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7th GUILDFORD ADVANCED PAIN &
SYMPTOM MANAGEMENT COURSES
REFERENCE / READING LIST
ALTERNATIVE ROUTES OF ADMINISTRATION
Andrew Dickman
Dickman A, Bickerstaff M, Jackson R, Schneider J, Mason S, Ellershaw
J. Identification of drug combinations administered by continuous subcutaneous
infusion that require analysis for compatibility and stability. BMC Palliat Care. 2017
Mar 23;16(1):22. [Copy of paper available on course website].
Newton DW. Drug incompatibility chemistry. Am J Health Syst Pharm. 2009 Feb
15;66(4):348-57.
UPDATE ON TRANSDERMAL FENTNANYL
David Brooks
Marija Bakovic, Marina Nestic, Davor Mayer. 2015. Death by band-aid: fatal misuse of
transdermal fentanyl patch. International Journal of Legal Medicine 129:1247-1252
Martin Juebner, Mathias Fietzke, Justus Beike, Markus A. Rothschild, Katjia Bender.
2014. Assisted Suicide by fentanyl intoxication due to excessive transdermal
application. International Journal of Legal Medicine 128:949-956
Adam Joseph Trist, Hardeep Sahota, Lucy Williams. 2017. Not so patchy story of
attempted suicide…leading to 24 hours of deep sleep and survival! BMJ Case Reports
1644:126-25
Kazhuliko Koike, Takeshi Terui, Tomokazu Nagasako, Iori Horiuchi, Takayuki
Machino, Toshiro Kusakabe, Yasuo Hirayama, Hiroyoshi Mihara, Michiaki Yamakage,
Junji Kato, Takuji Nishisato, Kunihiko Ishitani. 2016. A new once-a-day fentanyl
citrate patch could be a new treatment option in patients with end-of-dose failure using
a 72-h transdermal fentanyl matrix patch. Support Care Cancer 24:1053-1059
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Lesley J. Scott. 2016. Fentanyl Iontophoretic Transdermal System: A Review in Acute
Postoperative Pain. Clin Drug Investigation 36:321-330
Astrid W. Oosten, Joao A. Abrantes, Siv Jonsson, Peter de Bruijn, Evelien J.M. Kuip,
Amilcar Falcao, Cairn C.D. van de Rijt, Ron H.J. Mathijssen. 2016. Treatment with
subcutaneous and transdermal fentanyl: results from a population pharmacokinetic
study in cancer patients. European Journal of Clinical Pharmacology 72:459-467
Daniel T. Barratt, Pai Klepstad, Ola Dale, Stein Kaasa, Andrew A. Somogyi. 2015.
Innate immune signalling genetics of pain, cognitive dysfunction and sickness
symptoms in cancer pain patients treated with transdermal fentanyl. PLoS ONE
10:e0137179
Sudeep Raj Bista, Janet Hardy, Angela Tapuni, Jinlin Fu, Kirsten Gibbons, et al. 2015.
Validation of a fentanyl transdermal adhesion scoring tool for use in clinical practice.
Journal of Pain and Symptom Management 49:934-938
Shao-Zhi Xing, Ying Zhang. 2015. Efficacy and safety of transdermal fentanyl for the
treatment of oral mucositis pain caused by chemoradiotherapy in patients with
esophageal squamous cell carcinoma. Supportive Care in Cancer 23:753-759
Akhila Reddy, Sriram Yennurajalingam, Suresh Reddy, Jimin Wu, Diane Liu, Rony
Dev, Eduardo Bruera. 2016. The opioid rotation ratio from transdermal fentanyl to
“strong” opioids in patients with cancer pain. Journal of Pain and Symptom
Management 51:1040-1045
Nurdan Unlu, Aysegul Bilen, Achmet Ali, Namigar Turgut, Aygen Turkmen, et Al.
2014. The cognitive effects of using transdermal fentanyl in cancer pain. The Journal of
the Turkish Society of Algology 26:126-130
S Derry, C Cole, PJ Wiffen, R Knaggs, D Aldington, R Moore. 2016. Fentanyl for
neuropathic pain in adults. Cochrane Database of Systematic Reviews.
G Hadley, S Derry, R Moore, PJ Wiffen. 2013. Fentanyl for neuropathic pain in adults.
Cochrane Database of Systematic Reviews.
Philip J Wiffen, Bee Wee, Sheena Derry, Rae F Bell, R Andrew Moore. 2017. Opioids
for cancer pain – an overview of Cochrane reviews. Cochrane Database of Systematic
Reviews.
Philip J Wiffen, Sheena Derry, R Andrew Moore. 2014. Impact of morphine, fentanyl,
oxycodone or codeine on patient consciousness, appetite and thirst when used to treat
cancer pain. Cochrane Database of Systematic Reviews.
