształcenia Podyplomowego UJ, Kraków 2002

Dobrogowski J., Wordliczek J., Woroń J., (red.): Farmakoterapia bólu, Termedia, Poznań 2014

Malec-Milewska M., Woroń J. (red.) : Kompendium leczenia bólu. Medical Education, Warszawa 2017

Leppert W., Zajączkowska R., Wordliczek J., Dobrogowski J., Woroń J., Krzakowski M., Pathophysiology and clinical characteristics of pain in most common locations i cancer patients, J Physiol Pharmacol, 2016; 67: 787-799

Wordliczek J., Zajączkowska R.: Pain mechanisms in cancer patients, w: Hanna M. et al. (eds.): Cancer Pain. Nowy Jork, Springer 2013: 47-70

Caraceni A., Hanks G., Kassa S. et al. : Use of opioid analgesics in the treatment of cancer pain: evidence-based recommendations from the EAPC, Lancet Oncol, 2012; 13: 58-68

NCCN Clinical practice Guideline in oncology, AdultCancer Pain. Version 2, 2017

Ripamonti C. I. , Santini D., Maranzano E., Berti M., Roila F.:Management of cancer pain: ESMO Clinical Practice Guidelines, Ann Oncol, 2012,23, (Suppl 7): 139-154.

Breivik H., Borchgrevink P.C., Allen S.M., Rosseland L.A., Romundstad L., Hals E.K., Kvarstein G., Stubhaug A.: Assesment of pain, Br J Anaesth, 2008,101, 17-24.

Nicholas M.K., Asghari A.,Blyth F.M.: What do the numbers mean? Normative data in chronic pain measures, Pain, 2008; 134: 158-173

Graczyk M, Krajnik M. Opioidofobia lekarzy i chorych jako przeszkoda w skutecznym leczeniu bólu u chorego na nowotwór. W: Chory na nowotwór- kompendium leczenia bólu . Red. M.Malec-Milewska, M. Krajnik, J. Wordliczek. Medical Education Sp. z o.o., 2013.

Bender J. L., Hohenadel J., Wong J. et al.: What patients with caner want to know about pain: a qualitative study, J Pain Symptom Manage, 2008; 35 (2): 177-187

The International Narcotics Control Board(INCB). 2004 Annual Report, Press Release No. 6. Use of essential narcotic drugs to treat pain is indequate, especially in developing countries March 3 2004

Deandrea S, et al. Prevalence of undertreatment in cancer pain. A review of published literature.Ann Oncol 2008;19:1985-91.

British Pain Society. Cancer pain management: A perspective from the British Pain Society,supported by the Association for Palliative Medicine and the Royal College of General Practitioners.London; British Pain Society, 2010 ([Accessed 6 September 2011].

Hüppe M, et al. [Success of treatment in higher stages of pain chronification as well? An evaluation of the Mainz pain staging system based on the QUAST-analysis sample]. (Article in German)Schmerz 2011;25:77-88.

Carlson CL. Effectiveness of the World Health Organization cancer pain reief guidelines: an integrative review. J Pain Res 2016; 9: 515-534

Corli O., Floriani I., Roberto A., Montanari M, Galli F., Greco M. T., Caraceni A., KaasA s., Dragani T.A., Azzarello G., Luzzani M., Cavanna L., Bandieri E., Gamucci T., Lipari G., Di Gregorio R., Valenti D., Reale C., PavesiL., Iorno V., Crispino C., Pacchioni M., Apolone G., CERP Study of Pain Group;Are strong opioids equally effective and safe in the treatment of chronić cancerpain? A multicenter randomized phase IV, real life’ trial on the variability of response to opioids, Ann Oncol, 2016:27,1107-1115



  • There are currently no refbacks.

Copyright (c) 2018 © The Author(s)

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

Journal of Education, Health and Sport formerly Journal of Health Sciences

Declaration on the original version.

Editors indicates that the main version of the magazine is to issue a "electronic".

The journal has had 5 points in Ministry of Science and Higher Education parametric evaluation. § 8. 2) and § 12. 1. 2) 22.02.2019.

1223 Journal of Education, Health and Sport eISSN 2391-8306 7

ISSN 2391-8306 formerly ISSN: 1429-9623 / 2300-665X

Archives 2011 - 2014

PBN 2011 - 2014

POL-index 2011 - 2014

BASE 2011 - 2014

Indexed in Bases, Bazy indeksacyjne: ERIH Plus, Worldcat, PBN/POL-Index, ICI Journals Master List, Directory of Open Access Journals (DOAJ), ZBD, Ulrich's periodicals, Google Scholar, Polska Bibliografia Lekarska

US NLM = 101679844

101679844 - NLM Catalog Result - NCBI

Find a library that holds this journal:

Journal Language(s): English 

PBN Poland



Redaction, Publisher and Editorial Office

Instytut Kultury Fizycznej Uniwersytet Kazimierza Wielkiego w Bydgoszczy, Institute of Physical Education Kazimierz Wielki University in Bydgoszcz, Poland 85-091 Bydgoszcz ul. Sportowa 2 Copyright by Instytut Kultury Fizycznej UKW w Bydgoszczy  Open Access ISSN 2391-8306 formerly ISSN: 1429-9623 / 2300-665X

The journal has been approved for inclusion in ERIH PLUS.

The ERIH PLUS listing of the journal is available at

SIC Science citation index (calculated on the basis of TCI and Page Rank) 0

Russian Impact factor 0.16

Indexed in Index Copernicus Journals Master List.,p24782242,3.html

ICV 2018 = 95.95 ICV 2017 = 91.30 ICV 2016 = 84.69 ICV 2015 = 93.34 ICV 2014 = 89.51 Standardized Value: 8.27 ICV 2013: 7.32 ICV 2012: 6.41 ICV 20115.48

The InfoBase Index IBI Factor for the year 2015 is 3.56 in InfoBase


Universal Impact Factor 1.78 for year 2012. (

Indexed in Polish Scholarly Bibliography (PBN) (PBN Polska Bibliografia Naukowa) (

is a portal of the Polish Ministry of Science and Higher Education, collecting information on publications of Polish scientists and on Polish and foreign scholarly journals. Polish Scholarly Bibliograhpy is a part of POL-on - System of Information on Higher Education. It is operated by the Interdisciplinary Centre for Mathematical and Computational Modelling, University of Warsaw.

Indexed in Russian Sciences Index Российский индекс научного цитирования (РИНЦ)

Indexed in Arianta Polish scientific and professional electronic journals Aneta Drabek i Arkadiusz Pulikowski