Factors associated with opioid dispensation for patients with COPD and lung cancer in the last year of life: A retrospective analysis.

摘要: BACKGROUND For patients in late stages of chronic obstructive pulmonary disease (COPD), dyspnea is often refractory to conventional treatment. We know little about the use opioids ameliorating this population. In study we explored factors associated with opioid dispensation within last year life and differences for persons lung cancer or COPD. METHODS retrospective cohort used administrative health data gained from 1,035 residents Saskatchewan, Canada examine patterns community life. Factors were determined using multiple logistic regression. RESULTS When compared those cancer, fewer COPD given week life; month life, 3 months After adjusting relevant predictors, more than twice as likely fill prescriptions following: morphine (odds ratio [OR] 2.36, 95% confidence interval [CI]: 1.52-3.67); hydromorphone (OR 2.69, CI: 1.53-4.72); transdermal fentanyl 2.25, 1.28-3.98); any these 2.61, 1.80-3.80). CONCLUSION These are dispensed only a small proportion at end their lives. Future researchers could explore efficacy safety advanced COPD, whether limited justified.