Painter Jacob T, McLeroy-Charles Kennede, Moore Heather, Harrington Sarah, Dayer Lindsey E
Division of Pharmaceutical Evaluation & Policy, College of Pharmacy, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
, Department of Pharmacy Practice, College of Pharmacy, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
J Pain Palliat Care Pharmacother. 2024 Dec;38(4):367-372. doi: 10.1080/15360288.2024.2383415. Epub 2024 Aug 5.
This study explores the under-researched domain of patient-controlled analgesia (PCA) for cancer pain management in adult outpatients, focusing on the transition from patient-controlled analgesia pumps (PCA pump) to oral medications. While existing literature primarily addresses the use of PCA in inpatient settings, this descriptive study investigates the initiation of outpatient PCA in palliative care patients. The retrospective chart review includes data from all admissions between July 1, 2014, and December 31, 2020. Among the 49 identified patients, 41 were admitted for cancer-related pain, with an indication for PCA such as insufficient pain relief, highly fluctuating pain, or inadequate response to other routes. Of these patients, 13 were successfully transitioned from outpatient PCA to oral opioids. The study underscores the effective use of PCA as a transitional tool following a pain crisis that necessitates inpatient admission. Future research avenues could explore healthcare utilization, length of stay, and required outpatient resources, such as home visits or telehealth, for optimal PCA use in outpatient settings.
本研究探讨了成人门诊患者癌症疼痛管理中患者自控镇痛（PCA）这一研究较少的领域，重点关注从患者自控镇痛泵（PCA泵）过渡到口服药物的情况。虽然现有文献主要涉及PCA在住院患者中的使用，但这项描述性研究调查了姑息治疗患者门诊PCA的启动情况。回顾性病历审查包括2014年7月1日至2020年12月31日期间所有入院患者的数据。在49名确诊患者中，41名因癌症相关疼痛入院，有PCA指征，如疼痛缓解不足、疼痛波动大或对其他途径反应不佳。在这些患者中，13名成功从门诊PCA过渡到口服阿片类药物。该研究强调了PCA作为疼痛危机后需要住院治疗的过渡工具的有效使用。未来的研究方向可以探索医疗保健利用情况、住院时间以及门诊环境中最佳使用PCA所需的门诊资源，如家访或远程医疗。
