PMID- 23098011
OWN - NLM
STAT- MEDLINE
DCOM- 20121207
LR  - 20170104
IS  - 0825-8597 (Print)
IS  - 0825-8597 (Linking)
VI  - 28
IP  - 3
DP  - 2012 Autumn
TI  - Opioid consumption before and after the establishment of a palliative medicine 
      unit in an Egyptian cancer centre.
PG  - 135-40
AB  - Opioid consumption before and after the establishment of a palliative medicine 
      unit (PMU) in an Egyptian cancer centre was reviewed. A comparison of consumption 
      during the year before the PMU was established to consumption during the third 
      year after the PMU's establishment revealed that morphine consumption increased 
      by 698 percent, fentanyl by 217 percent, and tramadol by 230 percent. Expressed 
      in defined daily dose (DDD) and adjusted for 1,000 new cancer patients, 
      consumption increased by 460 percent, from 4,678 DDD/1,000 new patients to 26,175 
      DDD/1,000 new patients. Expressed in grams of oral morphine equivalent (g OME), 
      consumption increased by 644 percent, from 233 g OME/1,000 new patients to 1,731 
      g OME/1,000 new patients. The establishment of the PMU was associated with an 
      increase in opioid consumption, especially morphine, which is an indicator of 
      improvement in cancer pain control. The expression of opioid consumption in OME 
      in addition to DDD may provide further information, especially when weak opioids 
      are included in the analysis.
FAU - Alsirafy, Samy A
AU  - Alsirafy SA
AD  - Palliative Medicine Unit, Kasr Al-Ainy Center of Clinical Oncology and Nuclear 
      Medicine (NEMROCK), Kasr Al-Ainy School of Medicine, Cairo University, PO Box 99, 
      Manial Al-Rodah, Cairo 11553, Egypt. alsirafy@kasralainy.edu.eg
FAU - Ibrahim, Noha Y
AU  - Ibrahim NY
FAU - Abou-Elela, Enas N
AU  - Abou-Elela EN
LA  - eng
PT  - Journal Article
PL  - United States
TA  - J Palliat Care
JT  - Journal of palliative care
JID - 8610345
RN  - 0 (Analgesics, Opioid)
RN  - 39J1LGJ30J (Tramadol)
RN  - 76I7G6D29C (Morphine)
RN  - UF599785JZ (Fentanyl)
SB  - IM
MH  - *Analgesics, Opioid
MH  - *Drug Utilization Review
MH  - Egypt
MH  - Fentanyl
MH  - Humans
MH  - Morphine
MH  - Neoplasms/*therapy
MH  - *Pain Management
MH  - *Palliative Care
MH  - Retrospective Studies
MH  - Tramadol
EDAT- 2012/10/27 06:00
MHDA- 2012/12/12 06:00
CRDT- 2012/10/27 06:00
PHST- 2012/10/27 06:00 [entrez]
PHST- 2012/10/27 06:00 [pubmed]
PHST- 2012/12/12 06:00 [medline]
PST - ppublish
SO  - J Palliat Care. 2012 Autumn;28(3):135-40.