High-dose epidural infusion of opioids for cancer pain: cost issues.


Journal Article

The safety and efficacy of intraspinal opioids as therapy for selected patients with cancer pain are well-established. The choice of the appropriate drug is influenced by many variables that are to date incompletely elucidated. The cost of therapy is an increasingly important component of decision-making. This report describes the management of a patient who achieved excellent pain control with the administration of epidural sufentanil and bupivacaine. Daily Average Wholesale Price for sufentanil was, however, $698. Until the data comparing the efficacy of different epidurally administered opioids in the treatment of cancer pain are available, we suggest that treatment with more costly opioids be reserved for patients for whom analgesia cannot be achieved after maximizing epidural morphine analgesia with aggressive side-effect management.

Full Text

Cited Authors

  • Manfredi, PL; Chandler, SW; Patt, R; Payne, R

Published Date

  • February 1997

Published In

Volume / Issue

  • 13 / 2

Start / End Page

  • 118 - 121

PubMed ID

  • 9095570

Pubmed Central ID

  • 9095570

International Standard Serial Number (ISSN)

  • 0885-3924

Digital Object Identifier (DOI)

  • 10.1016/s0885-3924(96)00266-7


  • eng

Conference Location

  • United States