Optimization of opioid therapy for preventing incident pain associated with bone metastases  Sebastiano Mercadante, MD, Patrizia Villari, MD, Patrizia.

Slides:



Advertisements
Similar presentations
Treatment of postherpetic neuralgia: a review of therapeutic options Charles E. Argoff, MD, Nathaniel Katz, MD, Miroslav Backonja, MD Journal of Pain and.
Advertisements

Spinal Cord and Peripheral Nerve Stimulation Techniques for Neuropathic Pain Oscar A. de Leon-Casasola, MD Journal of Pain and Symptom Management Volume.
Palliative Medicine Fellowship: A Study of Resident Choices
Eva K. Schildmann, MD, Andrew N. Davies, FRCP 
Courtney S. Campbell, PhD, Margaret A. Black, BS 
Oropharyngeal Mucositis Pain Treatment with Transdermal Buprenorphine in Patients After Allogeneic Stem Cell Transplantation  Samuel Vokurka, MD, PhD 
Chronic Pain Management in Older Adults: Special Considerations
Managing Metastatic Bone Pain: The Role of Bisphosphonates
Neurotoxicity from Chronic Opioid Therapy After Successful Palliative Treatment for Painful Bone Metastases  Andrew Broadbent, BMedSc, MBChB, FRACP, FAChPM,
Managing Metastatic Bone Pain: The Role of Bisphosphonates
Wen Jing Chung, MD, MS, Gregory H. Pharo, DO 
The Public Health Strategy for Palliative Care
Palliative Care in Norway: A National Public Health Model
An Effective Treatment of Severe Complex Regional Pain Syndrome Type 1 in a Child Using High Doses of Intrathecal Ziconotide  Michael Stanton-Hicks, MD,
Chronic Pain Management in Older Adults: Special Considerations
A Case Series of Patients Using Medicinal Marihuana for Management of Chronic Pain Under the Canadian Marihuana Medical Access Regulations  Mary E. Lynch,
Opioids for Cancer Breakthrough Pain: A Pilot Study Reporting Patient Assessment of Time to Meaningful Pain Relief  Giovambattista Zeppetella, FRCP  Journal.
Intravenous Morphine for Breakthrough (Episodic-) Pain in an Acute Palliative Care Unit: A Confirmatory Study  Sebastiano Mercadante, MD, Giuseppe Intravaia,
Long-Term Opioid Therapy for Chronic Noncancer Pain: A Systematic Review and Meta-Analysis of Efficacy and Safety  Meredith Noble, MS, Stephen J. Tregear,
Edmonton, Canada: A Regional Model of Palliative Care Development
Patricia Ann Repar, DMA, Steve Reid, MD, PhD 
Prospective Assessment of Patient-Rated Symptoms Following Whole Brain Radiotherapy for Brain Metastases  Edward Chow, MBBS, Lori Davis, PhD, Lori Holden,
CT-Guided Neurolytic Splanchnic Nerve Block by an Anterior Approach
David M. Simpson, MD, Lydia Estanislao, MD, Stephen J
What Palliative Care-Related Problems Do Patients Experience at HIV Diagnosis? A Systematic Review of the Evidence  Victoria M. Simms, MSc, Irene J. Higginson,
What Influences Patients’ Decisions on Artificial Hydration at the End of Life? A Q- Methodology Study  Catherine Malia, MSc, Michael I. Bennett, MB, ChB,
Oropharyngeal Mucositis Pain Treatment with Transdermal Buprenorphine in Patients After Allogeneic Stem Cell Transplantation  Samuel Vokurka, MD, PhD 
Symptomatic Therapy of Dyspnea with Strong Opioids and Its Effect on Ventilation in Palliative Care Patients  Katri Elina Clemens, MD, PhD, Eberhard Klaschik,
Barbara Gomes, MSc, Richard Harding, PhD, Kathleen M
Fentanyl Pectin Nasal Spray Versus Oral Morphine in Doses Proportional to the Basal Opioid Regimen for the Management of Breakthrough Cancer Pain: A Comparative.
Geographic Variation in Hospice Use in the United States in 2002
How to Measure the International Development of Palliative Care
Courtney S. Campbell, PhD, Margaret A. Black, BS 
African American Bereaved Family Members' Perceptions of the Quality of Hospice Care: Lessened Disparities, But Opportunities to Improve Remain  Ramona.
Metastatic Breast Cancer Causing Gas Gangrene
What Can We Learn About the Spiritual Needs of Palliative Care Patients From the Research Literature?  Mark Cobb, MA, Christopher Dowrick, MD, FRCGP,
David Clark, PhD, Michael Wright, PhD 
Redefining Appropriate Treatment Expectations
Amy Z. Boelk, PhD, MSSW, Betty J. Kramer, PhD, MSSW 
Characterization of the early pharmacodynamic profile of oral methadone for cancer- related breakthrough pain: a pilot study  Kim Fisher, PhD, Carla Stiles,
