Aim: To identify the role of age and gender in analgesic and adverse effects after administering fentanyl products for breakthrough pain (BT), given in doses proportional to opioid doses given for background pain. Methods: Data from nine studies, in which patients with BP were given fentanyl products in doses proportional to their basal opioid regimen, were analyzed. Results: A total 462 patients presenting 1905 episodes of BP were included in this analysis. In older patients, the decrease in pain intensity was more pronounced 15 min after administration of a BP medication. No gender differences were found. No significant differences in frequency and intensity of adverse effects for age and gender were found. Conclusion: Fentanyl products given for BP in doses proportional to background opioid regimen were more effective in older patients without adding risks of adverse effects. Gender did not influence analgesia and adverse effects of fentanyl products.

Mercadante S., Restivo V., Casuccio A. (2020). Effects of age and gender in patients receiving doses of opioids for breakthrough pain proportional to background opioid doses. SUPPORTIVE CARE IN CANCER, 28, 3813-3818 [10.1007/s00520-019-05227-9].

Effects of age and gender in patients receiving doses of opioids for breakthrough pain proportional to background opioid doses

Restivo V.;Casuccio A.
2020-01-01

Abstract

Aim: To identify the role of age and gender in analgesic and adverse effects after administering fentanyl products for breakthrough pain (BT), given in doses proportional to opioid doses given for background pain. Methods: Data from nine studies, in which patients with BP were given fentanyl products in doses proportional to their basal opioid regimen, were analyzed. Results: A total 462 patients presenting 1905 episodes of BP were included in this analysis. In older patients, the decrease in pain intensity was more pronounced 15 min after administration of a BP medication. No gender differences were found. No significant differences in frequency and intensity of adverse effects for age and gender were found. Conclusion: Fentanyl products given for BP in doses proportional to background opioid regimen were more effective in older patients without adding risks of adverse effects. Gender did not influence analgesia and adverse effects of fentanyl products.
link.springer.de/link/service/journals/00520/index.htm
Mercadante S., Restivo V., Casuccio A. (2020). Effects of age and gender in patients receiving doses of opioids for breakthrough pain proportional to background opioid doses. SUPPORTIVE CARE IN CANCER, 28, 3813-3818 [10.1007/s00520-019-05227-9].
File in questo prodotto:
File Dimensione Formato  
Effects of age and gender.pdf

Solo gestori archvio

Tipologia: Versione Editoriale
Dimensione 213.69 kB
Formato Adobe PDF
213.69 kB Adobe PDF   Visualizza/Apri   Richiedi una copia

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/10447/391351
Citazioni
  • ???jsp.display-item.citation.pmc??? 0
  • Scopus 0
  • ???jsp.display-item.citation.isi??? 0
social impact