Advanced cancer
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1) Hospitalized patients with the age of 18 or greater 2) Patients diagnosed with locally advanced or metastatic cancer 3) Patients started on the continuous administration of parenteral opioids for dyspnea (IPOS/STAS of 2 or greater) 4) Patients receiving care by palliative care specialist(s) at a palliative care unit or palliative care team 5) ECOG Performance Status 3 or 4 6) Communication Capacity Scale (CCS), item 4 of 2 or lower
Exclusion criteria
Exclusion criteria: 1) Patients who will receive treatent for dyspnea that clearly has no direct pathophysiological association with cancer 2) Patients who are planning to undergo interventions that would change symptom intensity during a short period within 3 days. 3) Patient or family decline to participation
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The percentage of patients who receive a structured parenteral opioid intervention at 24 (18-30) hours after the initiation of the intervention for dyspnea | — |
Secondary
| Measure | Time frame |
|---|---|
| The percentage of the utilization of a structured parenteral opioid intervention, achievement of treatment goals, contents of concurrent treatment such as increase and/or switching of opioids and benzodiazepines, dyspnea intensity, communication capacity and consciousness level, adverse events and dose-limiting toxicities, etc. | — |
Countries
Japan
Contacts
Seirei Mikatahara General Hospital Palliative and Supportive Care Division