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Pain management of opioid-treated cancer patients in hospital settings in Denmark.

https://arctichealth.org/en/permalink/ahliterature84438
Source
Acta Anaesthesiol Scand. 2007 Nov 13;
Publication Type
Article
Date
Nov-13-2007
Author
LundorffL.
PeuckmannV.
SjøgrenP.
Author Affiliation
Department of Palliative Care, Herning Hospital, Herning, Denmark.
Source
Acta Anaesthesiol Scand. 2007 Nov 13;
Date
Nov-13-2007
Language
English
Publication Type
Article
Abstract
Aim: To evaluate the performance and quality of cancer pain management in hospital settings. Methods: Anaesthesiologists specialised in pain and palliative medicine studied pain management in departments of oncology and surgery. Study days were randomly chosen and patients treated with oral opioids were included. Information regarding pain aetiology and mechanisms, pain medications and opioid side effects were registered from the medical records and by examining patients. Pain intensity was assessed using the Brief Pain Inventory. Results: In total, 59 cancer patients were included. In 49 (83%) patients pain aetiology was assessed by the physicians of the departments of oncology and surgery. In only 19 (32%) patients they assessed pain mechanisms. The median oral morphine dose was 120 mg/day (range: 10-720 mg/day). Seventy-eight per cent of patients received opioids at adequate regular intervals according to the duration of action. In 88% of the patients supplemental short-acting oral opioids were given on demand and the median supplemental oral dose was 16.5% of the daily dose. Seven patients with neuropathic pain received adjuvant drugs, whereas six patients with non-neuropathic pain received adjuvant drugs. Regarding opioid side effects only constipation and nausea were treated in the majority of the patients. Average pain intensity in the last 24 h for the total number of patients (n=59)
PubMed ID
18005379 View in PubMed
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