Morphine or oxycodone for cancer-related pain? A randomized, open-label, controlled trial.

Context: There is wide interindividual variation in response to morphine for cancer-related pain; 30% of patients do not have a good therapeutic outcome. Alternative opioids such as oxycodone are increasingly being used, and opioid switching has become common clinical practice.

Objectives: To compare clinical response to oral morphine vs.

Coordinate My Care: a clinical service that coordinates care, giving patients choice and improving quality of life.

Introduction: If palliative care is to lead the way towards a new model for integrated care, the ability to share information across the whole of health and social care is essential. Coordinate My Care (CMC) is a service dedicated to preserving dignity and autonomy at the end of life. Its care pathways enable health professionals from primary and secondary care to put the patient at the centre of health care delivery.