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Dong-Dong Wang, Ting-Ting Ma, Hua-Dong Zhu, Cong-Bin Peng. 2018. Transdermal
fentanyl for cancer pain: trial sequential analysis of 3406 patients from 35 randomized
controlled trials. Journal of Cancer Research and Therapeutics 14:14-21
Leena Choi, Benjamin A Ferrell, Eduard E Vasilevskis, Pratik P Pandharipande,
Rebecca Heltsley, E Wesley Ely, C Michael Stein, Timothy D Girard. 2016. Population
pharmacokinetics of fentanyl in the critically ill. Critical Care Medicine 44:64-72
OPIOID ADVERSE EFFECTS - NOT THE “USUAL SUSPECTS”!
Andrew Davies
Vervloet D, Durham S. Adverse reactions to drugs. British Medical Journal 1998; 316:
1511-4.
Oosten AW, Oldenmenger WH, Mathijssen RH et al. A systematic review of
prospective studies reporting adverse events of commonly used opioids for cancer-
related pain: a call for the use of standardized outcome measures. Journal of Pain 2015;
16: 935-946. [Copy of paper available on course website].
Potter J, Hami F, Bryan T, Quigley C. Symptoms in 400 patients referred to palliative
care services: prevalence and patterns. Palliative Medicine 2003; 17: 310-4.
Shorthose K, Davies A. Symptom prevalence in palliative care. Palliative Medicine
2003; 17: 723-4.
Fountain A. Visual hallucinations: a prevalence study among hospice inpatients.
Palliative Medicine 2001; 15: 19-25.
Davies AN, Quinn T. Opioid-related musical hallucinations. Journal of Pain and
Symptom Management 2005; 29: 327-8. [Copy of paper will be available on course
website].
Davies AN, Patel SD, Gregory A, Lee B. Observational study of sleep disturbance in
advanced cancer. BMJ Supportive and Palliative Care 2017; 7: 435-40. [Copy of paper
will be available on course website].
Cheatle MD, Webster LR. Opioid therapy and sleep disorders: risks and mitigation
strategies. Pain Medicine 2015; 16; S22-6. [Copy of paper available on course website].
ACUPUNCTURE FOR PAIN RELIEF
Graham Leng
Wu X, Chung VC, Hui EP, Ziea ET, Ng BF, Ho RS, Tsoi KK, Wong SY, Wu JC.
Effectiveness of acupuncture and related therapies for palliative care of cancer:
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overview of systematic reviews. Sci Rep. 2015 Nov 26;5:16776 [Copy of paper
available on course website].
Leng G. Use of acupuncture in hospices and palliative care services in the UK.
Acupunct Med. 2013 Mar;31(1):16-22 [Copy of paper available on course website].
Standish LJ, Kozak L, Congdon S. Acupuncture is underutilized in hospice and
palliative medicine. Am J Hosp Palliat Care. 2008 Aug-Sep;25(4):298-308
White A. The safety of acupuncture – evidence from the UK. Acupunct Med 2006;
24(Suppl):S53-57
Chiu HY, Hsieh YJ, Tsai PS. Systematic review and meta-analysis of acupuncture to
reduce cancer-related pain. Eur J Cancer Care (Engl). 2017 Mar;26(2)
Chen L, Lin CC, Huang TW, Kuan YC, Huang YH, Chen HC, Kao CY, Su CM, Tam
KW. Effect of acupuncture on aromatase inhibitor-induced arthralgia in patients with
breast cancer: A meta-analysis of randomized controlled trials. Breast. 2017
Jun;33:132-138
Hu C, Zhang H, Wu W, Yu W, Li Y, Bai J, Luo B, Li S. Acupuncture for Pain
Management in Cancer: A Systematic Review and Meta-Analysis. Evidence-Based
Complementary and Alternative Medicine Volume 2016, Article ID 1720239 [Copy of
paper available on course website].
Vickers AJ, Vertosick EA, Lewith G, MacPherson H, Foster NE, Sherman KJ, Irnich
D, Witt CM, Linde K; Acupuncture Trialists' Collaboration. Acupuncture for Chronic
Pain: Update of an Individual Patient Data Meta-Analysis. J Pain. 2018 May;19(5):455-
474
Franconi G, Manni L, Schröder S, Marchetti P, Robinson N. A systematic review of
experimental and clinical acupuncture in chemotherapy-induced peripheral neuropathy.
Evid Based Complement Alternat Med. 2013;2013:516916
Lee A, Chan SK, Fan LT. Stimulation of the wrist acupuncture point PC6 for
preventing postoperative nausea and vomiting. Cochrane Database Syst Rev. 2015 Nov
2;(11):CD003281
Ezzo J, Vickers A, Richardson MA, Allen C, Dibble SL, Issell B, Lao L, Pearl M,
Ramirez G, Roscoe JA, Shen J, Shivnan J, Streitberger K, Treish I, Zhang G.
