The comparison of TRANSDERMAL FENTANYL for the management of cancer pain in the adults and the elders
Ayşegül Bilen, Achmet Ali, İrem Alkan, Aysel Altan
Okmeydanı Training And Research Hospital, Department Of Anesthesiology And Reanimation, İstanbul
Keywords: Chronic cancer pain, Transdermal fentanyl, Geriatric patients
Abstract
Objectives: The transdermal fentanyl ( TDF ) patch has become widely used in the treatment of cancer pain. We aimed to compare analgesic efficiency, side effects and patient satisfaction of TDF in the adult and geriatric patients.
Methods: Data of the 181 patients whom we observed in our pain clinic have been included in this retrospective study. There were 95 patients in the adult group ( Group A ) and 86 patients in the geriatric group ( Group G ). Demographic data, cancer type, duration of pain, side effects, visual analog scale ( VAS ) score, treatment assessment scale ( TAS ) score, TDF dosage and the number of patients in whom therapy has beeen terminated.
Results: After the usage of TDF reducement in pain score have been observed in the both groups ( p < 0.001 ). TAS score was similar between the groups at the end of the first mounth, but it was fewer in Group G, in the following months. Constipation, dry mouth, somnolance and dyspnea were seen more frequently in group G. Because of these side effects, the number of patients in whom therapy was terminated were more in group G.
Conclusion: TDF patch is a good choice for cancer pain treatment for both adults and geriatric patients. We have seen that incidence of side effects are more in the geriatric patients. Because of that, geriatric patients needed to be treated more carefully.