Opioid Screening Practices in the Cancer Pain Patient

Journal of Palliative Medicine
Dustin LieblingAmitabh Gulati

Abstract

Despite the growing use of opioids to treat cancer pain and the probability of opioid aberrancy in the cancer setting, clinical practice guidelines (CPGs) or recommendations for active screening and monitoring of opioid compliance are lacking. To evaluate the current practices and attitudes clinicians have toward monitoring and prescribing opioids in patients with cancer; to describe the current practice of screening and monitoring opioid compliance in the cancer setting; to provide insight into the role that CPGs may have in addressing opioid aberrancy in the oncologic population. Clinicians adopt diverse clinical practices and attitudes toward opioid screening and monitoring based on cancer status. A 24-question survey that evaluated the practices and attitudes that clinicians have when screening, monitoring, and prescribing opioids in patients with active cancer and history of cancer was completed by 105 pain management physicians. A comprehensive literature review was completed, evaluating the current state of available literature regarding opioid aberrancy and opioid risk in the cancer setting and CPGs for opioid monitor compliance in the cancer setting. Multicenter, survey-based study to clinicians regarding pain manageme...Continue Reading

References

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Citations

Oct 26, 2018·The American Journal of Hospice & Palliative Care·Jennifer GabbardJulie Childers
Nov 2, 2019·BMJ Supportive & Palliative Care·Jai Narendra PatelArmida Parala-Metz
Nov 25, 2020·Therapeutic Drug Monitoring·Gwendolyn A McMillinYifei K Yang
May 20, 2021·Journal of Pain & Palliative Care Pharmacotherapy·Pooja S KumarCarolyn J Presley

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Software Mentioned

Opioid Risk Tool ( ORT )
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