Chinese guidelines for cancer pain management in adults (2025 edition)

Cancer pain, one of the most prevalent and distressing symptoms in cancer patients, is closely associated with diagnosis, treatment, quality of life, and survival outcomes. Effective cancer pain management necessitates multidisciplinary collaboration and multimodal approaches, implemented through comprehensive and personalized strategies throughout the disease course. To address this imperative, the Cancer Pain Integration Therapy Professional Committee of the China Anti-Cancer Association (CACA) convened domestic experts in cancer pain management. Guided by evidence-based, patient-centered, and system-integrated principles, these experts developed the Chinese guidelines for cancer pain management in adults (2025 edition) from the perspective of integrative medicine. The guidelines provide standardized guidances on pain assessment and diagnostic protocols, pharmacotherapy, minimally invasive analgesic techniques, palliative antitumor therapies, treatment-related pain syndromes, refractory cancer pain syndromes, and related domains. This framework aims to enhance healthcare professionals' overall competency in cancer pain diagnosis, treatment, and comprehensive management.

癌痛是癌症患者最常见和最令人痛苦的症状之一，与癌症患者的诊断、治疗、生活质量和生存期密切相关。癌痛管理涉及多学科，需要采用多种方法，实施全程化和个体化的管理。鉴于此，中国抗癌协会癌痛整合治疗专业委员会组织国内癌痛治疗领域相关专家，采取循证、以患者为中心和系统整合的策略，从整合医学的视角制订了《中国成人癌痛诊疗指南（2025版）》，对癌痛评估与诊断流程、药物治疗、微创镇痛技术、姑息性抗肿瘤治疗、治疗相关疼痛综合征以及难治性癌痛综合征等相关内容进行规范化指导，从而提升医务人员在癌痛诊断、治疗及综合管理方面的整体能力。.