Acupuncture-point stimulation for chemotherapy-induced nausea and vomiting. J Clin
Oncol. 2005 Oct 1;23(28):7188-98
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Vickers AJ. Can acupuncture have specific effects on health? A systematic review of
acupuncture antiemesis trials. J R Soc Med. 1996 Jun;89(6):303-11
Coyle ME, Shergis JL, Huang ET, Guo X, Di YM, Zhang A, Xue CC. Acupuncture
therapies for chronic obstructive pulmonary disease: a systematic review of
randomized, controlled trials. Altern Ther Health Med. 2014 Nov-Dec;20(6):10-23
Simcock R, Fallowfield L, Monson K, Solis-Trapala I, Parlour L, Langridge C, Jenkins
V; ARIX Steering Committee. ARIX: a randomised trial of acupuncture v oral care
sessions in patients with chronic xerostomia following treatment of head and neck
cancer. Ann Oncol. 2013 Mar;24(3):776-83
Tao WW, Tao XM, Song CL. Effects of non-pharmacological supportive care for hot
flushes in breast cancer: a meta-analysis. Support Care Cancer. 2017 Jul;25(7):2335-
2347
Chien TJ, Hsu CH, Liu CY, Fang CJ. Effect of acupuncture on hot flush and
menopause symptoms in breast cancer- A systematic review and meta-analysis. PLoS
One. 2017 Aug 22;12(8)
Chen YP, Liu T, Peng YY, Wang YP, Chen H, Fan YF, Zhang L. Acupuncture for hot
flashes in women with breast cancer: A systematic review. J Cancer Res Ther. 2016
Apr-Jun;12(2):535-42
Forde JC, Jaffe E, Stone BV, Te AE, Espinosa G, Chughtai B. The role of acupuncture
in managing overactive bladder; a review of the literature. Int Urogynecol J. 2016
Nov;27(11):1645-1651
Zhang Y, Lin L, Li H, Hu Y, Tian L. Effects of acupuncture on cancer-related fatigue: a
meta-analysis. Support Care Cancer. 2018 Feb;26(2):415-425
Filshie J, Hester J. Guidelines for providing acupuncture treatment for cancer patients –
a peer-reviewed sample policy document. Acupunct Med 2006;24(4):172-182
Filshie J. Safety Aspects of Acupuncture in Palliative Care. Acupunct Med
2001;19(2):117-122
National Guidelines for the Use of Complementary Therapies in Supportive and
Palliative Care. Tavares M. The Prince of Wales’s Foundation for Integrated Health
and the National Council for Hospice and Specialist Palliative Care Services, 2003
British Medical Acupuncture Society
www.medical-acupuncture.co.uk
Acupuncture in Medicine journal
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https://aim.bmj.com
BMAS training in acupuncture
www.medical-acupuncture.co.uk/TrainingEducation/Acupuncturetraining.aspx
WHAT ELSE IS NEW (PAIN)?
Andrew Davies
Smith HS. Potential analgesic mechanisms of acetaminophen. Pain Physician 2009; 12:
269-80. [Copy of paper available on course website].
Wiffen PJ, Derry S, Moore RA et al. Oral paracetamol (acetaminophen) for cancer
pain. Cochrane Database of Systematic Reviews 2017, Issue 7. Art. No.: CD012637.
[Copy of paper available on course website].
Davies AN, Vriens J, Webber K et al. An observational study of paracetamol
(acetaminophen) deprescribing in patients with cancer pain receiving opioids for
moderate-to-severe pain. Medycyna Paliatywna w Praktyce 2017; 11: 133-7. [Copy of
paper available on course website].
Axelsson B, Stellborn P, Strom G. Analgesic effect of paracetamol on cancer related
pain in concurrent strong opioid therapy. A prospective clinical study. Acta Oncologica
2008; 47: 891-5.
Jibril F, Sharaby S, Mohamed A et al. Intravenous versus oral acetaminophen for pain:
systematic review of current evidence to support clinical decision-making. Canadian
Journal of Hospital Pharmacy 2015; 68: 238-47.
Raffa RB, Pawasauskas J, Pergolizzi JV et al. Pharmacokinetics of oral and intravenous
paracetamol (acetaminophen) when co-administered with intravenous morphine in
healthy adult subjects. Clinical Drug Investigation 2018; 38: 259-68.
Carr AC, McCall C. The role of vitamin C in the treatment of pain: new insights.
Journal of Translational Medicine 2017; 15: 77.
Helde-Frankling M, Bjorkhem-Bergman L. Vitamin D in pain management.
International Journal of Molecular Sciences. [Copy of paper available on course
website].
Holick MF, Chen TC. Vitamin D deficiency: a worldwide problem with health.
American Journal of Clinical Nutrition 2008; 87(Suppl): 1080S-6S. [Copy of paper
available on course website].
Palacios C, Gonzalez L. Is vitamin D deficiency a major global public health problem.
Journal of Steroid Biochemistry and Molecular Biology 2014; 144 Part A: 139-45.
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Bergman P, Sperneder S, Holjer J et al. Low vitamin D levels are associated with
higher opioid dose in palliative cancer patients - results from an observational study in
Sweden. Plos One 2015; 10: e0128223.
Helde-Frankling M, Holjer J, Begqvist L et al. Vitamin D supplementation to palliative
cancer patients shows positive effects on pain and infections - results from a matched
case-control study. Plos One 2017; 12: e0184208. [Copy of paper available on course
website].
PAIN - WHAT IT DOES TO US, AND WHAT CAN WE DO ABOUT IT?
Tony Dickenson
Bannister K, Kucharczyk M, Dickenson AH. Hopes for the future of pain. Pain Ther
2017; 6: 117-28. [Copy of paper available on course website].
