PMID: 16527115Mar 11, 2006Paper

Calculation of the number of terminally ill patients through their use of opioid analgesics and tumor mortality

Atencion primaria
E Escortell-MayorC de Miguel-Sánchez

Abstract

To find the number of patients in terminal care in Madrid Health District 3. Ecological, descriptive study. Eleven Health Districts. Madrid, Spain, 2002. Two models were used to calculate the number of patients in terminal care and were compared with data from the Primary Care Service Portfolio. Model A: consumption of morphine and fentanyl. The number of defined daily doses (DDD) of these active principles and the DDD per 1000 inhabitants and day (DID) were calculated. Prescription details: prescriptions charged to Social Security from registered doctors in Madrid (primary care and specialists). Model B: tumor mortality, i.e. the number of deaths due to tumors in the year 2000, published in 2004. The number of terminal patients calculated by the 2 models in 7 of the 11 Health Districts and in the Community of Madrid is higher than in the Primary Care Service Portfolio. In the Community of Madrid, morphine and fentanyl are prescribed basically in primary care (96%). There was an important jump in fentanyl prescription from 2001 to 2002, due to the main fentanyl prescribed being transdermal. There are differences between the models in calculation of terminal patients. Moreover, the models offer heterogeneous results between heal...Continue Reading

Citations

Dec 25, 2007·European Journal of Clinical Pharmacology·Javier Garcia del PozoVictorina Garcia del Pozo

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