Rationales behind the choice of administration form with fentanyl: Delphi survey among Danish general practitioners
| Autor: | Lona L. Christrup, Claus Møldrup, Ramune Jacobsen |
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| Rok vydání: | 2018 |
| Předmět: |
Health Knowledge
Attitudes Practice medicine.medical_specialty Delphi Technique Attitude of Health Personnel Cost-Benefit Analysis Denmark medicine.medical_treatment Breakthrough Pain Delphi method Administration Oral Pain Terminally ill Administration Cutaneous Choice Behavior Drug Costs Fentanyl Danish Nursing Brainstorming medicine Humans Pharmacology (medical) Practice Patterns Physicians' Administration Intranasal Aerosols Terminal Care business.industry General Medicine language.human_language Analgesics Opioid Anesthesiology and Pain Medicine Nasal spray Health Care Surveys Family medicine language Family Practice business Administration (government) medicine.drug |
| Zdroj: | Journal of Opioid Management. 6:259-268 |
| ISSN: | 1551-7489 |
| DOI: | 10.5055/jom.2010.0024 |
| Popis: | Background and Aim: The aim of this study was to describe the rationale behind the choice of fentanyl administration forms among Danish general practitioners (GPs).Methods: Thirty-eight Danish GPs were contacted via an Internet survey system to perform a Delphi survey. In the brainstorming phase, the main reasons for prescribing and not prescribing fentanyl patches, oral transmucosal systems (OTFCs), and nasal sprays were identified. In the second phase, GPs were asked to rate the importance of each reason.Results and Discussion: Thirty-three GPs responded in the brainstorming phase, and 33 and 31 in two rating rounds, respectively. The most important reason to choose fentanyl patches was that patients’ clinical condition did not allow them to take analgesia orally. OTFCs were primarily seen as a self-administrative alternative to injections in case of breakthrough pain. The main reasons for not choosing OTFCs were intolerance to fentanyl and price. The most important possible rationale to choose fentanyl nasal spray was easy administration. The most important possible reasons to not choose fenanyl nasal spray were application side effects.Conclusions: The rationale behind the choice of administration form with fentanyl partly differed from those overviewed in the literature. Fentanyl nasal spray was seen as a better option for treatment of breakthrough pain among terminally ill patients if compared with OTFCs. |
| Databáze: | OpenAIRE |
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