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Palekhov A.V.

Russian Association of Palliative Medicine, Stavropol, Russia

Novikov G.A.

Russian University of Medicine, Moscow, Russia

Palliative care for patients with chronic pain: challenges and prospects

Authors:

Palekhov A.V., Novikov G.A.

More about the authors

Journal: Russian Journal of Pain. 2026;24(1): 53‑63

DOI: 10.17116/pain20262401153

Read: 817 times

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Table of contents

PALLIATIVE CARE FOR PATIENTS WITH CHRONIC PAIN: CHALLENGES AND PROSPECTS
PALLIATIVE CARE FOR PATIENTS WITH CHRONIC PAIN: CHALLENGES AND PROSPECTS

To cite this article:

Palekhov AV, Novikov GA. Palliative care for patients with chronic pain: challenges and prospects. Russian Journal of Pain. 2026;24(1):53‑63. (In Russ.)
https://doi.org/10.17116/pain20262401153

Подписка 2025 Российский журнал боли (Russian Journal of Pain)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

This article examines organizational differences between palliative care and hospice care. The causes for these differences related to prognosis for life expectancy are outlined. Selection of optimal therapy in palliative care and hospice care is considered. The authors analyze literature data on potential problems following premature introduction of strong opioids into palliative care. The causes of higher tolerance and morphine-induced hyperalgesia following early administration of morphine in case of expected long-term survival are outlined. The role of recommendations for widespread use of strong opioids (morphine and its analogs) in hospice care is discussed.

Keywords:

palliative care
hospice care
opioids
morphine
tolerance
hyperalgesia

Authors:

Palekhov A.V.

Russian Association of Palliative Medicine, Stavropol, Russia

Novikov G.A.

Russian University of Medicine, Moscow, Russia

Received:

18.01.2026

Accepted:

26.01.2026

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References:

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