Core diagnostic criteria for cancer-induced bone pain from the ACTTION-APS collaboration

Criteria
1	History of primary or metastatic bone cancer diagnosed using imaging and physical examination
2	Presence of continuous, background pain (usually described as annoying, dull, gnawing, aching, and/or nagging) in 1 or more locations generally consistent with known distribution of bone lesions
3	Presence of evoked or spontaneous pain (often described as electric or shock-like) in 1 or more locations generally consistent with known distribution of bone lesions, associated with weight bearing or movement or can occur spontaneously
4	Clinical examination over the site of pain reveals: Hyperalgesia to blunt, non-noxious pressure or pin-prick stimuli Hypoesthesia to non-noxious thermal stimuli Hypoesthesia to light touch stimuli

ACTTION: Analgesic, Anesthetic, and Addiction Clinical Trial Translations, Innovations, Opportunities, and Networks; APS: American Pain Society.

Reproduced from: Paice JA, Mulvey M, Bennett M, et al. AAPT Diagnostic Criteria for Chronic Cancer Pain Conditions. J Pain 2017; 18:233. Table used with the permission of Elsevier Inc. All rights reserved.

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Core diagnostic criteria for cancer-induced bone pain from the ACTTION-APS collaboration