A Retrospective Analysis of Pain Burden in Hospitalized Young Adult Cancer Patients Compared with Their Older Adult Counterpart
| Autor: | James D. Murphy, Shannon M Devlin, Heidi N. Yeung |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male Pediatrics medicine.medical_specialty Adolescent Context (language use) Malignancy 03 medical and health sciences 0302 clinical medicine Pain control 030502 gerontology medicine Retrospective analysis Humans Pain Management Young adult General Nursing Aged Pain Measurement Retrospective Studies business.industry Palliative Care Age Factors Symptom burden Cancer Analgesia Patient-Controlled Cancer Pain General Medicine Middle Aged medicine.disease Analgesics Opioid Hospitalization Anesthesiology and Pain Medicine 030220 oncology & carcinogenesis Female Symptom Assessment 0305 other medical science business |
| Zdroj: | Journal of Palliative Medicine. 22:307-309 |
| ISSN: | 1557-7740 1096-6218 |
| DOI: | 10.1089/jpm.2018.0212 |
| Popis: | Research shows an increased symptom burden in young adult (YA) cancer patients compared with their older adult counterpart.The purpose of this study was to identify differences in clinical characteristics and related outcomes between YA and older adult cancer patients admitted for cancer-related pain.We retrospectively identified 190 hospitalized patients in a single academic center with admissions for cancer-related pain. Patients were grouped into either "young adult" (18-39) or "older adult" (40) cohorts. We compared differences in patient characteristics and pain regimens.Median oral morphine equivalent per 24 hours was higher in the YA group (194 mg vs. 70 mg, p = 0.010). Younger patients received patient-controlled analgesia (PCA) more frequently (p = 0.023). The number of palliative care consults and adjuvants prescribed did not differ between groups (p 0.05), although YAs more frequently had an inpatient pain anesthesia consult (p = 0.047).Findings show increased opioid requirements and PCA use in YAs being treated for malignancy compared with their older adult counterpart. |
| Databáze: | OpenAIRE |
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