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Ballantyne JC et al. - Cancer, a relatively neglected disease, is steadily becoming a more important cause of pain, suffering, and premature mortality in developing countries. AIDS-related cancer, a group of cancers that are frequently diagnosed in people with HIV-AIDS, also contributes to the problem in many countries, especially in sub-Saharan Africa. By 2002 there were 10.9 million new cancer cases as documented in the global cancer statistics, 6.7 million deaths, and 24.6 million persons alive with cancer (within 3 years of diagnosis). The World Health Organization (WHO) estimated that of the 9 million new cancer cases every year, more than half are in developing countries. In China and a number of middleincome countries, cancer deaths already exceed infectious deaths. This issue of Pain: Clinical Updates defines "developing countries," discusses the problems with late diagnosis of cancer, and presents strategies for adequate assessment and management of cancer pain.

   

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