Factors influencing the initiation of strong opioids in cancer patients on palliative care: An audit from a tertiary cancer center in India

• DOI: 10.4103/ijpc.ijpc_89_19
• Publication Date: 2020-01-28T10:51:29Z
• Authors: Raviteja Miriyala; Ankita Gupta; Bhushan Parmar; MinniHurria Arora; Neeru Anand; Sushmita Ghoshal
• Keywords: Tertiary care

This audit was done to analyze the factors influencing use of strong opioids in cancer patients receiving comprehensive palliative care from a tertiary institute.Case records registered for at our center 3 months were retrospectively reviewed and followed up throughout course their illness. Demographic factors, prior treatments, social support system, analgesic registration, radiation adjuvant analgesics recorded. Strong opioid time initiation evaluated, multivariate analysis used identify correlating with above.After initiated 16% patients. It observed that younger than 55 years those visceral metastases history weak registration had higher probability being started on opioids. Factors associated significantly longer opioid-free interval having spouse as primary caregiver, presence skeletal metastases, radiotherapy, low socioeconomic status.It is certain adequate analgesia necessity palliative-care However, optimal utilization adjunctive modalities, coupled good supportive care, can minimize requirement duration use, especially developing countries limited access specialist care.