PAIN CONTROL IN CANCER PATIENTS BY OPIATE USE

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MOHAGHEGHI S.M.A.; NAHVIJOU A.; SEDIGHI Z.

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Journal: Tehran University Medical Journal Year:2003 | Volume:61 | Issue:2 Page(s): 95-102

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Information Journal Paper

Title

PAIN CONTROL IN CANCER PATIENTS BY OPIATE USE

Author(s)

MOHAGHEGHI S.M.A. | NAHVIJOU A. | SEDIGHI Z. | Issue Writer Certificate

Keywords

OPIOIDSQ4

CANCER PAINQ4

SIDE EFFECTSQ4

ADVERSE DRUG REACTIONSQ4

PALLIATIVE CAREQ4

RATIONAL USE OF DRUGSQ4

STANDARD TREATMENT GUIDELINESQ4

Abstract

Background: OPIOIDS are increasingly being recognized as the primary treatment fog CANCER PAIN management. Optimal treatment of CANCER PAIN involves assessing its characteristics, considering different management strategies, evaluating SIDE EFFECTS and ADVERSE DRUG REACTIONS and establishing the most appropriate therapeutic regimen. This study was designed to review the current status of pain management for advanced cancer cases using opioid analgesics. Materials and Methods: A questionnaire was used to collect data on demographics, disease characteristics, and OPIOIDS use indicators in 700 cases of advanced cancer patients. Results: A total of 700 cancer cases, 42 percent females and 58 percent males, between 17 - 80 years age range (Mean age of 57.25) were studied retrospectively. Cancers of breast (21 percent), colorectal (12 percent), lung (7 percent), stomach (7 percent ) and bone either primary or metastatic (6 percent ) in women and stomach (17 percent ), lung (12 percent ), colorectal (11 percent ), prostate (9 percent ), and bone (8 percent ) in men were the most common causes of OPIOIDS prescription in study gr6up respectively. Advanced primary cancer (in 52 percent), bone metastasis (in 32 percent), and treatment complications (in 7 percent ) were considered as physical basis for pain in patients. Morphine (by injection), Opium (by oral intake) and methadone (injection and/or oral) were the most common OPIOIDS prescribed. Using equianalgesic conversion chart, the daily dosages and therapeutics schedules of morphine administration were as follows: 43 percent received 21-30 mg. in 2-4 divided doses27 percent received >30 mg. in 3-5 divided doses 21 percent received 11-20 mg. in 2-3 divided doses9 percent received 5-10 mg. in 1-2 divided doses Conclusion: Pain management of cancer patients is not adequate and opioid use is not rational. New educational and managerial strategies are needed to optimize CANCER PAIN treatment in routine medical practice. To overcome current barriers, WHO stepwise model for CANCER PAIN control and PALLIATIVE CARE is recommended. Publishing STANDARD TREATMENT GUIDELINES for different levels of health care system is another recommended approach to optimize CANCER PAIN.

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APA: Copy

MOHAGHEGHI, S.M.A., NAHVIJOU, A., & SEDIGHI, Z.. (2003). PAIN CONTROL IN CANCER PATIENTS BY OPIATE USE. TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ), 61(2), 95-102. SID. https://sid.ir/paper/39628/en

Vancouver: Copy

MOHAGHEGHI S.M.A., NAHVIJOU A., SEDIGHI Z.. PAIN CONTROL IN CANCER PATIENTS BY OPIATE USE. TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ)[Internet]. 2003;61(2):95-102. Available from: https://sid.ir/paper/39628/en

IEEE: Copy

S.M.A. MOHAGHEGHI, A. NAHVIJOU, and Z. SEDIGHI, “PAIN CONTROL IN CANCER PATIENTS BY OPIATE USE,” TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ), vol. 61, no. 2, pp. 95–102, 2003, [Online]. Available: https://sid.ir/paper/39628/en

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