Colloca L, Ludman T, Bouhassira D et al. Neuropathic pain. Nat Rev Dis Primers
2017; 3: 17002. [Copy of paper available on course website].
Falk S, Dickenson AH. Pain and nociception: mechanisms of cancer-induced bone
pain. J Clin Oncol 2014; 32: 1647-54.
SYMPTOM ASSESSMENT
Jo Thompson
Ahmed N, Ahmedzai S, Collins K et al. Holisitic assessment of supportive and
palliative care needs: the evidence for routine, systematic questioning. BMJ Supportive
and Palliative Care 2014; 0: 1-9
Aslakson R, Dy S, Wilson R et al. Patient and caregiver-reported assessment tools for
palliative care: Summary of the 2017 agency for healthcare research and quality
technical brief. Journal of Pain and Symptom Management 2017; 4: 961-973.
Barresi M, Shadbolt B, Byrne D et al. The development of the Canberra symptom
scorecard: a tool to monitor the physical symptoms of patients with advanced tumours.
BMC Cancer 2003; 3: 1-9.
Browner I, Smith T. Symptom assessment in elderly cancer patients receiving palliative
care. Annals of Oncology 2013; 23:125-129.
Chang V, Hwang S, Kasimis B et al. Shorter symptom assessment instruments: the
Condensed Memorial Symptom Assessment Scale (CMSAS). Cancer Investigation
2004; 22: 526-536.
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Chang V, Hwang S, Feuerman M et al. Validation of the Edmonton symptom
assessment scale. Cancer 2000; 88: 2164-2171.
Chang V, Hwang S, Feuerman M et al. The Memorial Symptom Assessment Scale
Short Form (MSAS-SF). Cancer 2000; 89: 1162-1171
Clement S, Woodgate R, Degner L. Symptom distress in adult patients with cancer.
Cancer Nursing 1997; 20: 236-243
Ewing G, Rogers M, Barclay S et al. Palliative care in primary care: a study to
determine whether patients and professionals agree on symptoms. British Journal of
General Practice 2006; 56: 27-34
Fetz K, Vogt H, Ostermann T et al. Evaluation of the palliative symptom burden score
(PSBS) in a specialised palliative care unit of a university medical centre – a
longitudinal study. BMC Palliative Care 2018; 1-13. [Copy of paper available on
course website].
Homsi J, Walsh D, Rivera Net al. Symptom evaluation in palliative medicine: patient
report vs systematic assessment. Supportive Care in Cancer 2006; 14: 444-453.
Horton R. Differences in assessment of symptoms and quality of life between patients
with advanced cancer and their specialist palliative care nurses in a home care setting.
Palliative Medicine 2002; 16: 488-494
Hui D, Bruera E. The Edmonton symptom assessment system 25 years later: Past,
present and future developments. Journal of Pain and Symptom Management 2017; 53:
630-643.
Kirkova J, Davis M, Walsh D et al. Cancer symptom assessment instruments: A
systematic review. Journal of Clinical Oncology 2006; 24: 1459-1473.
Kwok Oi-Ling D, Kam-Hung D. Symptom distress as rated by advanced cancer
patients, caregivers and physicians in the last week of life. Palliative Medicine 2005;
19: 228-233
Lam W, Law C, Fu Y et al. New insights in symptom assessments: The chinese
versions of the memorial symptom assessment scale short form (MSAS-SF) and the
condensed MSAS (CMSAS). Journal of pain and Symptom Management 2008; 36:
584-595.
Lobchuk M. The memorial symptom assessment scale: Modified for use in
understanding family caregivers’ perceptions of cancer patients’ symptom experiences.
Journal of Pain and Symptom Management 2003; 26: 644-654.
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McPherson C, Wilson K, Lobchuk M et al. Family caregivers’ assessment of symptoms
in patients with advanced cancer: Concordance with patients and factors affecting
accuracy. Journal of Pain and Symptom Management 2008; 35: 70-82.
Mercadante S, Adile C, Lanzetta G et al. Personalised symptom goals and patient
global impression on clinical changes in advanced cancer patients. The Oncologist
2018; 23: 1-8
Narducci F, Grande R, Mentuccia L et al. Symptom improvement as a prognostic factor
for survival in cancer patients undergoing palliative care: a pilot study. Supportive Care
in Cancer 2012; 20: 1221-1226
Nekolaichuk C, Bruera E, Spachynski K et al. A comparison of patient and proxy
symptom assessments in advanced cancer patients. Palliative Medicine 1999; 13: 311-
323
Nekolaichuk C, Maguire T, Suarez-Almazar M et al. Assessing the reliability of
patient, nurse and family caregiver symptom ratings in hospitalised advanced cancer
patients. Journal of Clinical Oncology; 17: 3621-3630
Oldenmenger W, de Raaf P, Klerk C et al. Cut points on 0-10 numeric rating scales for
symptoms included in the Edmonton Symptom Assessment Scale in cancer patients: A
systematic review. Journal of Pain and Symptom Management 2013; 45: 1083-1093
Portenoy R, Thaler H, Kornblith A et al. The memorial symptom assessment scale: an
instrument for the evaluation of symptom prevalence, characteristics and distress.
