Analysis of Opioid Switching in Patients with Gynecological Tumors Admitted to a Palliative Care Unit between 2021 and 2022
DOI:
https://doi.org/10.32635/2176-9745.RBC.2024v70n4.4786Keywords:
Cancer Pain, Hospitalization, Palliative Care, Analgesics OpioidAbstract
Introduction: Palliative care aims to improve the quality of life of cancer patients by addressing physical, psychosocial, and spiritual issues, being pain control one of its pillars. Objective: To analyze the profile of patients with gynecological tumors admitted to the palliative care unit of a reference oncology hospital who used opioids, and the association of opioid switching with clinical and therapeutic variables. Method: Cross-sectional study involving inpatients in a palliative care unit in Rio de Janeiro (2021-2022). Sociodemographic, clinical, and therapeutic data of the patients were collected from clinical and administrative records during their hospitalization. Subsequently, the association between opioid rotation and the clinical and therapeutic variables of the patients was analyzed. The chi-square and Fisher’s exact tests for the categorical variables, and the Kruskal-Wallis test for continuous variables were utilized. Results: Records of 193 patients were analyzed, with a mean age of 54 (+14.97) years, predominantly self-claimed as Brown (66.8%) and Black (18.1%), with up to six years of education (63.3%). Cases of cervical cancer were predominant (65.5%), mainly at stage III (47%). Opioid rotation was observed in 38.0% of the patients and was statistically associated with renal insufficiency and length of stay, with p<0.05. Conclusion: Management of oncological pain relies on understanding opioid use and the clinical factors that may impact the prescription of these medications.
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