Use of continuous ambulatory infusions of concentrated subcutaneous (SQ) hydromorphone versus intravenous (IV) morphine: Cost implications for palliative care

American Journal of Hospice and Palliative Medicine

Volumn 17, Issue 5, 2000, Pages 347-353

  Fudin, Jeffrey ^a   Smith, Howard S ^b   Toledo Binette, Charlotte S ^c   Kenney, Ellen ^d   Yu, Andrew B c ^d   Boutin, Ronald ^e  

^a STRATTON VA MEDICAL CENTER   (United States)

^b HARVARD MEDICAL SCHOOL   (United States)

^c Quantum Health Resources   (United States)

^d CENTER FOR DRUG EVALUATION AND RESEARCH   (United States)

^e St Peter's Hospital Albany   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

HYDROMORPHONE; MORPHINE; NARCOTIC ANALGESIC AGENT;

AMBULATORY CARE; ARTICLE; COMPARATIVE STUDY; ECONOMICS; HEALTH CARE COST; HUMAN; INFUSION PUMP; INTRAVENOUS DRUG ADMINISTRATION; METHODOLOGY; PALLIATIVE THERAPY;

AMBULATORY CARE; ANALGESICS, OPIOID; HEALTH CARE COSTS; HUMANS; HYDROMORPHONE; INFUSION PUMPS; INFUSIONS, INTRAVENOUS; MORPHINE; PALLIATIVE CARE;

EID: 0034285917     PISSN: 10499091     EISSN: None     Source Type: Journal    
DOI: 10.1177/104990910001700513     Document Type: Article

References (21)

1. Johnston KR, Fudin J: Administration of buprenorphine by continuous subcutaneous infusion: Three case reports with commentary. J Pharmaceutical Care in Pain & Symptom Control. 1993; 1(4): 35-42.
2. Fraser D: Intravenous morphine for chronic pain. Ann Internal Medicine. 1980; 93: 781-782.
3. Portenoy R: Continuous infusion of opioid drugs in the treatment of cancer pain. J Pain & Symptom Control. 1986; 1: 223-228.
4. Citron M, Johnston-Early A, Fossicle B, et al.: Safety and efficacy of continuous intravenous morphine for severe cancer pain. Am J Med. 1984; 77: 199-204.
5. Centers for Disease Control and Prevention: Guidelines for Prevention of Infections Related to Intravenous Therapy. Atlanta, GA: CDC, 1981.
6. National Intravenous Therapy Association: Intravenous Nursing Standards of Practice. NITA, November 1981.
7. Plumer AL: Principles and Practices of Intravenous Therapy. (4th Ed.) Boston: Little, Brown and Co., 1987.
8. Viall CD: Your complete guide to central catheters. Nursing '90. February 1990: 34-41.
9. Newton M, Newton D, Fudin J: Reviewing the “big three” injection routes. Nursing '92. February 1992: 34-41.
10. Russell P: Analgesia in terminal malignant disease. [Letter.] British Medical J. 1979; 1: 1561.
11. Dickson R, Russell R: Continuous subcutaneous analgesia for terminal care at home. [Letter.] Lancet. 1982; 1: 65.
12. Jones V, Hanks G: New portable infusion pump for prolonged subcutaneous administration of opioid analgesics in patients with advanced cancer. British Medical J. 1986; 292: 1496.
13. Willette RE: Analgesic agents. In Delgado JN, Remers WA (eds.): Wilson and Grisvold's Textbook of Organic Medicinal and Pharmaceutical Chemistry. (9th Ed.) Philadelphia: J. B. Lippincott, 1991: 629-652.
14. Swinyard EA: Analgesics and antipyretics. In Gennaro AR (ed.): Remington's Pharmaceutical Sciences. (17th Ed.) Easton, PA: Mack Pub. Co., 1985: 1104.
15. Walker SE, Iazetta J, Lau DWE: Stability of sulfite-free high potency morphine sulfate solutions in portable infusion pump cassettes. Canadian J Hospital Pharmacy. October 1989; 42(5): 195-200.
16. Walker SE, Coons C, et al.: Hydromorphone and morphine stability in portable infusion pump cassettes and minibags. Canadian J Hospital Pharmacy. August 1988; 41(4): 177-182.
17. Connors KA, Amidon GL, Stella V: Drug kinetics. In Chemical Stability of Pharmaceuticals: A Handbook for Pharmacists. (2nd Ed.) New York: Wiley Interscience, 1986: 607.
18. USP Committee of Revision: United States Pharmacopeia/National Formulary. United States Pharmacopeial Convention, Inc., January 1995: 483.
19. Connors KA, Amidon GL, Stella V: Drug kinetics. In Chemical Stability of Pharmaceuticals: A Handbook for Pharmacists. (2nd Ed.) New York: Wiley Interscience, 1986: 239.
20. USP Committee of Revision: United States Pharmacopeia/National Formulary. United States Pharmacopeial Convention, Inc., January 1995: 1039.
21. Chapian SR, Duncan SR, Brodsky JB, Brose WG: Morphine and hydromorphone epidural analgesia: A prospective, randomized comparison. Anesthesiology. December 1992; 77(6): 1090-1094.