The Impact of Combined Use of Opioids, Antipsychotics, and Anxiolytics on Survival in the Hospice Setting  Marin Golčić, MD, Renata Dobrila-Dintinjana,

Slides:



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

Palliative Sedation at Home for Terminally Ill Children With Cancer
Early Education for Early, Integrated Palliative Medicine
Anxiety After Diagnosis Predicts Lung Cancer–Specific and Overall Survival in Patients With Stage III Non–Small Cell Lung Cancer: A Population-Based Cohort.
Improving Adherence to Cancer Treatment by Addressing Quality of Life in Patients With Advanced Gastrointestinal Cancers  Andrea L. Cheville, MD, MSCE,
Susan Enguidanos, PhD, MPH, Jennifer Ailshire, PhD 
Mindfulness-Oriented Recovery Enhancement Ameliorates the Impact of Pain on Self- Reported Psychological and Physical Function Among Opioid-Using Chronic.
Using Laboratory Test Results at Hospital Admission to Predict Short-term Survival in Critically Ill Patients With Metastatic or Advanced Cancer  Lee.
Differences in Performance Status Assessment Among Palliative Care Specialists, Nurses, and Medical Oncologists  Yu Jung Kim, MD, PhD, David Hui, MD,
An Educational Intervention to Reduce Pain and Improve Pain Management for Malawian People Living With HIV/AIDS and Their Family Carers: A Randomized.
The Burden of Polypharmacy in Patients Near the End of Life
Arjun Poudel, PhD, Patsy Yates, PhD, Debra Rowett, BPharm, Lisa M
Accuracy of a Diagnostic Algorithm to Diagnose Breakthrough Cancer Pain as Compared With Clinical Assessment  Katherine Webber, MBBS, MSc, PhD, Andrew.
Petter Wilberg, DDS, Marianne J
Treat the Pain Program Journal of Pain and Symptom Management
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,
“Let's Bring Her Home First
Gregory P. Samsa, PhD, Steven Wolf, MB, Thomas W
Vincent Maida, MD, MSc, BSc, Jason Corban, MD, CM, Hon BSc 
Early Education for Early, Integrated Palliative Medicine
Andrew Davies, FRCP, Katherine Webber, PhD 
Symptom Clusters Predict Mortality Among Dialysis Patients in Norway: A Prospective Observational Cohort Study  Amin Amro, RN, MSN, Bård Waldum, MD, 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 
Reliability and Validity of the Korean Memorial Symptom Assessment Scale—Short Form in Gynecological Cancer Patients  Ju-Hee Nho, PhD, RN, Sung Reul Kim,
Distress-Based Gastrointestinal Symptom Clusters and Impact on Symptom Interference and Quality of Life in Patients with a Hematologic Malignancy Receiving.
Developing a Costing Framework for Palliative Care Services
Resource Use and Health Care Costs of COPD Patients at the End of Life: A Systematic Review  Kristof Faes, MSc, Veerle De Frène, PhD, Joachim Cohen, PhD,
POST Forms More Than Advance Directives Associated With Out-of-Hospital Death: Insights From a State Registry  Sandra L. Pedraza, MD, Stacey Culp, PhD,
Association Between Multi-frequency Phase Angle and Survival in Patients With Advanced Cancer  David Hui, MD, MSc, Rony Dev, MD, Lindsay Pimental, BSN,
Prevalence of Sudden Death in Palliative Care: Data From the Australian Palliative Care Outcomes Collaboration  Magnus Ekström, MD, PhD, Maxwell T. Vergo,
Jacob N. Hunnicutt, MPH, Jennifer Tjia, MD, MS, Kate L. Lapane, PhD 
A Systematic Review of Training in Symptom Management in Palliative Care Within Postgraduate Medical Curriculums  Pamela Turrillas, MD, MSc, Maria Joao.
Comparative Analysis of Specialization in Palliative Medicine Processes Within the World Health Organization European Region  Carlos Centeno, PhD, Deborah.
The Opioid Rotation Ratio From Transdermal Fentanyl to “Strong” Opioids in Patients With Cancer Pain  Akhila Reddy, MD, Sriram Yennurajalingam, MD, MS,
Mindfulness-Oriented Recovery Enhancement Ameliorates the Impact of Pain on Self- Reported Psychological and Physical Function Among Opioid-Using Chronic.
What Factors Affect the Insomnia Symptom Trajectories in Women With Nonmetastatic Breast Cancer?  Yuping Wang, PhD, Xiongzhao Zhu, MD, PhD, Lingyan Li,
Palliative Sedation at Home for Terminally Ill Children With Cancer
Survival of Women With Cancer in Palliative Care: Use of the Palliative Prognostic Score in a Population of Brazilian Women  Cláudia Naylor, MD, Lúcia.
Documentation Quality of Inpatient Code Status Discussions
Use of the Palliative Performance Scale (PPS) for End-of-Life Prognostication in a Palliative Medicine Consultation Service  Francis Lau, PhD, Vincent.
The Nexus Between the Documentation of End-of-Life Wishes and Awareness of Dying: A Model for Research, Education and Care  Deborah P. Waldrop, PhD, MSW,
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.
Uric Acid as a Prognostic Factor for Survival Time: A Prospective Cohort Study of Terminally Ill Cancer Patients  Hyun-Sik Shin, MD, Hye-Ree Lee, MD,
Factors Related to Adherence to Opioids in Black Patients With Cancer Pain  Katherine A. Yeager, PhD, RN, FAAN, Bryan Williams, PhD, Jinbing Bai, PhD,
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
Meena Kalluri, MD, Janice Richman-Eisenstat, MD, FRCPC 
Locked-In Syndrome: Case Report and Discussion of Decisional Capacity
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 
U.S. Hospice Benefits Journal of Pain and Symptom Management
Joseph A. Greer, PhD, William F. Pirl, MD, MPH, Vicki A
Jonathan M. Marron, MD, MPH, Emma Jones, MD, Joanne Wolfe, MD, MPH 
Which Treatment Is Better
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.
Pain and Policy Studies Group: Two Decades of Working to Address Regulatory Barriers to Improve Opioid Availability and Accessibility Around the World 
Validation of the Modified Glasgow Prognostic Score in Advanced Cancer Patients Receiving Palliative Care  Naitielle de Paula Pantano, RN, Bianca Sakamoto.
Karla T. Washington, PhD, Christopher R. Rakes, PhD 
Missed Opportunities: A Mixed-Methods Analysis of CAM Discussions and Practices in the Management of Pain in Oncology  Aaron L. Leppin, MD, MSc, Cara.
An Observational Study on a Protocol for Withdrawal of Life-Sustaining Measures on Two Non-Academic Intensive Care Units in The Netherlands: Few Signs.
Electronic Goals of Care Alerts: An Innovative Strategy to Promote Primary Palliative Care  Erin M. Haley, MD, PhD, Deborah Meisel, BA, Yevgeniy Gitelman,
Logan H. Ramsey, BS  Journal of Pain and Symptom Management 
Bruce L. Arnold, PhD, Linda S. Lloyd, DrPH, Charles F
Lisa C. Lindley, PhD, RN, Jennifer W. Mack, MD, MPH, Donald J
Is It the Difference a Day Makes
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 Impact of Combined Use of Opioids, Antipsychotics, and Anxiolytics on Survival in the Hospice Setting  Marin Golčić, MD, Renata Dobrila-Dintinjana, PhD, MD, Goran Golčić, PhD, MD, Aleksandar Čubranić, PhD, MD  Journal of Pain and Symptom Management  Volume 55, Issue 1, Pages 22-30 (January 2018) DOI: 10.1016/j.jpainsymman.2017.08.004 Copyright © 2017 American Academy of Hospice and Palliative Medicine Terms and Conditions

