Paediatric cancer pain management using the WHO analgesic ladder - results of a prospective analysis from 2265 treatment days during a quality improvement study

WHO-guidelines were closely followed in Germany and seem to provide effective analgesia for children with cancer pain. In our patient group there is no evidence that a combination of an opioid with a non-opioid is more effective than opioid therapy alone in in-patient paediatric oncology pain treatment.