Efficacy of Treatments for Opioid-Induced Constipation: Systematic Review and Meta-analysis.

Author: BallouSarah, HirschWilliam, IturrinoJohanna, LemboAnthony, NeeJudy, SugarmanMichael A, SultanShahnaz, WhelanJulia, ZakariMohammed

Paper Details 
Original Abstract of the Article :
Opioid-induced constipation (OIC) is a common problem in patients on chronic opioid therapy for cancer-related and non-cancer-related pain. Approved treatments for OIC are methylnaltrexone, naloxone, naloxegol, alvimopan, naldemedine, and lubiprostone. Since a meta-analysis performed in 2014, 2 new ...See full text at original site
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引用元:
https://doi.org/10.1016/j.cgh.2018.01.021

データ提供:米国国立医学図書館(NLM)

Managing the Challenge of Opioid-Induced Constipation

The treatment of [opioid-induced constipation (OIC)], a common and often debilitating side effect of [chronic opioid therapy], is an ongoing challenge in clinical practice. This systematic review and meta-analysis evaluated the efficacy of various [pharmacological treatments] for OIC, providing a comprehensive assessment of the current therapeutic landscape.

A Comparative Analysis of OIC Treatments

The review examined the effectiveness of [methylnaltrexone, naloxone, naloxegol, alvimopan, naldemedine, and lubiprostone], highlighting the varying mechanisms of action and clinical efficacy of these medications. The meta-analysis provided valuable insights into the relative effectiveness of these agents, guiding clinicians in selecting the most appropriate treatment for individual patients. The review also highlighted the emergence of [two new FDA-approved agents] for OIC: [naloxegol and naldemedine], adding to the arsenal of therapies available for managing this challenging condition.

Improving Patient Outcomes in OIC Management

This comprehensive review and meta-analysis offers valuable guidance for clinicians treating OIC. The study highlights the importance of individualized treatment approaches, considering patient characteristics and the specific goals of therapy. Just as a desert traveler carefully selects their route based on the terrain and resources available, so too must clinicians choose the most appropriate treatment strategy for each individual patient experiencing OIC.

Dr.Camel's Conclusion

The treatment of OIC, like a desert journey, requires careful navigation to achieve optimal outcomes. This comprehensive review and meta-analysis provides valuable insights into the current therapeutic landscape, highlighting the efficacy of various medications and the need for individualized treatment approaches. It's a testament to the progress being made in managing this challenging condition, offering hope for improved quality of life for individuals experiencing the discomfort of OIC.

Date :
  1. Date Completed 2019-11-14
  2. Date Revised 2022-04-09
Further Info :

Pubmed ID

29374616

DOI: Digital Object Identifier

10.1016/j.cgh.2018.01.021

Related Literature

SNS
PICO Info
in preparation
Languages

English

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