Opioid-prescribing practices in chronic cancer pain in a tertiary care pain clinic

Thota, Raghu S; Jain, Pranay; Bakshi, Sumitra G; Dhanve, Chhaya N

doi:10.4103/0973-1075.92340

Cited by 12 publications

(13 citation statements)

References 13 publications

(16 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In moderate pain, weak opioids ± nonopioids ± adjuvants and in severe pain, strong opioids ± nonopioids ± adjuvants are recommended. [ 7 ]…”

Section: Discussionmentioning

confidence: 99%

Prescription pattern of analgesic drugs for patients receiving Palliative Care in a Teaching Hospital in India

Menezes¹,

Nair²,

Soumya³

et al. 2016

Indian J Palliat Care

View full text Add to dashboard Cite

Background:Drugs used in the palliative care unit for managing symptoms are major contributors toward the expenditure occurring in palliative care. This study was conducted to understand the prescription pattern of analgesic drugs in the patients who are receiving palliative care in a teaching hospital in India by a retrospective study of case records.Methods:Case record based, retrospective, descriptive study was conducted at the Pain and Palliative Care Department of St. John's Medical College Hospital, Bengaluru. Case record files of all patients referred to Pain and Palliative Care Department for the treatment of pain in the year of 2012 were studied. Patients’ age, gender, diagnoses, numerical pain rating scale (0–10), drugs prescribed, dosage, frequency, route of administration were recorded. The difference in drug utilization between the genders was done using Chi-square test. Data were collected from 502 patients of which 280 (56%) were males and 222 (44%) were females. Twelve percent of patients had mild pain (1–3), 34% had moderate pain (4–6), and 54% had severe pain (7–10). The most commonly used analgesic drugs were opioids (47%), followed by nonsteroidal anti-inflammatory drugs (36%). The opioids used were tramadol (56%), and morphine (38%). Ninety percent of patients with numerical pain scale more than 6 received morphine. There was no difference in analgesic drug utilization with regards to gender. Prescription pattern differed depending on the severity of pain. Opioids were the most commonly used drugs for pain management.Conclusion:The study shows that prescription pattern in palliative care unit of this hospital was in accordance with WHO pain management guidelines. The study showed the current trend in prescription of analgesic drugs in the teaching hospital where the study was conducted.

show abstract

“…In moderate pain, weak opioids ± nonopioids ± adjuvants and in severe pain, strong opioids ± nonopioids ± adjuvants are recommended. [ 7 ]…”

Section: Discussionmentioning

confidence: 99%

Prescription pattern of analgesic drugs for patients receiving Palliative Care in a Teaching Hospital in India

Menezes¹,

Nair²,

Soumya³

et al. 2016

Indian J Palliat Care

View full text Add to dashboard Cite

show abstract

“…Thus we had a final list of 90 articles for our analysis. [1112131415161718192021222324252627282930313233343536373839404142434445464748495051525354555657585960616263646566676869707172737475767778798081828384858687888990919293949596979899100]…”

Section: Resultsmentioning

confidence: 99%

An exploratory analysis of levels of evidence for articles published in Indian journal of palliative care in the years 2010-2011

Kumar¹,

Sisodia²

2013

Indian J Palliat Care

View full text Add to dashboard Cite

Context:Indian Journal of Palliative Care (IJPC) provides a comprehensive multidisciplinary evidence base for an evidence-informed clinical decision making.Aims:To analyze the levels of evidence of articles published in IJPC in the years 2010-2011.Settings and Design:Systematic review of palliative care journals.Materials and Methods:Systematic review of articles was done and was scored according to Center for Evidence-Based Medicine levels of evidence into any of the five grades. The articles were categorized based upon article type, number of authors, study approach, age focus, population focus, disease focus, goals of care, domains of care, models of care, and year of publication.Statistical Analysis Used:All descriptive analysis was done using frequencies and percentiles, and association between all categorical variables was done using Chi-square test at 95% confidence interval (CI) using Statistical Package for Social Sciences (SPSS) version 16 for Windows (SPSS Inc, Chicago, IL).Results:There was a greater prevalence of low level evidence (level 4: n = 46, 51%; level 5: n = 35, 39%) among the 90 selected articles, and article type (original articles with higher level of evidence, P = 0.000), article approach (analytical studies with higher level of evidence, P = 0.000), domains of palliative care (practice-related studies with higher level of evidence, P = 0.000) and models of care (biological or psychosocial model with higher level of evidence, P = 0.044) had a significant association with the grade of levels of evidence. Association with other factors was not statistically significant (P < 0.05).Conclusions:The levels of research evidence for palliative care provided by articles published in IJPC were predominantly level 4 and level 5, and there is scope for more high quality evidence to inform palliative care decisions in the developing countries.

show abstract

“…These two fields of knowledge have to be combined and need to interact, in order to facilitate good palliative care. Furthermore, the need for communication and education in palliative care has been identified before [11,12]. Consequently, the mentioned two fields of knowledge have to be considered and integrated in future curricula of palliative care both in India and elsewhere.…”

Section: Discussionmentioning

confidence: 99%

Associations to Pain and Analgesics in Indian Pain Patients and Health Workers

Fiedler¹,

Elsner

Rajagopal

et al. 2015

Pain Manag.

View full text Add to dashboard Cite

show abstract

Opioid-prescribing practices in chronic cancer pain in a tertiary care pain clinic

Cited by 12 publications

References 13 publications

Prescription pattern of analgesic drugs for patients receiving Palliative Care in a Teaching Hospital in India

Prescription pattern of analgesic drugs for patients receiving Palliative Care in a Teaching Hospital in India

An exploratory analysis of levels of evidence for articles published in Indian journal of palliative care in the years 2010-2011

Associations to Pain and Analgesics in Indian Pain Patients and Health Workers

Contact Info

Product

Resources

About