European Journal of Cancer 1994; 30: 1326-1336
Reilly C, Bruner d, Mitchell S et al. A literature synthesis of symptom prevalence and
severity in persons receiving active cancer treatment. Supportive Care in Cancer 2013;
21: 1525-1550
Rhondali W, Hui D, Kim S et al. Association between patient reported symptoms and
nurses clinical impressions in cancer patients admitted to an acute palliative care unit.
Journal of Palliative Medicine 2012; 15: 301-307
Richardson L, Jones G. A review of the reliability and validity of the Edmonton
symptom assessment system. Current Oncology 2009; 16: 53-64
Ripamonti C, Bandieri E, Pessi M et al. The Edmonton symptom assessment system
(ESAS) as a screening tool for depression and anxiety in non-advanced patients with
solid or haematological malignancies on cure or follow-up. Supportive Care in Cancer
2014; 22: 783-793
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Seow B, Sussman J, Martelli-Reid L et al. Do high symptom scores trigger clinical
actions? An audit after implementing electronic symptom screening. Journal of
Oncology Practice 2012; 8: 142-148 [Copy of paper available on course website].
Schulman-Green D, Cherlin E, McCorkle R et al. Benefits and challenges in use of a
standard symptom assessment instrument in hospice. Journal of Palliative Medicine
2010; 13: 155-159
Sharp J, Gough K, Pascoe M et al. The modified memorial symptom assessment scale
short form: a modified response format and rational scoring rules. Quality of Life
Research 2018;
Sikorskii A, Wyatt G, Tamkus D et al. Concordance between patient reports of cancer
related symptoms and medical records documentation. Journal of Pain and Symptom
Management 2012; 44: 362-372
Spaner D, Caraiscos V, Muystra C et al. Use of standardised assessment tools to
improve the effectiveness of palliative care rounds: A quality improvement initiative.
Journal of Palliative Care 2017; 32: 134-140
Stewart-Knight K, Parry R, Abey A et al. Does the distress thermometer work? A
systematic review of the evidence for its use and validity. BMJ Supportive and
Palliative Care 2012; 2(supp 1): A1-A120
Strasser F, Blum D, von Moos R et al. The effect of real time electronic monitoring of
patient-reported symptoms and clinical syndromes in outpatient workflow of medical
oncologists: E-MOSAIC, a multicentre cluster-randomised phase III study (SAKK
95/06). Annals of Oncology 2016; 27: 324-332
Stromgren A, Sjogren P, Goldschmidt D et al. Symptom priority and course of
symptomatology in specialised palliative care. Journal of Pain and Symptom
Management 2006; 31: 199-206
Teunissen S, Wesker W, Kruitwagen C et al. Symptom prevalence in patients with
incurable cancer: A systematic review. Journal of Pain and Symptom Management
2007; 34: 94-104
Tranmer J, Heyland D, Dudgeon D et al. measuring the symptom experience of
seriously ill cancer and noncancer hospitalised patients near the end of life with the
memorial symptom assessment scale. Journal of Pain and Symptom Management 2003;
25: 420-429
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White C, McMullan D, Doyle J. “Now that you mention it, doctor…” Symptom
reporting and the need for systematic questioning in a specialised palliative care unit.
Journal of Palliative Medicine 2009; 12: 447-450
ORAL PROBLEMS
Andrew Davies
Davies A, Finlay I. Oral Care in Advanced Disease. Oxford: Oxford University Press;
2005.
Davies AN, Epstein JB. Oral Complications of Cancer and its Management. Oxford:
Oxford University Press; 2010.
Davies AN. Oral care. In: Cherny N, Fallon M, Kaasa S, Portenoy R, Currow D,
editors. Oxford textbook of Palliative Medicine, 5th edition. Oxford: Oxford University
Press; 2015.
OLD VS NEW: HALOPERIDOL VS OLANZAPINE
Andrew Dickman
Prommer E. Olanzapine: palliative medicine update. Am J Hosp Palliat Care.
2013;30(1):75-82.
Digges M, Hussein A, Wilcock A, Crawford GB, Boland JW, Agar MR, et al.
Pharmacovigilance in Hospice/Palliative Care: Net Effect of Haloperidol for Nausea or
Vomiting. J Palliat Med. 2018;21(1):37-43.
Walsh D, Davis M, Ripamonti C, Bruera E, Davies A, Molassiotis A. 2016 Updated
MASCC/ESMO consensus recommendations: Management of nausea and vomiting in
advanced cancer. Support Care Cancer. 2017;25(1):333-40.
Van Der Vorst M, Neefjes ECW, Boddaert MSA, Verdegaal BATT, Beeker A et
al. Efficacy and side effect profile of olanzapine versus haloperidol for symptoms of
delirium in hospitalized patients with advanced cancer: A multicenter, investigator-
blinded, randomized, controlled trial (RCT). J Clin Oncol 2017;35(31 suppl):231-231.
Hui D, Dev R, Bruera E. Neuroleptics in the management of delirium in patients with
advanced cancer. Curr Opin Support Palliat Care. 2016;10(4):316-323. [Copy of paper
available on course website].
