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A systematic review of the use of opioids in the management of dyspnoea

Thorax · 2002 · Vol. 57(11) · pp. 939–944
A-L Jennings

Abstract

This review supports the continued use of oral and parenteral opioids to treat dyspnoea in patients with advanced disease. There are insufficient data from the meta-analysis to conclude whether nebulised opioids are effective, but the results from included studies that did not contribute to the meta-analysis suggest that they are no better than nebulised normal saline.

Chronic Obstructive Pulmonary Disease (COPD) ResearchRespiratory Support and MechanismsObstructive Sleep Apnea ResearchMedicineMeta-analysisCOPDPlaceboSubgroup analysisSystematic reviewMeta-regressionIntensive care medicineMEDLINEInternal medicine

MeSH terms

Administration, OralDouble-Blind MethodDyspneaHumansInfusions, ParenteralNarcoticsRegression AnalysisRandomized Controlled Trials as TopicPulmonary Disease, Chronic Obstructive

Funding

  • Imperial College London
  • Medical Research Council
Citations
638
FWCI
11.44
field-weighted impact
References
34
Percentile
99%
vs. same field & year
Citations per year
References
A random‐effects regression model for meta‐analysis
Statistics in Medicine · 1995 · 905 citations
Meta-analyses involving cross-over trials: methodological issues
International Journal of Epidemiology · 2002 · 2,281 citations
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A systematic review of the use of opioids in the management of dyspnoea · Scinovex