Jodi L. Hannan, MD, Steven M. Radwany, MD, Terry Albanese, PhD 
Ecological Momentary Assessment of Fatigue in Patients Receiving Intensive Cancer Therapy  Eileen Danaher Hacker, PhD, APN, AOCN, Carol Estwing Ferrans,
Barrie R. Cassileth, PhD, Andrew J. Vickers, PhD 
The Role of a Low-Dose Ketamine-Midazolam Regimen in the Management of Severe Painful Crisis in Patients With Sickle Cell Disease  Qutaiba A. Tawfic,
Robert L. Jayes, MD, Robert M. Arnold, MD, Erik K. Fromme, MD 
Just Palliative Care? Integrated Models of Care
U.S. Hospice Benefits Journal of Pain and Symptom Management
How Do Cancer Patients Receiving Palliative Care at Home Die
Is the B12/CRP Index More Accurate Than You at Predicting Life Expectancy in Advanced Cancer Patients?  Filipa Tavares, MD  Journal of Pain and Symptom.
Development and Reliability Testing of the Victoria Bowel Performance Scale (BPS)  G. Michael Downing, MD, Craig Kuziemsky, PhD, Mary Lesperance, PhD,
Association Between Symptom Distress and Survival in Outpatients Seen in a Palliative Care Cancer Center  J. Lynn Palmer, PhD, Michael J. Fisch, MD, MPH 
Fentanyl Buccal Tablet vs
Margot E. Kurtz, PhD, Jay C. Kurtz, PhD, Charles W
Carmen R. Green, MD, Laura Montague, BS, Tamera A. Hart-Johnson, MS 
Tomoyuki Kawada, MD  Journal of Pain and Symptom Management 
Fentanyl for the Relief of Refractory Breathlessness: A Systematic Review  Steffen T. Simon, MD, MSc, Peyla Köskeroglu, Jan Gaertner, MD, Raymond Voltz,
Gabapentin and an Opioid Combination Versus Opioid Alone for the Management of Neuropathic Cancer Pain: A Randomized Open Trial  Kader Keskinbora, MD,
Perceived Success in Addressing End-of-Life Care Needs of Low-Income Elders and Their Families: What Has Family Conflict Got to Do With It?  Betty J.
A Meta-Analysis of the Relationship Between Response Expectancies and Cancer Treatment-Related Side Effects  Stephanie J. Sohl, PhD, Julie B. Schnur,
Ketamine Use for Reduction of Opioid Tolerance in a 5-Year-Old Girl with End-Stage Abdominal Neuroblastoma  Doralina L. Anghelescu, MD, Linda L. Oakes,
Nina D. Wagner-Johnston, MD, Kathryn A. Carson, ScM, Stuart A
Amy P. Abernethy, MD  Journal of Pain and Symptom Management 
Optimizing Decision Making and Resource Allocation in Palliative Care
Long-Term Opioid Therapy for Chronic Noncancer Pain: A Systematic Review and Meta-Analysis of Efficacy and Safety  Meredith Noble, MS, Stephen J. Tregear,
Efficacy and Safety of a Six-Hour Continuous Overlap Method for Converting Intravenous to Transdermal Fentanyl in Cancer Pain  Renato V. Samala, MD, Rafael.
Helping Patients with Advanced Cancer Live with Concerns About Eating: A Challenge for Palliative Care Professionals  Jane Hopkinson, PhD, RGN, Jessica.
Bassam Estfan, MD, Declan Walsh, MSc, FACP, FRCP (Edin) 
Cancer Symptom Clusters: A Validation Study
Associations Between Physical Activity and Quality of Life in Cancer Patients Receiving Palliative Care: A Pilot Survey  Sonya S. Lowe, MD, MSc, Sharon.
Nontraumatic Subcutaneous Emphysema from Rectal Cancer Perforation Completely Resolved After Intensive Pain Control  Tatsuya Morita, MD, Takeru Matsuda,
Presentation transcript:

Optimization of opioid therapy for preventing incident pain associated with bone metastases  Sebastiano Mercadante, MD, Patrizia Villari, MD, Patrizia Ferrera, MD, Alessandra Casuccio, BS  Journal of Pain and Symptom Management  Volume 28, Issue 5, Pages 505-510 (November 2004) DOI: 10.1016/j.jpainsymman.2004.02.024 Copyright © 2004 U.S. Cancer Pain Relief Committee Terms and Conditions

Fig. 1 Construct for opioid titration in incident pain. Journal of Pain and Symptom Management 2004 28, 505-510DOI: (10.1016/j.jpainsymman.2004.02.024) Copyright © 2004 U.S. Cancer Pain Relief Committee Terms and Conditions

Fig. 2 Example of pain intensity (at rest and with movement) at admission (a), one day after achieving basal pain control, less than 4/10 (b), after optimizing opioid doses (c). Journal of Pain and Symptom Management 2004 28, 505-510DOI: (10.1016/j.jpainsymman.2004.02.024) Copyright © 2004 U.S. Cancer Pain Relief Committee Terms and Conditions