Meyer JM, Simpson GM. From chlorpromazine to olanzapine: a brief history of
antipsychotics. Psychiatr Serv. 1997;48(9):1137-9. [Copy of paper available on course
website].
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Beach SR, Celano CM, Sugrue AM, Adams C, Ackerman MJ, Noseworthy PA, et al.
QT Prolongation, Torsades de Pointes, and Psychotropic Medications: A 5-Year
Update. Psychosomatics. 2018;59(2):105-22.
CORTICOSTEROIDS - BENEFITS AND RISKS
Kath Webber
Stina Dinsen, Bo Baslund, Marianne Klose, Aase Krogh Rasmussen, Lennart Friis-
Hansen, Linda Hilsted, and Ulla Feldt-Rasmussen. Why glucocorticoid withdrawal may
sometimes be as dangerous as the treatment itself. European Journal of Internal
Medicine, 2013 vol. 24 (8) pp. 714-720.
Alison Haywood, Phillip Good, Sohil Khan, Aurelia Leupp, Sue Jenkins-Marsh, Kirsty
Rickett, and Janet R Hardy. Corticosteroids for the management of cancer-related pain
in adults. Cochrane Database of Systematic Reviews, 2015 vol. 41 (4) p. 459.
David Hui, Kelly Kilgore, Susan Frisbee-Hume, Minjeong Park, Anne Tsao, Marvin
Delgado-Guay, Charles Lu, William William Jr., Katherine Pisters, George Eapen,
Frank Fossella, Sapna Amin, and Eduardo Bruera. Dexamethasone for Dyspnea in
Cancer Patients: A Pilot Double-Blind, Randomized, Controlled Trial. J Pain Symptom
Manage, 2016 vol. 52 (1) pp. 8-16.e1.
Jessica L Hwang and Roy E Weiss. Steroid-induced diabetes: a clinical and molecular
approach to understanding and treatment. Diabetes Metab Res Rev, 2014 vol. 30 (2) pp.
96-102.
Leon Margolin, Doris K Cope, Rachel Bakst-Sisser, and Joshua Greenspan. The Steroid
Withdrawal Syndrome: A Review of the Implications, Etiology, and Treatments. J Pain
Symptom Manage, 2007 vol. 33 (2) pp. 224-228.
Ollie Minton, Alison Richardson, Michael Sharpe, Matthew Hotopf, and Patrick Stone.
Drug therapy for the management of cancer-related fatigue. Cochrane Database of
Systematic Reviews, 2010 vol. 1 (3) p. 140.
Ørnulf Paulsen, Pål Klepstad, Jan Henrik Rosland, Nina Aass, Eva Albert, Peter Fayers,
and Stein Kaasa. Efficacy of Methylprednisolone on Pain, Fatigue, and Appetite Loss
in Patients With Advanced Cancer Using Opioids: A Randomized, Placebo-Controlled,
Double-Blind Trial. Journal of Clinical Oncology, 2014 vol. 32 (29) pp. 3221-3228.
D Tomlinson, P D Robinson, S Oberoi, D Cataudella, N Culos-Reed, H Davis, N
Duong, F Gibson, M Götte, P Hinds, S L Nijhof, P Van der Torre, S Cabral, L L
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Dupuis, and L Sung. Pharmacologic interventions for fatigue in cancer and
transplantation: a meta-analysis. Curr Oncol, 2018 vol. 25 (2) p. 152.
Petra Vayne-Bossert, Alison Haywood, Phillip Good, Sohil Khan, Kirsty Rickett, and
Janet R Hardy. Corticosteroids for adult patients with advanced cancer who have
nausea and vomiting (not related to chemotherapy, radiotherapy, or surgery). Cochrane
Database of Systematic Reviews, 2017 vol. 28 (4) p. 381.
UPDATE ON BISPHOSPONATES / DENOSUMAB
Sarah Cox
Dietzek A, Connelly K, Cotugno M, et al. (2015) Denosumab in hypercalcemia of
malignancy: a case series. J Oncol Pharm Pract; 21:143-7.
Karuppiah D, Thanabalasingham G, Shine B, et al. (2014) Refractory hypercalcaemia
secondary to parathyroid carcinoma: response to high-dose denosumab. Eur J
Endocrinol; 171:K1-5.
Adhikaree J, Newby Y, Sundar S. (2014) Denosumab should be the treatment of choice
for bisphosphonate refractory hypercalcaemia of malignancy. BMJ Case Rep; 2014.
Hu MI, Glezerman IG, Leboulleux S, et al. (2014) Denosumab for treatment of
hypercalcemia of malignancy. J Clin Endocrinol Metab; 99:3144-52.
Coleman R, Body JJ, Aapro M, et al. (2014) Bone health in cancer patients: ESMO
Clinical Practice Guidelines. Ann Oncol; 25 Suppl 3:iii124-37.
National Institute for Health and Care Excellence (2014) Prostate cancer; diagnosis and
management (NICE Guideline 175).
