Investigative Analysis of Inappropriate Opioid Use for Cancer Outpatient

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  • Shimizu Keiji
    Department of Hospice and Palliative Medicine, Hospice Children’s Hospice Hospital, Yodogawa Christian Hospital Palliative Care Team, Yodogawa Christian Hospital
  • Ikenaga Masayuki
    Department of Hospice and Palliative Medicine, Hospice Children’s Hospice Hospital, Yodogawa Christian Hospital Palliative Care Team, Yodogawa Christian Hospital
  • Sugita Tomoko
    Palliative Care Team, Yodogawa Christian Hospital
  • Takeohara Megumi
    Palliative Care Team, Yodogawa Christian Hospital
  • Kazuno Chieko
    Palliative Care Team, Yodogawa Christian Hospital
  • Kubota Takashi
    Palliative Care Team, Yodogawa Christian Hospital
  • Okoshi Takeru
    Department of Hospice and Palliative Medicine, Hospice Children’s Hospice Hospital, Yodogawa Christian Hospital
  • Aoki Sachiko
    Department of Hospice and Palliative Medicine, Hospice Children’s Hospice Hospital, Yodogawa Christian Hospital
  • Kamura Rena
    Department of Hospice and Palliative Medicine, Hospice Children’s Hospice Hospital, Yodogawa Christian Hospital
  • Imamura Takuya
    Department of Hospice and Palliative Medicine, Hospice Children’s Hospice Hospital, Yodogawa Christian Hospital

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Other Title
  • オピオイド使用外来患者の乱用・依存に関する適正使用調査

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Objectives: The purpose of this study was to investigate current fact of cancer outpatients’ opioid pain management and its possible abusive applications and to establish corrective treatments by the palliative care team. Methods: Our palliative care team investigated cancer outpatients’ prescribed opioid clinical records for 4 months in 2014, and the result revealed inappropriate opioid use which could lead to further abuse or dependency. Through this the team recommended attending physicians viable options including decrease of opioid eventually leading to final withdrawal. Results: Among 67 cancer outpatients, the finding of inappropriate opioid use which could lead to further abuse or dependency was in 5 patients (7.4%). The details are as follows: (1) Three patients were treated with opioid analgesia for initial pain relief but the application continued in spite of recovering from a cancer which had been responsible to the pain. (2) Two patients were medicated with opioid for pain but further diagnosis revealed the disease which caused pain was benign. Four out of 5 patients were successfully withdrawn from opioids. Conclusion: In cancer outpatient settings, it can be overlooked or undetected inappropriate use of opioids which may lead to abuse or dependency without a team approach. To prevent opioid abuses, it is imperative to find the cause of pain as accurately as possible.

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