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Poster display session: Breast cancer - early stage, locally advanced & metastatic, CNS tumours, Developmental therapeutics, Genitourinary tumours - prostate & non-prostate, Palliative care, Psycho-oncology, Public health policy, Sarcoma, Supportive care

3623 - Clinical practice evaluation of opioids induced constipation management in oncologic patients: The EIO-50 project.

Date

22 Oct 2018

Session

Poster display session: Breast cancer - early stage, locally advanced & metastatic, CNS tumours, Developmental therapeutics, Genitourinary tumours - prostate & non-prostate, Palliative care, Psycho-oncology, Public health policy, Sarcoma, Supportive care

Topics

Supportive Care and Symptom Management

Tumour Site

Presenters

Javier Salvador Bofill

Citation

Annals of Oncology (2018) 29 (suppl_8): viii603-viii640. 10.1093/annonc/mdy300

Authors

J. Salvador Bofill1, V. Guillem Porta2, M. Feyjoo3, A. Anton Torres4, E. Aranda Aguilar5, C. Camps6, A. Carrato Mena7, M. Constenla Figueiras8, J.J. Cruz Hernandez9, E. Diaz Rubio10, J. Garcia Foncillas11, P.N. Gascon12, R. Lopez Lopez13, B. Soler14, Y. Escobar15

Author affiliations

  • 1 Medical Oncology, Hospital Virgen del Rocio, 41014 - Sevilla/ES
  • 2 Medical Oncology, Fundación Instituto Valenciano de Oncología, 46009 - Valencia/ES
  • 3 Medical Oncology, Hospital Universitario La Moraleja, Sanitas, 28050 - Madrid/ES
  • 4 Medical Oncology, Hospital Miguel Servet, 50009 - Zaragoza/ES
  • 5 Medical Oncology, University Hospital Reina Sofia, 14004 - Cordoba/ES
  • 6 Medical Oncology, Consorcio Hospital General Universitario de Valencia, 46014 - Valencia/ES
  • 7 Medical Oncology, Hospital Universitario Ramon y Cajal, 28031 - Madrid/ES
  • 8 Medical Oncology, Complejo Hospitalario de Pontevedra, 36001 - Pontevedra/ES
  • 9 Medical Oncology, Hospital Universitario de Salamanca, 37007 - Salamanca/ES
  • 10 Vicepresidente, Real Academia de Medicina, IdISCC, CIBERONC, 28040 - Madrid/ES
  • 11 Medical Oncology, University Hospital "Fundacion Jimenez Diaz", 28040 - Madrid/ES
  • 12 Division Of Medical Oncology, Hospital Clinic y Provincial de Barcelona, 08036 - Barcelona/ES
  • 13 Medical Oncology, Complejo Hospitalario Universitario de Santiago de Compostela SERGAS, 15706 - Santiago de Compostela/ES
  • 14 Medical Department, E-C-BIO, S.L, 28232 - Madrid/ES
  • 15 Department Of Medical Oncology, Hospital General Universitario Gregorio Marañón, 28007 - Madrid/ES
More

Resources

Abstract 3623

Background

Opioid-induced constipation (OIC) is a common distressing symptom associated with cancer pain opioid treatment. Beyond the recommendations for the treatment of OIC, there are no specific guidelines for the management of the patient with OIC and little is known about the decision tree health care professional (HCP) use to manage OIC. The ECO Foundation (Excellence and Quality in Oncology) has promoted this study to learn about the diagnostic and treatment criteria of OIC in clinical practice.

Methods

An on-line survey was completed by 135 investigators: 122 medical oncologists (90.4%) and 13 palliative care specialists (9.6%). The questionnaire included 50 items about the management of OIC.

Results

According to HCP, most of the cancer patients with pain (71.2%), received opioid treatment for more than 6 months and 54.4% developed OIC. Although 97% of HCP considered OIC as a major health problem only 14.8% of HCP used algorithms for the diagnosis of OIC and 14.1% for OIC treatment. Laxatives were considered second-line treatment for 60% of HCP, after healthy life-style recommendations. Laxatives were prescribed by 99.3% of HCP, but only 38.3% recommended them throughout the opioid treatment period. HCP considered laxatives did not achieve a therapeutic response on 33% of the cases. Peripherally Active µ-Opioid Receptor Antagonist (PAMORA) were considered by 80% of HCP a good alternative for the specific treatment of OIC in cancer patients. Indeed, PAMORA were considered the most effective measure with a score of 8 out of a 10 points scale.

Conclusions

OIC is considered a frequent and relevant opioid side effect among cancer patients in Spain. Although most HCP are aware of the potential for OIC with opioid treatment, there is limited consensus on the OIC diagnostic and treatment criteria. The insufficient efficacy of traditional therapies and the emerging of more specific and effective pharmacological approaches, suggest new clinical guidelines are needed for the management of OIC in cancer patients.

Clinical trial identification

Legal entity responsible for the study

ECO Foundation.

Funding

Kyowa Kirin Pharmaceutical.

Editorial Acknowledgement

Disclosure

All authors have declared no conflicts of interest.

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