Available at: https://www.nice.org.uk/guidance/cg175
National Institute for Health and Care Excellence (2012) Denosumab for the
prevention of skeletal-related events in adults with bone metastases from solid tumours
(NICE guidance TA265)
Available at; https://www.nice.org.uk/guidance/ta265
Fizazi K, Carducci M, Smith M, et al. (2011) Denosumab versus zoledronic acid for
treatment of bone metastases in men with castration-resistant prostate cancer: a
randomised, double-blind study. Lancet; 377:813-22.
O’Carrigan B, Wong MH, Willson ML, Stockler MR, Pavlakis N Goodwin A. (2017)
Bisphosphonates and other bone agents for breast cancer. Cochrane Database Syst Rev
Oct 30;10:CD003474. doi: 10.1002/14651858.CD003474.pub4.
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Stopeck AT, Lipton A, Body JJ, et al. (2010) Denosumab compared with zoledronic
acid for the treatment of bone metastases in patients with advanced breast cancer: a
randomized, double-blind study. J Clin Oncol; 28:5132-9.
Barrett-Lee P, Casbard A, Abraham J et al. (2014) Oral Ibandronic acid versus
intravenous zoledronic acid in treatment of bone metastases from breast cancer: a
randomised, open label, non-inferiority phase 3 trial. Lancet Oncol; 15:114-22.
Van Poznak C, Somerfield MR, Barlow WE, et al. (2017) Role of bone-modifying
agents in metastatic breast cancer: An American Society of Clinical Oncology–Cancer
Care Ontario focused guideline update. J Clin Oncol; 35:3978-86.
Shapiro CL, Moriaty JP, Dusetzina S et al (2017) Cost- effectiveness analysis of
monthly zolendronic acid, zolendronic acid every 3 months, and monthly denosumab in
women with breast cancer and skeletal metasteses: CALGB 70604. J Clin Oncol;
35:3949-55.
Himelstein AL, Foster JC, Khatcheressian JL, et al. (2017) Effect of longer-interval vs
standard dosing of zoledronic acid on skeletal events in patients with bone metastases: a
randomized clinical trial. JAMA; 317:48-58.
Mhaskar R, Kumar A, Miladinovic B, Djulbegovic B. (2017) Bisphosphonates in
multiple myeloma: an updated network meta-analysis. Cochrane Database Syst. Rev
Dec 18;12:CD003188. doi: 10.1002/14651858.CD003188.pub4.
P Hadji, R E. Coleman, C Wilson et al. (2016) Adjuvant bisphosphonates in early
breast cancer: consensus guidance for clinical practice from a European Panel. Ann
Oncol; 27:379-90.
NICE evidence summary (ES15) Published date July 2017. Early breast cancer
(preventing recurrence and improving survival): adjuvant bisphosphonates
Early Breast Cancer Trialists' Collaborative Group (2015) Adjuvant bisphosphonate
treatment in early breast cancer: meta-analyses of individual patient data from
randomised trials. Lancet; 386:1353-61.
Dhesy-Thind S, Fletcher GG, Blanchette PS et al (2017) Use of adjuvant
bisphosphonates and other bone-modifying agents in breast cancer: A Cancer Care
Ontario and American Society of Clinical Oncology Clinical Practice Guideline. J Clin
Oncol; 35:2062-81
MHRA/CHM advice: Denosumab: minimising the risk of osteonecrosis of the jaw;
monitoring for hypocalcaemia—updated recommendations (September 2014) and
Denosumab: osteonecrosis of the jaw—further measures to minimise risk (July 2015)
Page 15
MHRA/CHM advice: Denosumab: reports of osteonecrosis of the external auditory
canal (June 2017)
MHRA/CHM advice: Denosumab (Xgeva®) for giant cell tumour of bone: risk of
clinically significant hypercalcaemia following discontinuation (June 2018)
MHRA/CHM advice: Denosumab (Xgeva®) for advanced malignancies involving
bone: study data show new primary malignancies reported more frequently compared to
zoledronic acid (zoledronate) (June 2018)
VENOUS THROMBOEMBOLISM
Simon Noble
Carrier M, Khorana AA, Zwicker JI, Noble S, Lee AYY Management of challenging
cases of patients with cancer-associated thrombosis including recurrent thrombosis and
bleeding: guidance from the SSC of the ISTH. Journal Thrombosis and Haemostasis
2013 September; 11(9) 1760-65
Lloyd AJ, Dewilde S, Noble S, Reimer E, Lee AYY. What impact does venous
thromboembolism and bleeding have on cancer patients' quality of life? Value Health.
2018 Apr;21(4):449-455. doi: 10.1016
Font C, Garcia-Fernandez T, Nelson A, Prout H, Noble S. Patients' Experiences of
LIving with CANcer associated thrOmbosis in Spain (PELICANOS). Supportive Care
in Cancer 2018. Apr 7. doi: 10.1007/s00520-018-4174-5.
Samuelson Bannow BT, Lee A, Khorana AA, Zwicker JI, Noble S, Ay C, Carrier M.
"Management of cancer-associated thrombosis in patients with thrombocytopenia:
guidance from the SSC of the ISTH" Journal Thrombosis and Haemostasis. 2018 Apr
2. doi: 10.1111/jth.14015
Noble S. Are new anticoagulants a safe and reasonable alternative to low molecular
heparins? Thromb Res. 2018 Apr;164 Suppl 1:S157-S161.
