The Conversion Ratio From Intravenous Hydromorphone to Oral Opioids in Cancer Patients Akhila Reddy, MD, Marieberta Vidal, MD, Saneese Stephen, PA, Karen.

Slides:

Advertisements

Similar presentations

Gender Differences in Hiccup Patients: Analysis of Published Case Reports and Case- Control Studies Gyeong-Won Lee, MD, Rock Bum Kim, MD, Se Il Go, MD,

Advertisements

Opioid Concentrations in Oral Fluid and Plasma in Cancer Patients With Pain Tarja Heiskanen, MD, PhD, Kaarina Langel, MSc, Teemu Gunnar, BSc, MSc, Pirjo.

Methods of Rotation From Another Strong Opioid to Methadone for the Management of Cancer Pain: A Systematic Review of the Available Evidence Sarah McLean,

Palliative Sedation at Home for Terminally Ill Children With Cancer

Differences in Performance Status Assessment Among Palliative Care Specialists, Nurses, and Medical Oncologists Yu Jung Kim, MD, PhD, David Hui, MD,

Methods of Rotation From Another Strong Opioid to Methadone for the Management of Cancer Pain: A Systematic Review of the Available Evidence Sarah McLean,

Accuracy of a Diagnostic Algorithm to Diagnose Breakthrough Cancer Pain as Compared With Clinical Assessment Katherine Webber, MBBS, MSc, PhD, Andrew.

Delirium with Severe Symptom Expression Related to Hypercalcemia in a Patient with Advanced Cancer: An Interdisciplinary Approach to Treatment Marvin.

Impact of Prophylactic Fentanyl Pectin Nasal Spray on Exercise-Induced Episodic Dyspnea in Cancer Patients: A Double-Blind, Randomized Controlled Trial

Characteristics of Advanced Cancer Patients With Cancer-Related Fatigue Enrolled in Clinical Trials and Patients Referred to Outpatient Palliative Care.

An Intervention to Enhance Goals-of-Care Communication Between Heart Failure Patients and Heart Failure Providers Ardith Z. Doorenbos, RN, PhD, FAAN,

Treat the Pain Program Journal of Pain and Symptom Management

Dexamethasone for Dyspnea in Cancer Patients: A Pilot Double-Blind, Randomized, Controlled Trial David Hui, MD, MSc, Kelly Kilgore, BS, Susan Frisbee-Hume,

Harold (Hal) Siden, MD, MHSC Journal of Pain and Symptom Management

“The Patient Is Dying, Please Call the Chaplain”: The Activities of Chaplains in One Medical Center's Intensive Care Units Philip J. Choi, MD, Farr A.

James H. Flory, MD, MSCE, Alison C. Wiesenthal, MD, Howard T

Building Resilience for Palliative Care Clinicians: An Approach to Burnout Prevention Based on Individual Skills and Workplace Factors Anthony L. Back,

The 2015 Class of Hospice and Palliative Medicine Fellows—From Training to Practice: Implications for HPM Workforce Supply Dale Lupu, MPH, PhD, Ed Salsberg,

“I Just Felt Like I Was Stuck in the Middle”: Physician Assistants' Experiences Communicating With Terminally Ill Patients and Their Families in the Acute.

Methadone for Pain and the Risk of Adverse Cardiac Outcomes

Impact of a Palliative Care Consultation Team on Cancer-Related Symptoms in Advanced Cancer Patients Referred to an Outpatient Supportive Care Clinic

Pre-Emptive Value of Methylprednisolone Intravenous Infusion in Patients With Vertebral Metastases. A Double-Blind Randomized Study Ayman Abd Al-maksoud.

Andrew Davies, FRCP, Katherine Webber, PhD

Fentanyl Pectin Nasal Spray Versus Oral Morphine in Doses Proportional to the Basal Opioid Regimen for the Management of Breakthrough Cancer Pain: A Comparative.

Isaac M. Bromberg, MD Journal of Pain and Symptom Management

Palliative Care in Romania

Developing a Costing Framework for Palliative Care Services

Association Between Multi-frequency Phase Angle and Survival in Patients With Advanced Cancer David Hui, MD, MSc, Rony Dev, MD, Lindsay Pimental, BSN,

Jacob N. Hunnicutt, MPH, Jennifer Tjia, MD, MS, Kate L. Lapane, PhD

The Opioid Rotation Ratio From Transdermal Fentanyl to “Strong” Opioids in Patients With Cancer Pain Akhila Reddy, MD, Sriram Yennurajalingam, MD, MS,

Clinical Response to an Outpatient Palliative Care Consultation in Patients With Advanced Cancer and Cancer Pain Sriram Yennurajalingam, MD, Jung Hun.

Psychometric Validation of the Edmonton Symptom Assessment System in Chinese Patients Yixue Dong, MD, Heng Chen, MD, Yuanyu Zheng, BS, Ying Guo, MD,

Changes in Symptom Intensity Among Cancer Patients Receiving Outpatient Palliative Care Jung Hun Kang, MD, PhD, Jung Hye Kwon, MD, PhD, David Hui, MD,

Palliative Sedation at Home for Terminally Ill Children With Cancer

Documentation Quality of Inpatient Code Status Discussions

How Do Follow-Up Care Instructions and Treatment Summaries Relate to Cancer Survivors' Cancer-Related Pain? Jennifer M. Jabson, PhD, MPH, Deborah J.

