Related Experiment Videos
A Pilot Study To Define Chemical Coping in Cancer Patients Using the Delphi Method
Jung Hye Kwon1,2, David Hui1, Eduardo Bruera1
11 Department of Palliative Care and Rehabilitation Medicine, University of Texas MD Anderson Cancer Center , Houston, Texas.
Journal of Palliative Medicine
|April 30, 2015
Summary
Experts defined "chemical coping with opioids" as using opioids for emotional distress, marked by misuse. Key warning signs include depression, psychiatric disease, and substance abuse history, aiding in identifying at-risk patients.
Area of Science:
- Pain Management
- Palliative Care
- Addiction Medicine
Background:
- The term "chemical coping with opioids" lacks a consistent definition in pain and palliative care literature.
- This ambiguity hinders accurate identification and management of patients misusing opioids.
Purpose of the Study:
- To establish a consensus definition for "chemical coping with opioids."
- To identify consensus warning signs for chemical coping.
Main Methods:
- A two-round international Delphi survey was conducted among pain and palliative care specialists.
- Consensus was defined as agreement by at least 70% of the participating experts.
Main Results:
- A consensus definition was reached: "The use of opioids to cope with emotional distress, characterized by inappropriate and/or excessive opioid use" (92% agreement).
- Key warning signs identified include depression (93%), psychiatric disease (86%), history of substance abuse (86%), positive CAGE test (79%), history of alcoholism (79%), and smoking history (71%).
Conclusions:
- A standardized definition and recognized warning signs for chemical coping with opioids were established.
- These findings can assist clinicians and researchers in identifying patients vulnerable to opioid misuse.
Related Concept Videos
02:50Combination Therapies and Personalized Medicine
6.4K
Combining two or more treatment methods increases the life span of cancer patients while reducing damage to vital organs or tissue from the overuse of a single treatment. Combination therapy also targets different cancer-inducing pathways, thus reducing the chances of developing resistance to treatment.
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
6.4K
01:21Cancer Survival Analysis
846
Cancer survival analysis focuses on quantifying and interpreting the time from a key starting point, such as diagnosis or the initiation of treatment, to a specific endpoint, such as remission or death. This analysis provides critical insights into treatment effectiveness and factors that influence patient outcomes, helping to shape clinical decisions and guide prognostic evaluations. A cornerstone of oncology research, survival analysis tackles the challenges of skewed, non-normally...
846
02:49Cancer Therapies
10.7K
Cancer therapies are various modes of treatment, such as surgery, radiation therapy, and chemotherapy that are administered to cancer patients.
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
10.7K
02:49Cancer Therapies
3.0K
3.0K
02:53Adaptive Mechanisms in Cancer Cells
7.5K
Cancer cells accumulate genetic changes at an abnormally rapid rate due to the defects in the DNA repair mechanisms. From an evolutionary perspective, such genetic instability is advantageous for cancer development. Mutant cell lines accumulate a series of beneficial mutations that contribute to their progression into cancer.
Some of the advantages that cancer cells have on normal cells include - enhanced ability to divide without terminally differentiating, induce new blood vessel formation,...
Some of the advantages that cancer cells have on normal cells include - enhanced ability to divide without terminally differentiating, induce new blood vessel formation,...
7.5K
01:27Coping Strategies: Problem Focused
737
Coping strategies are methods people use to manage, tolerate, or reduce the effects of stressors. These strategies involve both behavioral and psychological actions to handle stressful situations. One common approach is problem-focused coping, which aims to change or eliminate the source of stress rather than merely addressing its consequences. This method involves taking direct action to resolve the issue causing stress.
For example, consider a student who struggles to understand their...
For example, consider a student who struggles to understand their...
737