Using opioids to treat dyspnea in advanced COPD: Attitudes and experiences of family physicians and respiratory therapists

Canadian Family Physician

Volumn 58, Issue 7, 2012, Pages

  Young, Joanne ^a   Donahue, Margaret ^a   Farquhar, Morag ^b   Simpson, Cathy ^c   Rocker, Graeme ^a,c  

^a QUEEN ELIZABETH II HEALTH SCIENCES CENTRE   (Canada)

^b UNIVERSITY OF CAMBRIDGE   (United Kingdom)

^c DALHOUSIE UNIVERSITY   (Canada)

Author keywords

[No Author keywords available]

Indexed keywords

OPIATE;

ARTICLE; CHRONIC OBSTRUCTIVE LUNG DISEASE; CLINICAL DECISION MAKING; CLINICAL PRACTICE; DYSPNEA; GENERAL PRACTITIONER; HUMAN; JOB EXPERIENCE; PALLIATIVE THERAPY; PHYSICIAN ATTITUDE; PRACTICE GUIDELINE; PRESCRIPTION; PRIMARY MEDICAL CARE; QUALITY OF LIFE; RESPIRATORY THERAPIST;

ADULT; AGED; ANALGESICS, OPIOID; ATTITUDE OF HEALTH PERSONNEL; CENTRAL NERVOUS SYSTEM DEPRESSANTS; DYSPNEA; HUMANS; MIDDLE AGED; PALLIATIVE CARE; PHYSICIANS, FAMILY; PULMONARY DISEASE, CHRONIC OBSTRUCTIVE;

EID: 84864654315     PISSN: 0008350X     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (15)

1. Mannino DM, Buist AS. Global burden of COPD: risk factors, prevalence, and future trends. Lancet 2007;370(9589):765-73. (Pubitemid 47321908)
2. Elkington H, White P, Addington-Hall J, Higgs R, Edmonds P. The healthcare needs of chronic obstructive pulmonary disease patients in the last year of life. Palliat Med 2005;19(6):485-91. (Pubitemid 41430822)
3. Jennings AL, Davies AN, Higgins JP, Gibbs JS, Broadley KE. A systematic review of the use of opioids in the management of dyspnoea. Thorax 2002;57(11):939-44. (Pubitemid 35316271)
4. Rocker G, Horton R, Currow D, Goodridge D, Young J, Booth S. Palliation of dyspnoea in advanced COPD: revisiting a role for opioids. Thorax 2009;64(10):910-5.
5. Rocker GM, Young J, Horton R. Using opioids to treat dyspnea in advanced COPD: a survey of Canadian clinicians. Chest 2008 Oct 28. Available from: http://meeting.chestpubs.org/cgi/content/abstract/134/4/s29001. Accessed 2012 Jun 4.
6. Rocker G. Palliative care for the next decade: moving beyond cancer. J Palliat Care 2005;21(3):140-1. (Pubitemid 41444984)
7. Lanken PN, Terry PB, Delisser HM, Fahy BF, Hansen-Flaschen J, Heffner JE, et al. An official American Thoracic Society clinical policy statement: palliative care for patients with respiratory diseases and critical illnesses. Am J Respir Crit Care Med 2008;177(8):912-27. (Pubitemid 351600670)
8. Mahler DA, Selecky PA, Harrod CG, Benditt JO, Carrieri-Kohlman V, Curtis JR, et al. American College of Chest Physicians consensus statement on the management of dyspnea in patients with advanced lung or heart disease. Chest 2010;137(3):674-91.
9. Lugtenberg M, Burgers JS, Besters CF, Han D, Westert GP. Perceived barriers to guideline adherence: a survey among general practitioners. BMC Fam Pract 2011;12:98.
10. Thorne S, Reimer Kirkham S, O'Flynn-Magee K. The analytic challenge in interpretive description. Int J Qual Methods 2004;3(1):1-11.
11. Currow DC, Kenny B, McDonald C, Clark K, Abernethy AP. Multi-site open label dose ranging study to determine the minimum effective dose of sustained release morphine (SRM) for reducing refractory breathlessness. Abstract presented at: 11th Congress of the European Association for Palliative Care; 2009 May 7-10; Vienna, Austria. Available from: www.eapcnet.eu/Vienna2009/ download/Vienna-Abstracts-2009.pdf. Accessed 2012 Jun 4.
12. Young J, Donahue M, Rocker G. Treating refractory dyspnea in advanced COPD: patient and caregiver experiences of opioid therapy. Chest 2010;138:463A. DOI:10.1378/chest.10413.
13. Marciniuk DD, Goodridge D, Hernandez P, Rocker G, Balter M, Bailey P, et al. Managing dyspnea in patients with advanced chronic obstructive pulmonary disease: a Canadian Thoracic Society clinical practice guideline. Can Respir J 2011;18(2):69-78.
14. Currow DC, McDonald C, Oaten S, Kenny B, Allcroft P, Frith P, et al. Oncedaily opioids for chronic dyspnea: a dose increment and pharmacovigilance study. J Pain Symptom Manage 2011;42(3):388-99. Epub 2011 Mar 31.
15. Rocker G, Demmons J, Donahue M, Young J, Simpson C, Horton R, et al. Using opioids to treat refractory dyspnea in advanced COPD: preliminary insights from a clinical trial. Am J Respir Crit Care Med 2012;185:A3728.