Fig. 1 Kaplan-Meier curves comparing the uses of antipsychotics, anxiolytics, and different opioid doses on survival (time shown as days). Log-rank test showed significance (P < 0.05) for opioid doses over 300 mg OME/day as well as the use of only one type of antipsychotic and anxiolytic. OME = oral morphine equivalent. Journal of Pain and Symptom Management 2018 55, 22-30DOI: (10.1016/j.jpainsymman.2017.08.004) Copyright © 2017 American Academy of Hospice and Palliative Medicine Terms and Conditions

Fig. 2 Kaplan-Meier curve comparing survival between four groups of patients with different combination of antipsychotics, anxiolytics, and opioids. Log-rank test showed significantly longer survival in ANX and/or APS (P = 0.025) and OPI + ANX + APS groups (P = 0.002) compared with group of patients with no such medications. A trend toward longer survival was present in all combinations (graph not shown). ANX = anxiolytics; APS = antipsychotics; OPI = opioids. Journal of Pain and Symptom Management 2018 55, 22-30DOI: (10.1016/j.jpainsymman.2017.08.004) Copyright © 2017 American Academy of Hospice and Palliative Medicine Terms and Conditions

Fig. 3 Categorized histogram exhibiting number of observed deaths per day of the week. Journal of Pain and Symptom Management 2018 55, 22-30DOI: (10.1016/j.jpainsymman.2017.08.004) Copyright © 2017 American Academy of Hospice and Palliative Medicine Terms and Conditions