Evidence map›Paper›PMID 38628430›Full record

ArticleJournal of pain research2024

Patient-Controlled Subcutaneous Analgesia with Hydromorphone versus Oral Oxycontin for Opioid Titration of Cancer Pain: A Prospective Multicenter Randomized Trial.

Xiaoguang Xiao, Jianhai Sun, Dongsheng Zhang, Linjun Li, Haibo Zhou, Yongjun Li, Quan Li, Zhongshi He, Yang Fu, Qiwen Duan and 4 more

Open access · goldAbstract read
In one paragraph

Article in Journal of pain research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
3.2field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Patient-controlled subcutaneous analgesia with hydromorphone in cancer pain management.Frontiers in pain research (Lausanne, Switzerland) · 2025
    Article
  5. Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 12 institutions in 1 country.

Xiaoguang XiaoDepartment of Oncology, Tongji Hospital of Tongji Medical College of Huazhong University of Science and Technology, Wuhan, Hubei, People's Republic of China.
Jianhai SunDepartment of Oncology, Hubei Zhongshan Hospital, Wuhan, Hubei, People's Republic of China.
Dongsheng ZhangDepartment of Oncology, Suizhou Hospital, Hubei University of Medicine, Suizhou, Hubei, People's Republic of China.
Linjun LiDepartment of Oncology, Hubei Provincial Hospital of Integrated Chinese and Western Medicine, Wuhan, Hubei, People's Republic of China.
Haibo ZhouDepartment of Oncology, Yichang Central People's Hospital, Yichang, Hubei, People's Republic of China.
Yongjun LiDepartment of Oncology, Yichang Second People's Hospital, Yichang, Hubei, People's Republic of China.
Quan LiDepartment of Oncology, Xiangyang Central Hospital, Xiangyang, Hubei, People's Republic of China.
Zhongshi HeDepartment of Oncology, Xiangyang No 1 People's Hospital Affiliated to Hubei University of Medicine, Xiangyang, Hubei, People's Republic of China.
Yang FuDepartment of Oncology, Xiangyang Hospital of Traditional Chinese Medicine, Xiangyang, Hubei, People's Republic of China.
Qiwen DuanDepartment of Oncology, Taihe Hospital, Shiyan, Hubei, People's Republic of China.
Guping ZhengDepartment of Oncology, Xiaogan Central Hospital, Xiaogan, Hubei, People's Republic of China.
Ze TangDepartment of Oncology, Huangshi Central Hospital, Huangshi, Hubei, People's Republic of China.
Qian Chu *Department of Oncology, Tongji Hospital of Tongji Medical College of Huazhong University of Science and Technology, Wuhan, Hubei, People's Republic of China.
Yuan Chen *Department of Oncology, Tongji Hospital of Tongji Medical College of Huazhong University of Science and Technology, Wuhan, Hubei, People's Republic of China.
Hubei University of Medicine · CNHuangshi Central Hospital · CNHuazhong University of Science and Technology · CNHubei Zhongshan Hospital · CNIntegrated Chinese Medicine (China) · CNSecond Hospital of Yichang · CNSuizhou Central Hospital · CNTaihe Hospital · CNThe Central Hospital of Xiao gan · CNXiangyang Central Hospital · CNXiangyang Hospital of Traditional Chinese Medicine · CNYichang Central People's Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Studies have shown that oral oxycontin tablets can be used for opioid titration. The European Society for Medical Oncology (ESMO) guidelines for adult cancer pain recommend opioid titration through the parenteral route, usually the intravenous or subcutaneous route. Patient-controlled subcutaneous analgesia (PCSA) with hydromorphone needs further evaluation for opioid titration. This prospective multicenter study was designed to compare the efficacy and safety of hydromorphone PCSA with oral oxycontin tablets for opioid titration of cancer pain. Patients and Methods: Eligible patients with cancer pain were randomly assigned in a 1:1 ratio to the PCSA group or the oxycontin group for dose titration. Different titration methods were given in both groups depending on whether the patient had an opioid tolerance. The primary endpoint of this study was time to successful titration (TST). Results: A total of 256 patients completed this study. The PCSA group had a significantly lower TST compared with the oxycontin group (median [95% confidence interval (CI)], 5.5[95% CI:2.5-11.5] hours vs.16.0 [95% CI:11.5-22.5] hours; Conclusion: Compared with oral oxycontin tablet, the use of PCSA with hydromorphone achieved a shorter titration duration for patients with cancer pain (

Indexed as

cancer painhydromorphoneopioid titrationoxycontin tabletspatient-controlled subcutaneous analgesia

Identifiers

PMID38628430
PMCPMC11020333
OpenAlexW4394726834

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.