Fellowship

Opioid Availability and Palliative Care in Nepal: Influence of an International Pain Policy Fellowship

Citation:

Bishnu Dutta Paudel, Karen M. Ryan, Mary Skemp Brown, Eric L. Krakauer, M.R. Rajagopal, Martha A. Maurer, James F. Cleary, Opioid Availability and Palliative Care in Nepal: Influence of an International Pain Policy Fellowship, Journal of Pain and Symptom Management, Volume 49, Issue 1, January 2015, Pages 110-116, ISSN 0885-3924, http://dx.doi.org/10.1016/j.jpainsymman.2014.02.011.
(http://www.sciencedirect.com/science/article/pii/S0885392414002176)

Globally, cancer incidence and mortality are increasing, and most of the burden is shifting to low- and middle-income countries (LMICs), where patients often present with late-stage disease and severe pain. Unfortunately, LMICs also face a disproportionate lack of access to pain-relieving medicines such as morphine, despite the medical and scientific literature that shows morphine to be effective to treat moderate and severe cancer pain.