Mahmoud El-Foudeh

Mahmoud El-Foudeh

King Faisal Specialist Hospital & Research Center, Saudi Arabia

Title: Misperception and inadequate pain management in cancer patients


Mahmoud El-Foudeh is currently working as Consultant in Oncology and Palliative Medicine at Oncology Center, King Faisal Specialist Hospital and Research Center. He completed his MBBS, from Alexandria University; Egypt and obtained his Master in Clinical Oncology from London University, UK.. Mahmoud El-Foudeh is having experience in the field of clinical oncology for more than 20 years, mainly in the specialty of medical oncology and last in the Palliative Care Medicine. He trained and practiced oncology and Palliative medicine in different major international Cancer Institutions including Gustav-Rosy and Centre Leon Berard in France, and the Royal Marsden Hospital in UK, and participated in several clinical cancer-related trials, national and international Cancer and Palliative oncology-related presentations. Also he worked as Author and co-other of numerous oncology publications in reputable international cancer journals.


Cancer pain is a complex, multifaceted problem that may originate directly from the tumor and its manifestations or indi¬rectly from diagnostic and therapeutic proce¬dures. Other factors as psychosocial, spiritual and existential issues influence the nature of pain experience. Pain remains a highly prevalent problem for patients with cancer; current esti-mates suggest that around half of the cancer patients experience pain during the disease trajectory and three quarters in patients with advanced disease. Unfortunately, despite the mounting knowledge about pain and the availability of effective pharmacology and other therapeutic modalities, pain remains pervasive and significantly mal-treated. Reports of under treatment of cancer pain persist in various clinical settings and are currently recognized as a significant health-care problem, causing unnecessary and unjustified suffering. WHO analgesic ladder serves as the mainstay model of treatment for the relief of cancer pain and appropriate utilizing of opioid drugs remains the cornerstone of adequate pain relief. Yet, substantial practice variability exists among clinicians who treat cancer patients in pain, and despite the availability of wide array of therapeutic options, pain remains frequently under treated. Among the most important barriers to effective cancer pain management are; clinician-specific factors, such as insufficient knowledge of pain mechanisms and treatments, poor assessment practices, and, often, excessive concerns about physical dependence, patient tolerance, psycho¬logical addiction, and side effects. Other factors related to the patient himself, family and health care system may as well interfere with an appropriate approach to pain management. Accordingly, the persistent under treatment of cancer pain leads to significant suffering associated with declines in func¬tion and quality of life. In this brief presentation the following cancer related pain issues are reviewed: analgesic treatment modalities, pain assessment, the current effective opioid utilization and the methods to overcome the barriers to pain management