Sylvester's Groundbreaking Initiative for Cancer Pain Management

In a pioneering move, Sylvester Comprehensive Cancer Center, part of UHealth – University of Miami Health System, has launched a tumor board uniquely focused on addressing cancer-related pain. This initiative stands as one of the first of its kind in Florida and among a select few across the United States, specifically tackling the often-ignored challenges posed by bone metastases, a significant source of discomfort for cancer patients.

A Collaborative Approach to Pain Management

Moderated by the Department of Interventional Radiology, the Adult Cancer Pain & Bone Metastasis Tumor Board assembles a diverse team of specialists from various disciplines, including palliative care, radiation oncology, orthopedic and spine surgery, neurosurgery, and more. This multidisciplinary gathering aims to create specialized pain management strategies tailored to individual patients, treating their pain with the same intensity as the cancer itself.

Transforming Cancer Care Philosophy

Dr. Laurence Sands, a leading figure in the initiative, emphasizes the importance of proactively addressing cancer pain: "This initiative embodies the belief that we should treat cancer pain with the same urgency and collaboration as the cancer itself." Dr. Alan Alper Sag, cofounder of the board, underscores the critical need for this multidisciplinary focus to enhance patient outcomes and quality of life.

Innovative Solutions for Complex Cases

Since its inception in May 2025, the tumor board has already reviewed care plans for over 25 patients, showcasing rapid improvements in pain management. Noteworthy cases include a young patient suffering from severe pelvic pain who found immediate relief following a CT-guided nerve block, showcasing the board's ability to implement innovative and efficient solutions.

A New Era for Cancer Pain Treatment

This revolutionary board breaks away from traditional cancer treatment discussions, instead honing in on pain-specific strategies while aligning with established guidelines. Dr. Gregory J. Kubicek highlights how this collaboration provides patients access to expert opinions swiftly and efficiently, streamlining their pain relief journey.

Boosting Patient Confidence and Quality of Life

Initial feedback from patients has been overwhelmingly positive, with many expressing gratitude for the team’s dedicated focus on their pain management. Dr. Sag reflects, "For numerous patients, this is the first occasion they've witnessed a cohesive team solely focused on alleviating their cancer pain, fostering trust in their care.

Setting a New Standard in Cancer Care

As the board continues to evolve, there's potential for significant improvements in patient outcomes, including reduced opioid usage and fewer emergency hospital visits related to cancer pain. Dr. Alan Pollack suggests that this forward-thinking model could also enhance survival rates by optimally addressing quality-of-life issues. As Sag aptly states, "We believe this approach will become standard at major cancer centers. The focus on collaboration and innovation will undeniably play a key role in alleviating suffering for many patients.