Understanding Response Rates to Surveys About Family Members' Psychological Symptoms After Patients' Critical Illness Ann C. Long, MD, MS, Lois Downey,

Katherine Webber, MBBS, MSc, PhD, Andrew N. Davies, FRCP, Martin R

Opioid Concentrations in Oral Fluid and Plasma in Cancer Patients With Pain Tarja Heiskanen, MD, PhD, Kaarina Langel, MSc, Teemu Gunnar, BSc, MSc, Pirjo.

Janet J. Lee, MD, Ann C. Long, MD, MS, J

Variations in Vital Signs in the Last Days of Life in Patients With Advanced Cancer Sebastian Bruera, Gary Chisholm, MS, Renata Dos Santos, MD, Camila.

Author's Response Journal of Pain and Symptom Management

Susan C. Miller, PhD, Dan K. Kiely, MPH, MA, Joan M

Antonio T. Fernando, MD, Nathan S. Consedine, PhD

Integrated Onco-Palliative Care Associated With Prolonged Survival Compared to Standard Care for Patients With Advanced Lung Cancer: A Retrospective Review

Factors Associated With Attrition in a Multicenter Longitudinal Observational Study of Patients With Advanced Cancer Pedro E. Perez-Cruz, MD, MPH, Omar.

U.S. Hospice Benefits Journal of Pain and Symptom Management

Jonathan M. Marron, MD, MPH, Emma Jones, MD, Joanne Wolfe, MD, MPH

Which Treatment Is Better

Strategies to Support Recruitment of Patients With Life-Limiting Illness for Research: The Palliative Care Research Cooperative Group Laura C. Hanson,

William Shomali, MD Journal of Pain and Symptom Management

Pain and Policy Studies Group: Two Decades of Working to Address Regulatory Barriers to Improve Opioid Availability and Accessibility Around the World

Fentanyl Buccal Tablet vs

Christine S. Ritchie, MD, MSPH, Amy S

Jennifer Tjia, MD, MSCE, Lee Ellington, PhD, Margaret F

Does Adherence to National Comprehensive Cancer Network Guidelines Improve Pain- Related Outcomes? An Evaluation of Inpatient Cancer Pain Management at.

Changes in the Care Setting of First Consults to Palliative and Supportive Care Over a Seven-Year Period Bernard L. Prado, MD, Ali Haider, MD, Syed Naqvi,

Comparing Unmet Needs to Optimize Quality: Characterizing Inpatient and Outpatient Palliative Care Populations Michael J. Hochman, BS, Steven Wolf, MS,

Reporting of Funding Sources and Conflict of Interest in the Supportive and Palliative Oncology Literature David Hui, MD, MSc, FRCPC, Akhila Reddy, MD,

Missed Opportunities: A Mixed-Methods Analysis of CAM Discussions and Practices in the Management of Pain in Oncology Aaron L. Leppin, MD, MSc, Cara.

Goal Communication in Palliative Care Decision-Making Consultations

Factors Associated With Survival After Opioid Rotation in Cancer Patients Presenting to an Outpatient Supportive Care Center Akhila Reddy, MD, Sriram.

Characterizing the Hospice and Palliative Care Workforce in the U. S

Gustavo Schvartsman, MD, Minjeong Park, PhD, Diane D

Katherine Webber, MBBS, Andrew N

Lisa C. Lindley, PhD, RN, Jennifer W. Mack, MD, MPH, Donald J

Is It the Difference a Day Makes

Trend in and Correlates of Undergoing Radiotherapy in Taiwanese Cancer Patients' Last Month of Life Yen-Ni Hung, PhD, Skye Hung-Chun Cheng, MD, Tsang-Wu.

Patient-Controlled Analgesia for Children at Home

A Quantitative Study of Triggered Palliative Care Consultation for Hospitalized Patients With Advanced Cancer Gabrielle B. Rocque, MD, Toby C. Campbell,

Presentation transcript:

The Conversion Ratio From Intravenous Hydromorphone to Oral Opioids in Cancer Patients Akhila Reddy, MD, Marieberta Vidal, MD, Saneese Stephen, PA, Karen Baumgartner, APRN, Sara Dost, MD, Ann Nguyen, MD, Yvonne Heung, MD, Simeon Kwan, DO, Angelique Wong, MD, Imelda Pangemanan, APRN, Ahsan Azhar, MD, Supakarn Tayjasanant, MD, Edenmae Rodriguez, PharmD, Jessica Waletich, PharmD, Kyu-Hyoung Lim, MD, Jimin Wu, MS, Diane Liu, MS, Janet Williams, MPH, Sriram Yennurajalingam, MD, Eduardo Bruera, MD Journal of Pain and Symptom Management Volume 54, Issue 3, Pages 280-288 (September 2017) DOI: 10.1016/j.jpainsymman.2017.07.001 Copyright © 2017 American Academy of Hospice and Palliative Medicine Terms and Conditions

Fig. 1 Flow chart of cancer inpatients seen by the palliative care consultation team from 2010 to 2014. Journal of Pain and Symptom Management 2017 54, 280-288DOI: (10.1016/j.jpainsymman.2017.07.001) Copyright © 2017 American Academy of Hospice and Palliative Medicine Terms and Conditions

Fig. 2 Linear regression models. Net IV hydromorphone: defined as the total 24 hour IV hydromorphone dose prior to conversion to oral opioid regimen minus the total dose of IV hydromorphone used for breakthrough pain while on oral opioid regimen in the 24 hours before discharge. IV = intravenous; MEDD = morphine equivalent daily dose; CR = conversion ratio; ORR = opioid rotation ratio. Journal of Pain and Symptom Management 2017 54, 280-288DOI: (10.1016/j.jpainsymman.2017.07.001) Copyright © 2017 American Academy of Hospice and Palliative Medicine Terms and Conditions