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Scientific paper - Original scientific paper
Should We Treat Pain in the Elderly Palliative Care Cancer Patients Differently?
Acta clinica Croatica, 59. (2020), 3.; 387-393. https://doi.org/10.20471/acc.2020.59.03.01
Golčić, Marin; Dobrila-Dintinjana, Renata; Golčić, Goran; Plavšić, Ivana; Gović-Golčić, Lidija; Belev, Berislav; Gajski, Domagoj; Rotim, Krešimir

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Golčić, M., Dobrila Dintinjana, R., Golčić, G., Plavšić, I., Gović Golčić, L., Belev, B. ... Rotim, K. (2020). Should We Treat Pain in the Elderly Palliative Care Cancer Patients Differently?. Acta clinica Croatica, 59.. (3.), 387-393. doi: 10.20471/acc.2020.59.03.01

Golčić, Marin, et al. "Should We Treat Pain in the Elderly Palliative Care Cancer Patients Differently?." Acta clinica Croatica, vol. 59., no. 3., 2020, pp. 387-393. https://doi.org/10.20471/acc.2020.59.03.01

Golčić, Marin, Renata Dobrila Dintinjana, Goran Golčić, Ivana Plavšić, Lidija Gović Golčić, Berislav Belev, Domagoj Gajski and Krešimir Rotim. "Should We Treat Pain in the Elderly Palliative Care Cancer Patients Differently?." Acta clinica Croatica 59., no. 3. (2020): 387-393. https://doi.org/10.20471/acc.2020.59.03.01

Golčić, M., et al. (2020) 'Should We Treat Pain in the Elderly Palliative Care Cancer Patients Differently?', Acta clinica Croatica, 59.(3.), pp. 387-393. doi: 10.20471/acc.2020.59.03.01

Golčić M, Dobrila Dintinjana R, Golčić G, Plavšić I, Gović Golčić L, Belev B, and sur.. Should We Treat Pain in the Elderly Palliative Care Cancer Patients Differently?. Acta clinica Croatica [Internet]. 2020 [cited 2024 October 06];59.(3.):387-393. doi: 10.20471/acc.2020.59.03.01

M. Golčić, et al., "Should We Treat Pain in the Elderly Palliative Care Cancer Patients Differently?", Acta clinica Croatica, vol. 59., no. 3., pp. 387-393, 2020. [Online]. Available at: https://urn.nsk.hr/urn:nbn:hr:220:292438. [Accessed: 06 October 2024]

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Metadata
Title (english)Should We Treat Pain in the Elderly Palliative Care Cancer Patients Differently?
Title (croatian)Trebamo li liječiti bol u starijih palijativnih onkoloških bolesnika drukčije?
AuthorMarin Golčić https://orcid.org/0000-0002-3388-4813
AuthorRenata Dobrila-Dintinjana
AuthorGoran Golčić
AuthorIvana Plavšić
AuthorLidija Gović-Golčić
AuthorBerislav Belev
AuthorDomagoj Gajski
AuthorKrešimir Rotim
Author's institution(Sestre milosrdnice University Hospital Center)
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Neurology
Abstract (english)
Opioids are considered the cornerstone of pain management in palliative care. Available data suggest that older patients use different analgesics and lower opioid doses compared to younger patients. However, it has not been elucidated yet whether such dosing is associated with worse pain levels or shorter survival in the palliative care setting. We evaluated the relationship among pain scores, quality of life, opioid dose, and survival in palliative care cancer patients in a hospice setting. A total of 137 palliative care cancer patients were analyzed prospectively. We divided patients into two groups using the age of 65 as a cut-off value. Younger patients exhibited significantly higher pain ratings (5.14 vs. 3.59, p=0.01), although older patients used almost 20 mg less oral morphine equivalent (OME) on arrival (p=0.36) and 55 mg OME/day less during the last week (p=0.03). There were no differences in survival between the two groups (17.36 vs. 17.58 days). The elderly patients also used nonsteroidal analgesics less often and paracetamol more often. Hence, using lower opioid doses in older palliative care cancer patients does not result in worse pain rating, and could be a plausible approach for pain management in this patient group.
Abstract (croatian)
Opioidi se smatraju jednim od osnovnih lijekova u liječenju boli u palijativnoj skrbi. Dostupni podaci ukazuju na to da stariji bolesnici uzimaju drukčije analgetike uz niže doze opioida u usporedbi s mlađim bolesnicima. Međutim, nije razjašnjeno utječe li takvo doziranje opioida na lošije liječenje razine boli ili kraće preživljenje u uvjetima palijativne skrbi. Analizirali smo odnos razine boli, kvalitete života, doze opioida i preživljenja u palijativnih onkoloških bolesnika koji su bili hospitalizirani u hospiciju. Ukupno je 137 palijativnih bolesnika analizirano prospektivno. Bolesnici su podijeljeni u dvije skupine pri čemu se dob od 65 godina uzimala kao granica između skupina. Mlađi bolesnici su izražavali višu razinu boli prilikom dolaska u hospicij (5,14 prema 3,59, p=0,01), iako su stariji bolesnici koristili gotovo 20 mg manje oralnog morfij ekvivalenta (OME) na dan dolaska te čak 55 mg OME manje na dan tijekom zadnjeg tjedna (p=0,03). Nije bilo razlika u preživljenju između dviju skupina bolesnika (17,36 prema 17,58 dana). Starija skupina bolesnika također je nesteroidne antireumatike uzimala rjeđe, a paracetamol češće od mlađe skupine. Uzimanje nižih doza opioida u starijih onkoloških bolesnika u palijativnoj skrbi nije rezultiralo lošijom razinom boli pa bi to mogao biti razuman pristup liječenju boli u ovoj skupini bolesnika.
Keywords (english)
Keywords (croatian)
Languageenglish
Languagecroatian
Publication typeScientific paper - Original scientific paper
Publication statusPublished
Peer reviewPeer review - international
Publication versionPublished version
Journal titleActa clinica Croatica
Numberingvol. 59., no. 3., pp. 387-393
p-ISSN0353-9466
e-ISSN1333-9451
DOIhttps://doi.org/10.20471/acc.2020.59.03.01
URN:NBNurn:nbn:hr:220:292438
Publication2020
Document URLhttps://hrcak.srce.hr/247345
Type of resourceText
Access conditionsOpen access
Terms of useLicence Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) icon
Created on2024-06-17 12:34:21