Hospice & Palliative Medicine

  • Frequently asked questions about managing cancer pain: An update
    Renato V. Samala, MD, MHPE, FACP, FAAHPM, Ruth L. Lagman, MD, MPH, MBA, FACP, FAAHPM, Sina Najafi, DO and Flannery Fielding, CNP, MSN
    Cleveland Clinic Journal of Medicine March 2021, 88 (3) 183-191; DOI: https://doi.org/10.3949/ccjm.88a.20107

    Pain management can involve pharmacologic and nonpharmacologic therapies.

  • Gastric outlet obstruction: A red flag, potentially manageable
    Andree H. Koop, MD, William C. Palmer, MD and Fernando F. Stancampiano, MD
    Cleveland Clinic Journal of Medicine May 2019, 86 (5) 345-353; DOI: https://doi.org/10.3949/ccjm.86a.18035

    Presume the cause to be a malignant tumor untill proven otherwise.

  • Managing malignant pleural effusion
    Ali Saeed Wahla, MBBS, Mateen Uzbeck, MBBS, Yaser Abu El Sameed, MBBS and Zaid Zoumot, MBBS, MRCP, MSC, PHD
    Cleveland Clinic Journal of Medicine February 2019, 86 (2) 95-99; DOI: https://doi.org/10.3949/ccjm.86a.17095

    Depending on the circumstances, options are observation, thoracentesis, an indwelling catheter, and chemical pleurodesis.

  • A physician’s response to observational studies of opioid prescribing
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine November 2018, 85 (11) 824-825; DOI: https://doi.org/10.3949/ccjm.85b.11018

    Not long ago, we were told we needed to do better at relieving pain.

  • Severely frail elderly patients do not need lipid-lowering drugs
    Laurie Herzig Mallery, MD, FRCPC, MSM, Paige Moorhouse, MD, MPH, FRCPC, MSM, Pam McLean Veysey, BSc (Pharm), Michael Allen, MD, MSc and Isobel Fleming, BScPharm, ACPR
    Cleveland Clinic Journal of Medicine February 2017, 84 (2) 131-142; DOI: https://doi.org/10.3949/ccjm.84a.15114

    Statins have no role as primary prevention in this population, and a minor role as secondary prevention.

  • Statin therapy in the frail elderly: A nuanced decision
    Donald Clark, MD and Leslie S. Cho, MD
    Cleveland Clinic Journal of Medicine February 2017, 84 (2) 143-145; DOI: https://doi.org/10.3949/ccjm.84a.16036

    Clinicians—and patients—may reasonably feel there is value in statin therapy—even in advanced frailty.

  • Opioid therapy and sleep apnea (June 2016)
    Aaron S. Geller, MD
    Cleveland Clinic Journal of Medicine February 2017, 84 (2) 91-94; DOI: https://doi.org/10.3949/ccjm.84c.02001

    Readers comment on opioids and sleep apnea (June 2016).

  • In reply: Opioid therapy and sleep apnea (June 2016)
    Marissa C. Galicia-Castillo, MD
    Cleveland Clinic Journal of Medicine February 2017, 84 (2) 94; DOI: https://doi.org/10.3949/ccjm.84c.02002
  • When should an indwelling pleural catheter be considered for malignant pleural effusion?
    Abdul Hamid Alraiyes, MD, FCCP, Kassem Harris, MD, FCCP and Thomas R. Gildea, MD, MS, FCCP
    Cleveland Clinic Journal of Medicine December 2016, 83 (12) 891-894; DOI: https://doi.org/10.3949/ccjm.83a.15075

    Consider catheter placement if symptoms and effusions recur or if pleurodesis fails.

  • Breaking the pain contract: A better controlled-substance agreement for patients on chronic opioid therapy
    Daniel G. Tobin, MD, FACP, Kristine Keough Forte, MS, MA, DBioethics and Summer Johnson McGee, PhD, CPH
    Cleveland Clinic Journal of Medicine November 2016, 83 (11) 827-835; DOI: https://doi.org/10.3949/ccjm.83a.15172

    Common limitations of current pain treatment “contracts,” and strategies to improve them.

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