{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,12]],"date-time":"2025-11-12T20:48:16Z","timestamp":1762980496648},"reference-count":15,"publisher":"FapUNIFESP (SciELO)","issue":"11","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Assoc. Med. Bras."],"published-print":{"date-parts":[[2017,11]]},"abstract":"<jats:p>Summary  Objective: The authors performed an economic assessment of opioids currently being used for control of postoperative pain relating to the surgical treatment of cancer (fentanyl and sufentanil) within the Brazilian Unified Health System (SUS, in the Portuguese acronym).  Method: The assessment was based on the perspective of the government, in order to collaborate with the promotion of effectiveness in public policies of health, and to optimize the allocation of public resources into health. A cost-effectiveness analysis was performed using data collected from the Brazilian Unified Health System and information from literature review, in order to build a decision tree on the alternatives for control of postoperative pain related to cancer treatment among adult patients. The outcomes considered were: effectiveness of postoperative analgesia and occurrence of nausea and vomit in the 48 hour period after surgery, and additional 24-hour cycles in patient follow-up. A univariate sensitivity analysis was conducted in order to verify robustness of the model estimated.  Results: Literature review showed a limited number of studies directly comparing fentanyl and sufentanil for control of postoperative pain. The adoption of sufentanil (cost = U$ 25.72 \/ outcome = 1.6 VAS points) was dominant in relation to the use of fentanyl (cost = U$ 32.58 \/ outcome = 2.6 VAS points). The estimated model showed robustness in relation to changes in the parameters analyzed.  Conclusion: Sufentanil presented higher cost-effectiveness ratio in relation to fentanyl for control of postoperative pain in surgeries related to cancer treatment among adult patients in the Brazilian Unified Health System.<\/jats:p>","DOI":"10.1590\/1806-9282.63.11.962","type":"journal-article","created":{"date-parts":[[2018,2,20]],"date-time":"2018-02-20T14:09:36Z","timestamp":1519135776000},"page":"962-970","source":"Crossref","is-referenced-by-count":3,"title":["Economic assessment of postoperative pain control strategies for treatment of adult patients with cancer"],"prefix":"10.1590","volume":"63","author":[{"given":"Rafael Freitas dos","family":"Santos","sequence":"first","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fernando","family":"Bliacheriene","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Flavia Mori","family":"Sarti","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","reference":[{"issue":"4","key":"ref1","doi-asserted-by":"crossref","first-page":"374","DOI":"10.1007\/s11096-006-9083-x","article-title":"Cost analysis applied to postoperative analgesia regimens a comparison between parecoxib and propacetamol","volume":"29","author":"Tilleul P","year":"2007","journal-title":"Pharm World Sci"},{"issue":"8","key":"ref2","doi-asserted-by":"crossref","first-page":"1118","DOI":"10.1016\/j.clinthera.2013.06.004","article-title":"A cost-effectiveness analysis of parecoxib in the management of postoperative pain in the Greek health care setting","volume":"35","author":"Athanasakis K","year":"2013","journal-title":"Clin 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analgesia","volume":"31","author":"Kim HS","year":"2008","journal-title":"Cardiovasc Intervent Radiol"},{"issue":"2","key":"ref10","doi-asserted-by":"crossref","first-page":"93","DOI":"10.5468\/OGS.2013.56.2.93","article-title":"The ON-Q pain management system in elective gynecology oncologic surgery Management of postoperative surgical site pain compared to intravenous patient-controlled analgesia","volume":"56","author":"Chung D","year":"2013","journal-title":"Obstet Gynecol Sci"},{"key":"ref11","series-title":"Classifica\u00e7\u00e3o brasileira hierarquizada de procedimentos m\u00e9dicos","year":"2014"},{"key":"ref12","series-title":"Guia de protocolos e medicamentos para tratamento em oncologia e hematologia","first-page":"501","author":"Cendoroglo Neto M","year":"2013"},{"key":"ref13","series-title":"Pre\u00e7os m\u00e1ximos de medicamentos por princ\u00edpio ativo, para compras p\u00fablicas pre\u00e7o f\u00e1brica (PF) e pre\u00e7o m\u00e1ximo de venda ao governo 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