Opioid Rotation and Conversion Ratios Used by Palliative Care Professionals: An International Survey

• DOI: 10.1089/jpm.2022.0266
• Publication Date: 2022-08-05T15:18:54Z
• Authors: Akhila Reddy; Christian Sinclair; Gregory B. Crawford; Mary Lynn McPherson; Sebastiano Mercad...; David Hui; Ali Haider; Joseph Arthur; Kimberson Tanco; Shalini Dalal; Rony Dev; Jaya Amaram-Davila; Claudio Adile; Diane Liu; Ulrich Schuler; Sheetal Jammi; Zeena Shelal; Egidio Del Fabbro; Mellar Davis; Eduardo Bruera
• Keywords: Hydromorphone

Background: The opioid rotation ratios (ORRs) and conversion (CRs) used worldwide among palliative care (PC) professionals to perform rotations (ORs) route conversions may have a wide variation. Methods: We surveyed PC on through email the Multinational Association of Supportive Care in Cancer's study group Twitter Facebook posts between September November 2020. Results: received 370 responses from respondents 53 countries: 276 (76%) were physicians, 46 (13%) advanced practice providers, 39 (11%) pharmacists, 9 did not report their profession. There statistically significant variations median CR intravenous (IV) oral morphine (2-3), IV hydromorphone (2-4.5), ORR (10-20), transdermal fentanyl mcg/hour (2-3.5) across various groups. Conclusion: This survey highlights variation ORRs CRs clinicians need for further research standardize practice.