2009
DOI: 10.1186/1472-684x-8-2
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Impact of a new palliative care consultation team on opioid prescription in a University Hospital

Abstract: Background: There are no validated measuring tools to gauge the effectiveness of a Hospital Palliative Care Consultation Team (PCCT). One way would be to consider its effect on the consumption of opioids expressed in total amounts and different formulations administered. We perform this study to evaluate the impact of a hospital PCCT on the trends of opioid prescription in a University Hospital.

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Cited by 12 publications
(9 citation statements)
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“…This indicates that morphine was underutilized due to limited accessibility in our setting. Our results coincide with those of Centeno and colleagues (4), which linked the initiation of PC services to an increase in morphine consumption, reflecting a more rational use of morphine. However, in that study, the increase was in parenteral rather than oral morphine consumption.…”
Section: Resultssupporting
confidence: 91%
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“…This indicates that morphine was underutilized due to limited accessibility in our setting. Our results coincide with those of Centeno and colleagues (4), which linked the initiation of PC services to an increase in morphine consumption, reflecting a more rational use of morphine. However, in that study, the increase was in parenteral rather than oral morphine consumption.…”
Section: Resultssupporting
confidence: 91%
“…Our results confirm those of Centeno and colleagues (4), who used opioid consumption data to assess the effectiveness of a PC service in a Spanish university hospital. In their study, the total opioid prescription increased from 240 to 558 DDD per 1,000 hospital stays per year in the oncology department after the establishment of a PC unit; the increase was mainly due to greater morphine utilization (4). Similarly, the inauguration of a hospice was associated with an increase in total opioid consumption in a study conducted in Italy (3).…”
Section: Resultsmentioning
confidence: 91%
See 1 more Smart Citation
“…No obstante, en otras publicaciones (7) se ha relatado un mayor y creciente aumento del uso de opioides mayores en España en Atención Primaria respecto a unidades hospitalarias. En este trabajo, como en nuestro caso, los opioides de liberación transdérmica son los más frecuentemente usados, superando el 90 % de las prescripciones, tanto en Atención Primaria como en hospitalización, ámbito sanitario donde la implantación de Equipos Hospitalarios de Cuidados Paliativos ha demostrado una mejora en la cantidad y calidad de prescripción en opioides mayores (13), al igual que en el trabajo anteriormente referido. Otro trabajo muy similar (14) que abarca un periodo de tiempo mucho más amplio lleva a las mismas conclusiones, un marcado y progresivo aumento del uso de opioides mayores, siendo de nuevo el fentanilo transdérmico el más utilizado.…”
Section: Discussionunclassified
“…[3][4][5][6] Studies from Western countries have pointed to a favorable impact of PCTs on opioid prescription patterns in the inpatient and outpatient settings. 7,8 To the best of our knowledge, such an impact was not previously investigated in any Middle Eastern country. In our study, we aimed to determine the change in the opioid prescription pattern and the pain scores upon referring inpatients to a PCT within a tertiary hospital in Saudi Arabia.…”
Section: Introductionmentioning
confidence: 93%