Despite the growing number of options to treat constipation symptoms, many patients with cancer pain suffer the burden of OIC.1,2 Patients are often reluctant to discuss symptoms of constipation, underscoring the need for clinicians to provide ongoing education on the signs and symptoms of OIC as well as the need to monitor bowel patterns at each visit.3,4 A collaborative, team-based approach that utilizes shared decision-making to address patients’ unique preferences regarding OIC treatment is another critical aspect of care.5,6
During this Collaborative Care™ activity, a multidisciplinary panel of expert faculty will review and discuss individualized management plans for OIC in patients with cancer pain. Patient simulation videos will help guide attendees through proper OIC assessment with validated clinical tools, initiation and escalation of appropriate therapies with respect to updated evidence-based guidelines, and effective patient communication strategies for discussing opioid-related bowel issues and available treatment options.
1. Rumman A, Gallinger ZR, Liu LWC. Opioid induced constipation in cancer patients: pathophysiology, diagnosis and treatment. Expert Rev Qual Life Cancer Care. 2016; 1(1):25-35.
2. Gatti A, Sabato AF. Management of opioid-induced constipation in cancer patients: focus on methylnaltrexone. Clin Drug Investig. 2012;32(5):293-301.
3. Coyne KS, LoCasale RJ, Datto CJ, Sexton CC, Yeomans K, Tack J. Opioid-induced constipation in patients with chronic noncancer pain in the USA, Canada, Germany, and the UK: descriptive analysis of baseline patient-reported outcomes and retrospective chart review. Clinicoecon Outcomes Res. 2014;6:269-281.
4. Coyne KS, Margolis MK, Yeomans K, et al. Opioid-induced constipation among patients with chronic noncancer pain in the United States, Canada, Germany, and the United Kingdom: laxative use, response, and symptom burden over time. Pain Med. 2015;16(8):1551-1565.
5. Murray E, Charles C, Gafni A. Shared decision-making in primary care: tailoring the Charles et al. model to fit the context of general practice. Patient Educ Couns. 2006;62(2):205-211.
6. Joosten EA, DeFuentes-Merillas L, de Weert GH, Sensky T, van der Staak CP, de Jong CA. Systematic review of the effects of shared decision-making on patient satisfaction, treatment adherence and health status. Psychother Psychosom. 2008;77(4):219-226.