Khorana AA, Noble S, Lee AYY, Soff G, Meyer G, O'Connell C, Carrier M. Role of
direct oral anticoagulants in the treatment of cancer-associated venous
thromboembolism: guidance from the SSC of the ISTH. J Thromb Haemost. 2018 Jun
29. doi: 10.1111/jth.14219
G.E. Raskob, N. van Es, P. Verhamme, M. Carrier, M. Di Nisio, D. Garcia, et al.
Edoxaban for the treatment of cancer-associated venous thromboembolism, N. Engl. J.
Med. (2017),
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Young AM, Marshall A, Thirlwall J, Chapman O, Lokare A, Hill C, Hale D, Dunn JA,
Lyman GH, Hutchinson C, MacCallum P, Kakkar A, Hobbs FDR, Petrou S, Dale J,
Poole CJ, Maraveyas A, Levine M. Comparison of an Oral Factor Xa Inhibitor With
Low Molecular Weight Heparin in Patients With Cancer With Venous
Thromboembolism: Results of a Randomized Trial (SELECT-D). J Clin Oncol. 2018
Jul 10;36(20):2017-2023.
WHAT ELSE IS NEW (SYMPTOMS)
Andrew Davies
Simon ST, Weingartner V, Higginson IJ et al. Definition, categorization, and
terminology of episodic breathlessness: consensus of an international Delphi survey.
Journal of Pain and Symptom Management 2014; 47: 828-38.
Simon ST, Weingartner V, Higginson et al. “I can breathe again!” Patients’ self-
management strategies for episodic breathlessness in advanced disease, derived from
qualitative interviews. Journal of Pain and Symptom Management 2016; 52: 228-34.
Jatoi A, Qin R, Satele D et al. “Enjoy a glass of wine before eating”: a randomized trial
to text the orexigenic effects of this advice in advanced cancer patients. Supportive
Care in Cancer 2016; 24: 3739-46.
Kerr D. Alcohol and palliative care. Palliative Medicine 1992; 6: 185-201.
Twycross RG, Gilhooley RA. Euphoriant elixir. British Medical Journal 1973 4: 552.
TERMINAL SEDATION - THE RIGHTS AND WRONGS!
Craig Gannon
Lomas C, ‘Dying patients denied pain relief because of legal fears’, Nursing Times, 18
May, 2010
Willis D, Gannon C, Harlow T, Idris Baker I, & George R ‘A response to L. Anquinet
et al.’s article on terminal sedation’ Palliative Medicine, 2014; pp. 367-368
Raus K; Sterckx S, ‘How defining clinical practices may influence their evaluation: the
case of continuous sedation at the end of life’ Journal of Evaluation in Clinical Practice,
2016; 22(3):425-32
Royal College of Physicians ‘Prolonged disorders of consciousness: National clinical
guidelines’ London, RCP, 2013
Glannon W. ‘The Value and Disvalue of Consciousness’ Cambridge Quarterly of
Healthcare Ethics, 2016; 25(4):600-12
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Cohen-Almagor & Ely, ‘Euthanasia and palliative sedation in Belgium’, BMJ Support
Palliative Care, 2018; 8(3): 307-313
Bruinsma SM; van der Heide A; van der Lee ML; Vergouwe Y; Rietjens JA. ‘No
Negative Impact of Palliative Sedation on Relatives' Experience of the Dying Phase and
Their Wellbeing after the Patient's Death: An Observational Study’ PLoS ONE, 2016;
11(2):e0149250
Beller EM, van Driel M, McGregor L, Truong S, Mitchell G. Palliative
pharmacological sedation for terminally ill adults. Cochrane Database of Systematic
Reviews 2015, Issue 1. Art. No.: CD010206. DOI: 10.1002/14651858.CD010206.pub2
Agar MR, Lawlor PG, Quinn, S, l Draper B, Caplan GA; Rowett D, Sanderson C,
Hardy J, Le B, Eckermann S, McCaffrey N, Devilee L, Fazekas B, Hill M, & Currow
DC, ‘Efficacy of Oral Risperidone, Haloperidol, or Placebo for Symptoms of Delirium
Among Patients in Palliative Care A Randomized Clinical Trial’ JAMA Intern Med,
2017; 177(1): 34-42
van Deijck RH; Hasselaar JG; Verhagen SC; Vissers KC; Koopmans RT ‘Patient-
Related Determinants of the Administration of Continuous Palliative Sedation in
Hospices and Palliative Care Units: A Prospective, Multicenter, Observational Study’
Journal of Pain & Symptom Management, 2016; 51(5):882-9
Twycross R, ‘Second thoughts about palliative sedation’ Evidence Based Nursing,
2017; 20(2):33-34
Davies J, Willis D & George R ‘The double effect is no doctrine: it’s a reflective tool
part I’ EJPC, 2017; 24 (4): 178-182
Wheeler R, ‘Doctrine of Double Effect’, Bulletin of the Royal College of Surgeons of
England, 2016; 98(5):220-220