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Charles S. Cleeland, PhD

JAMA. 1998;279:1914-1915.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Undertreatment of pain is a persistent clinical problem. A leading indicator of inadequate pain management is the poor control of cancer pain, a condition for which every effort should be made to assure patient comfort. Cancer pain is feared by patients, their families, and the general public and this fear has helped to fuel the debate concerning assisted suicide.

In this issue of THE JOURNAL, the study by Bernabei and colleagues¹ takes advantage of a large database to examine the treatment of pain in elderly patients with cancer who are cared for in nursing homes. Using the Resident Assessment Instrument and the Minimum Data Set, part of the Health Care Financing Administration's Demonstration Project, the investigators found that 38% of nursing home residents with cancer in a 5-state area complained of, or showed evidence of, daily pain. The study found that 26% of these patients with . . . [Full Text of this Article]

From the Pain Research Group, M. D. Anderson Cancer Center, Houston, Tex.

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