Rapid acting fentanyl formulations in breakthrough pain in cancer: drug selection by means of the System of Objectified Judgement Analysis

Drug selection of rapid acting fentanyl formulations in the treatment of breakthrough pain in patients with cancer is performed by the System of Objectified Judgement Analysis method. All seven available formulations were included in the analysis. The following selection criteria were used: number o...

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Main Authors: Janknegt, Robert, van den Beuken, Marieke, Schiere, Sjouke, Überall, Michael, Knaggs, Roger, Hanley, Jaquie, Thronaes, Morten
Format: Article
Published: BMJ Publishing Group 2017
Online Access:https://eprints.nottingham.ac.uk/48457/
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author Janknegt, Robert
van den Beuken, Marieke
Schiere, Sjouke
Überall, Michael
Knaggs, Roger
Hanley, Jaquie
Thronaes, Morten
author_facet Janknegt, Robert
van den Beuken, Marieke
Schiere, Sjouke
Überall, Michael
Knaggs, Roger
Hanley, Jaquie
Thronaes, Morten
author_sort Janknegt, Robert
building Nottingham Research Data Repository
collection Online Access
description Drug selection of rapid acting fentanyl formulations in the treatment of breakthrough pain in patients with cancer is performed by the System of Objectified Judgement Analysis method. All seven available formulations were included in the analysis. The following selection criteria were used: number of available strengths, variability in the rate of absorption, interactions, clinical efficacy, side effects, ease of administration and documentation. No direct double-blind comparative studies between two or more formulations were identified and the clinical documentation of all formulations is limited. The most distinguishing criterion was ease of use. This led to slightly higher scores for Abstral, Instanyl and PecFent than for the other formulations. The pros and cons of each formulation should be discussed with the patient, and the most suitable formulation selected for each individual patient.
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spelling nottingham-484572020-05-04T18:31:02Z https://eprints.nottingham.ac.uk/48457/ Rapid acting fentanyl formulations in breakthrough pain in cancer: drug selection by means of the System of Objectified Judgement Analysis Janknegt, Robert van den Beuken, Marieke Schiere, Sjouke Überall, Michael Knaggs, Roger Hanley, Jaquie Thronaes, Morten Drug selection of rapid acting fentanyl formulations in the treatment of breakthrough pain in patients with cancer is performed by the System of Objectified Judgement Analysis method. All seven available formulations were included in the analysis. The following selection criteria were used: number of available strengths, variability in the rate of absorption, interactions, clinical efficacy, side effects, ease of administration and documentation. No direct double-blind comparative studies between two or more formulations were identified and the clinical documentation of all formulations is limited. The most distinguishing criterion was ease of use. This led to slightly higher scores for Abstral, Instanyl and PecFent than for the other formulations. The pros and cons of each formulation should be discussed with the patient, and the most suitable formulation selected for each individual patient. BMJ Publishing Group 2017-01-11 Article PeerReviewed Janknegt, Robert, van den Beuken, Marieke, Schiere, Sjouke, Überall, Michael, Knaggs, Roger, Hanley, Jaquie and Thronaes, Morten (2017) Rapid acting fentanyl formulations in breakthrough pain in cancer: drug selection by means of the System of Objectified Judgement Analysis. European Journal of Hospital Pharmacy . ISSN 2047-9964 http://ejhp.bmj.com/content/early/2017/01/11/ejhpharm-2016-001127 doi:10.1136/ejhpharm-2016-001127 doi:10.1136/ejhpharm-2016-001127
spellingShingle Janknegt, Robert
van den Beuken, Marieke
Schiere, Sjouke
Überall, Michael
Knaggs, Roger
Hanley, Jaquie
Thronaes, Morten
Rapid acting fentanyl formulations in breakthrough pain in cancer: drug selection by means of the System of Objectified Judgement Analysis
title Rapid acting fentanyl formulations in breakthrough pain in cancer: drug selection by means of the System of Objectified Judgement Analysis
title_full Rapid acting fentanyl formulations in breakthrough pain in cancer: drug selection by means of the System of Objectified Judgement Analysis
title_fullStr Rapid acting fentanyl formulations in breakthrough pain in cancer: drug selection by means of the System of Objectified Judgement Analysis
title_full_unstemmed Rapid acting fentanyl formulations in breakthrough pain in cancer: drug selection by means of the System of Objectified Judgement Analysis
title_short Rapid acting fentanyl formulations in breakthrough pain in cancer: drug selection by means of the System of Objectified Judgement Analysis
title_sort rapid acting fentanyl formulations in breakthrough pain in cancer: drug selection by means of the system of objectified judgement analysis
url https://eprints.nottingham.ac.uk/48457/
https://eprints.nottingham.ac.uk/48457/
https://eprints.nottingham.ac.uk/48457/