Balancing Pain and Analgesic Treatment in the Home-Dwelling Elderly

Hartikainen, Sirpa; Mäntyselkä, Pekka; Louhivuori-Laako, Kirsti; Sulkava, Raimo

doi:10.1345/aph.1e272

Cited by 32 publications

(27 citation statements)

References 23 publications

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“…In addition, a relatively high proportion of persons with persistent chronic pain did not use any analgesic drug, which is in agreement with previous studies. [20][21][22] As far as we are aware, this is the first populationbased longitudinal documentation of noncancer-related chronic musculoskeletal pain in a community-dwelling older population with such a long follow-up time. An important strength of our study was that the data were collected annually from the same population.…”

Section: Discussionmentioning

confidence: 90%

“…17,18 Although older individuals have the highest prevalence of prescription analgesic use, 19 previous studies have suggested that nonetheless pain is inadequately treated, that is, 15% to 20% of older people reporting daily pain do not take any analgesic drugs. [20][21][22] Considering the individual suffering and costs for society, it is important to allocate thorough research to the course of persistent pain and factors related to it. Furthermore, research focusing on the older age group should have high priority, because of the growth of the older population worldwide.…”

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confidence: 99%

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Persistence of Noncancer-related Musculoskeletal Chronic Pain Among Community-dwelling Older People

Karttunen

Turunen²,

Ahonen³

et al. 2015

The Clinical Journal of Pain

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Section: Discussionmentioning

confidence: 90%

mentioning

confidence: 99%

Persistence of Noncancer-related Musculoskeletal Chronic Pain Among Community-dwelling Older People

Karttunen

Turunen²,

Ahonen³

et al. 2015

The Clinical Journal of Pain

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“…A study in Finland reported that 70.0% of the elderly community aged over 75 years made use of one or more anti-inflammatory or analgesic. 23 Pokela et al 14 also studied a population of Finnish elderly persons and reported that 45.4% used antiinflammatory drugs and analgesics. Another study in Switzerland reported that 22.0% of elderly participants used anti-inflammatories and analgesics 24 while a study of Brazilian elderly persons in Curitiba, Paraná, found that 37.0% of the study population used these drugs.…”

Section: Discussionmentioning

confidence: 99%

Uso de anti-inflamatórios e analgésicos por uma população de idosos atendida na Estratégia Saúde da Família

Ely

Engroff

Guiselli

et al. 2015

Rev. bras. geriatr. gerontol.

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The aim of this study was to analyze the prevalence of the use of anti-inflammatory and analgesic drugs among elderly persons from the Family Health Program in Porto Alegre, Rio Grande do Sul, and investigate associated factors such as sociodemographic and health data; continuous or as needed use of drug, drug used subject to medical prescription or self-medicated. Data collection occurred between March 2011 and December 2012. Community health workers applied a questionnaire relating to sociodemographic and health data and medication use. Non-steroidal antiinflammatory drugs, glucocorticoids, non-opioid analgesics and opioids were evaluated. A total of 758 elderly persons were included and anti-inflammatory and analgesic drugs were used by 28.8% of the population. Acetaminophen and ibuprofen were the most frequently used drugs. Regarding self-perception of health, the worse the perception of health, the greater was the use of therapy ( p<0.001). Liver disease and osteoarthritis/ arthritis/rheumatism were found to be associated with anti-inflammatory and analgesic use ( p<0.001). The prevalence of anti-inflammatory and analgesic use was considered moderate when compared to previous studies (28.8%). In addition, most of the elderly persons used the drugs when only needed, most probably due to feeling minor to moderate pain or because they had suffered the adverse effects of these medications in the past and so chose to use them sporadically.

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“…Chronic pain impairs activities of daily living and mobility, and may predict the progression of disability in home-dwelling older persons [3]. Chronic pain can be classified according to its pathophysiology into nociceptive pain, neuropathic pain, and pain without a known somatic background [4].…”

Section: Introductionmentioning

confidence: 99%

A one-year follow-up study of chronic pain in community-dwelling older adults with and without neuropathic pain

2017

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BackgroundChronic, mostly musculoskeletal pain is common among older adults. Little is known about the prognosis of chronic pain and the neuropathic pain qualities in older adults. We studied a cohort of community-dwelling older adults, clinically assessed their pain states, classified their type of pain (nociceptive, neuropathic or combined) and followed them up for a year.MethodsAt baseline, a geriatrician clinically examined all study patients and classified their type of pain in collaboration with a pain specialist. Pain, quality of life and mental health were measured by questionnaires (BPI, GDS-15, BAI and SF-36) and reassessed after 1 year.ResultsDespite chronic pain, all patients from the baseline cohort continued to live independently at 1 year. A total of 92 of 106 (87%) patients returned the follow-up questionnaire. Nociceptive pain on its own was present in 48 patients, whereas 44 patients also had neuropathic pain. Most patients (96%) had several pain states at baseline, and 13 patients reported a new pain state at follow-up. On average, there were no significant changes in the pain intensity, pain interference, mood or quality of life in either group between baseline and follow-up. Changes in pain were observed at the individual level, and both intensity and interference of pain at the follow-up had a negative correlation with the baseline value.ConclusionsOn average, chronic pain was persistent in our patients, but they were able to live independently despite their pain. At the individual level, both relief and exacerbation of pain were observed, supporting the notion that pain is not inevitable and unremitting among older adults.

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Balancing Pain and Analgesic Treatment in the Home-Dwelling Elderly

Abstract: Although analgesics are commonly used by elderly patients, it appeared that many patients were still experiencing daily interfering pain and pain at rest.

Cited by 32 publications

References 23 publications

Persistence of Noncancer-related Musculoskeletal Chronic Pain Among Community-dwelling Older People

Persistence of Noncancer-related Musculoskeletal Chronic Pain Among Community-dwelling Older People

Uso de anti-inflamatórios e analgésicos por uma população de idosos atendida na Estratégia Saúde da Família

A one-year follow-up study of chronic pain in community-dwelling older adults with and without neuropathic pain

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