Evidence map›Paper›PMID 40027980›Full record

ArticleIndian journal of palliative care

Opioid Accessibility for Palliative Care in Nepal: A Review of Achievement and Remaining Challenges.

Rajeev Shrestha, Sunil Shrestha, Shakti Shrestha, Amrita Shrestha, Bishnu Dutta Paudel, Daniel Munday

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Indian journal of palliative care. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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

6 authors.

Rajeev ShresthaDepartment of Palliative Care and Chronic Disease, INF Nepal Green Pastures Hospital and Rehabilitation Centre, Pokhara, Nepal.ORCID https://orcid.org/0000-0003-1822-3969
Sunil ShresthaDepartment of Research and Academics, Kathmandu Cancer Center, Tathali, Nala Road, Bhaktapur, Province Bagmati, Nepal.ORCID https://orcid.org/0000-0002-9174-7120
Shakti ShresthaSchool of Pharmacy and Pharmaceutical Sciences, Dutton Park Campus, The University of Queensland, Brisbane, Australia.ORCID https://orcid.org/0000-0003-0344-091X
Amrita ShresthaDepartment of Palliative Care and Chronic Disease, INF Nepal Green Pastures Hospital and Rehabilitation Centre, Pokhara, Nepal.
Bishnu Dutta PaudelDepartment of Oncology, Kist Medical College and Teaching Hospital, Imadol, Nepal.
Daniel MundayDepartment of Palliative Care and Chronic Disease, INF Nepal Green Pastures Hospital and Rehabilitation Centre, Pokhara, Nepal.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study aimed to explore current opioid availability and accessibility for palliative care (PC) practice in Nepal. A narrative review was conducted by performing literature searches in electronic databases, grey literature, policy documents, and pharmaceutical websites. This was supplemented by utilising the authors' expertise and experience in this field. Six different opioids are available in Nepal, including oral immediate and modified-release morphine formulations. Morphine is produced and distributed by only one manufacturer, which imports all raw materials from Europe. Access to morphine in rural areas is poor, with rural-level healthcare centres rarely stocking morphine, particularly in PC formulations. Fentanyl transdermal (TD) patch and methadone syrup are available in Nepal but are imported. The Fentanyl TD patch is extremely expensive, and methadone syrup is only available for the management of addiction. While opioid availability has increased in Nepal, there is a need to improve opioid accessibility for PC services, particularly in rural areas. Several approaches are explored in this review.

Indexed as

MorphineNepalOpioidsPalliative care

Identifiers

PMID40027980
PMCPMC11866692

What OpenQuestion holds

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LicenceCC BY-NC-SA
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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.