Methadone switching for refractory cancer pain

Autor: Haiying Ding, Yu Song, Wenxiu Xin, Jiao Sun, Like Zhong, Qinfei Zhou, Chaoneng He, Liyan Gong, Luo Fang
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: BMC Palliative Care, Vol 21, Iss 1, Pp 1-7 (2022)
Druh dokumentu: article
ISSN: 1472-684X
DOI: 10.1186/s12904-022-01076-2
Popis: Abstract Background Methadone is commonly considered an alternative opioid treatment for refractory cancer pain. This study aims to investigate the efficacy, safety, and cost of methadone in the treatment of refractory cancer pain. Methods A retrospective study was conducted in patients who used methadone for refractory cancer pain from April 2016 to December 2020 at a cancer specialized hospital. Pain control, evaluated via pain score and breakthrough pain frequency, and adverse events of methadone were compared with analgesic regimens prior to methadone administration. The factors potentially affecting the switching outcome were analyzed via multivariate analysis. Moreover, the cost of pain control was estimated. Results Ninety patients received methadone for poor pain control (74.4%), intolerable adverse events (10.0%), or both (15.6%) after prior opioid treatments. Sixty-four patients (71.1%) were successfully switched to methadone with median pain score significantly decreased from 4.0 to 2.0 (p
Databáze: Directory of Open Access Journals
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