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Opioid Rotation and Conversion Ratios Used by Palliative Care Professionals: An International Survey.
Reddy, Akhila; Sinclair, Christian; Crawford, Gregory B; McPherson, Mary Lynn; Mercadante, Sebastiano; Hui, David; Haider, Ali; Arthur, Joseph; Tanco, Kimberson; Dalal, Shalini; Dev, Rony; Amaram-Davila, Jaya; Adile, Claudio; Liu, Diane; Schuler, Ulrich; Jammi, Sheetal; Shelal, Zeena; Del Fabbro, Egidio; Davis, Mellar; Bruera, Eduardo.
Afiliación
  • Reddy A; Department of Palliative Care and Rehabilitation Medicine, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
  • Sinclair C; Division of Palliative Medicine, University of Kansas Medical Center, Kansas City, Kansas, USA.
  • Crawford GB; Northern Adelaide Local Health Network, Adelaide, Australia.
  • McPherson ML; Discipline of Medicine, University of Adelaide, Adelaide, Australia.
  • Mercadante S; Department of Pharmacy Practice and Science, University of Maryland School of Pharmacy, Baltimore, Maryland, USA.
  • Hui D; Anesthesia and Intensive Care Unit and Pain Relief and Supportive-Palliative Care Unit, La Maddalena Cancer Center, Palermo, Italy.
  • Haider A; Department of Palliative Care and Rehabilitation Medicine, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
  • Arthur J; Department of Palliative Care and Rehabilitation Medicine, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
  • Tanco K; Department of Palliative Care and Rehabilitation Medicine, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
  • Dalal S; Department of Palliative Care and Rehabilitation Medicine, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
  • Dev R; Department of Palliative Care and Rehabilitation Medicine, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
  • Amaram-Davila J; Department of Palliative Care and Rehabilitation Medicine, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
  • Adile C; Department of Palliative Care and Rehabilitation Medicine, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
  • Liu D; Anesthesia and Intensive Care Unit and Pain Relief and Supportive-Palliative Care Unit, La Maddalena Cancer Center, Palermo, Italy.
  • Schuler U; Department of Biostatistics, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
  • Jammi S; Universitätsklinikum Carl Gustav Carus, PalliativCentrum & Medizinische Klinik, Dresden, Germany.
  • Shelal Z; Candidate for Bachelor of Science in Biology and Bachelor of Science in Psychology, University of Houston, Houston, Texas, USA.
  • Del Fabbro E; Department of Palliative Care and Rehabilitation Medicine, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
  • Davis M; Department of Internal Medicine, Georgia Cancer Center, Augusta University, Augusta, Georgia, USA.
  • Bruera E; Department of Palliative Care, Geisinger Medical Center, Danville, Pennsylvania, USA.
J Palliat Med ; 25(10): 1557-1562, 2022 Oct.
Article en En | MEDLINE | ID: mdl-35930252
Background: The opioid rotation ratios (ORRs) and conversion ratios (CRs) used worldwide among palliative care (PC) professionals to perform opioid rotations (ORs) and route conversions may have a wide variation. Methods: We surveyed PC professionals on opioid ratios used through email to the Multinational Association of Supportive Care in Cancer's PC study group and Twitter and Facebook posts between September and November 2020. Results: We received 370 responses from respondents from 53 countries: 276 (76%) were physicians, 46 (13%) advanced practice providers, 39 (11%) pharmacists, and 9 respondents did not report their profession. There were statistically significant variations in median CR from intravenous (IV) to oral morphine (2-3), IV to oral hydromorphone (2-4.5), ORR from IV hydromorphone to oral morphine (10-20), and ORR from transdermal fentanyl mcg/hour to oral morphine (2-3.5) across various groups. Conclusion: This survey highlights the wide variation in ORRs and CRs among PC clinicians worldwide and the need for further research to standardize practice.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Analgésicos Opioides / Neoplasias Límite: Humans Idioma: En Revista: J Palliat Med Asunto de la revista: SERVICOS DE SAUDE Año: 2022 Tipo del documento: Article País de afiliación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Analgésicos Opioides / Neoplasias Límite: Humans Idioma: En Revista: J Palliat Med Asunto de la revista: SERVICOS DE SAUDE Año: 2022 Tipo del documento: Article País de afiliación: Estados Unidos