Opioid Dispensing Patterns from a Tertiary Care Cancer Hospital during the Nationwide Lockdown in COVID-19 Pandemic.
Cancer pain
morphine
opioid dispensing
pain relief during lockdown
per capita opioid dispensing
Journal
Indian journal of palliative care
ISSN: 0973-1075
Titre abrégé: Indian J Palliat Care
Pays: United States
ID NLM: 101261221
Informations de publication
Date de publication:
Jun 2020
Jun 2020
Historique:
received:
24
05
2020
accepted:
26
05
2020
entrez:
22
10
2020
pubmed:
23
10
2020
medline:
23
10
2020
Statut:
ppublish
Résumé
During the current COVID-19 crisis, striking a balance between adequate pain relief in advanced malignancy patients and avoiding hospitals due to fear of contracting the infection has been the biggest challenge for patients as well as palliative care physicians. This study explored the trends in opioid dispensing for cancer pain before and during the lockdown. The trends were calculated based on an analysis of quantity of all opioids dispensed. March 24, 2020, was considered as a cutoff for analyzing before and during lockdown period dispensing trends. No information regarding individual patients was retrieved in the current study. There was a decrease in total morphine, tramadol, and fentanyl patch dispensing parallel to decrease in total number of patients visiting the outpatient department. However, there was a statistically significant increase in per capita opioid dispensing during the lockdown period. There was also an increase in the proportion of cancer pain patients that were dispensed morphine during the lockdown. Despite the lockdown, the palliative care team at Institute Rotary Cancer Hospital has continued to provide adequate pain relief to patients that could manage to reach the center. Policy-makers need to be cognizant of the pain relief needs of cancer patients in times when accessing hospitals is becoming increasingly difficult. Cancer-related pain and mortality could well be the next pandemic once the current COVID-19 begins to reduce.
Identifiants
pubmed: 33088092
doi: 10.4103/IJPC.IJPC_179_20
pii: IJPC-26-70
pmc: PMC7534998
doi:
Types de publication
Journal Article
Langues
eng
Pagination
S70-S75Informations de copyright
Copyright: © 2020 Indian Journal of Palliative Care.
Déclaration de conflit d'intérêts
There are no conflicts of interest.
Références
J Glob Oncol. 2019 Jul;5:1-2
pubmed: 31283413
J Pain Palliat Care Pharmacother. 2014 Jun;28(2):130-4
pubmed: 24779434
WHO South East Asia J Public Health. 2018 Sep;7(2):67-72
pubmed: 30136663
Indian J Palliat Care. 2016 Oct-Dec;22(4):373-377
pubmed: 27803557
J Pain Symptom Manage. 2020 Oct;60(4):754-764
pubmed: 32387576
BMC Palliat Care. 2020 Apr 22;19(1):55
pubmed: 32321487
Lancet. 2018 Apr 7;391(10128):1391-1454
pubmed: 29032993
Crit Rev Oncol Hematol. 2020 Jun;150:102972
pubmed: 32344317
Lancet Oncol. 2020 Mar;21(3):335-337
pubmed: 32066541