A Retrospective Analysis of Pain Burden in Hospitalized Young Adult Cancer Patients Compared with Their Older Adult Counterpart.

Abstract:

CONTEXT:Research shows an increased symptom burden in young adult (YA) cancer patients compared with their older adult counterpart. OBJECTIVES:The purpose of this study was to identify differences in clinical characteristics and related outcomes between YA and older adult cancer patients admitted for cancer-related pain. MATERIALS AND METHODS:We retrospectively identified 190 hospitalized patients in a single academic center with admissions for cancer-related pain. Patients were grouped into either "young adult" (18-39) or "older adult" (>40) cohorts. We compared differences in patient characteristics and pain regimens. RESULTS:Median oral morphine equivalent per 24 hours was higher in the YA group (194 mg vs. 70 mg, p = 0.010). Younger patients received patient-controlled analgesia (PCA) more frequently (p = 0.023). The number of palliative care consults and adjuvants prescribed did not differ between groups (p > 0.05), although YAs more frequently had an inpatient pain anesthesia consult (p = 0.047). CONCLUSION:Findings show increased opioid requirements and PCA use in YAs being treated for malignancy compared with their older adult counterpart.

journal_name

J Palliat Med

authors

Devlin SM,Murphy JD,Yeung HN

doi

10.1089/jpm.2018.0212

subject

Has Abstract

pub_date

2019-03-01 00:00:00

pages

307-309

issue

3

eissn

1096-6218

issn

1557-7740

journal_volume

22

pub_type

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