演題抄録

International Session

開催概要
開催回
第54回・2016年・横浜
 

日本における緩和医療ガイドライン

演題番号 : IS14-1

[筆頭演者]
有賀 悦子:1 

1:帝京大学・医学部・緩和医療学講座

 

The Japanese Society of Palliative Medicine publishes several Japanese clinical guidelines in Japanese that are for the pharmacological management of cancer pain (1st edition in 2010 and 2nd edition in 2014), dyspnea (1st edition in 2011 and 2nd edition in print), gastrointestinal symptoms (1st edition in 2011), urological symptoms (1st edition in 2008 and 2nd edition in print), sedation (1st edition in 2010), and parenteral hydration therapy (1st edition in 2013). These guidelines follow the Grading of Recommendations Assessment, Development and Evaluation (GRADE) system. Pharmacoeconomic considerations are not included in their recommendations. On the basis of 65 recommendations, guidelines for cancer pain have stated treatments with non-opioid analgesics for mild pain considering prevention of peptic ulcer, initiation of opioid analgesics for residual pains with measures for adverse events, opioid titration, preparation of short-acting opioids for breakthrough pain, opioid switching for inadequately controlled pain, and alternative systemic routes of opioid administration. Combination with adjuvant analgesics may be used for neuropathic pain. Patients should be educated about cancer pain management. Other guidelines for parenteral hydration therapy in cancer patients with fluid retention recommend fluids less than 1000 ml/day. Further, the updated version of these guidelines for the management of dyspnea in cancer patients will be shown in this session.

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