Evidence-based clinical practice guidelines on the management of pain in older people: executive summary

Abstract

The British Pain Society and British Geriatric Society have collaborated to produce comprehensive pain management guidelines based on an extensive systematic review of the available literature by a professional multidisciplinary group. This guidance reviews the epidemiology and management of pain in older people with the aim of providing best practice recommendations for the management of pain by all health professionals working with older adults in any care setting and emphasises the importance of a multimodal approach in the management of pain in older people. Assessment of pain in older people has not been covered within this guidance but can be found in a separate document (http://britishpainsociety.org/book_pain_ older_people.pdf). Methodology (abridged)PubMed and CINAHL were searched for relevant publications between 1997 and 2010. AMED, PsycInfo and Scopus were also used to refine some of the searches. Only English-language studies were included. A detailed summary of the search criteria is provided in the full document. Approximately 5000 records were identified in the initial search. The abstract for each paper was reviewed by two members of the group and identified full papers were retrieved. A quality score was assigned to each paper and reviewed independently by another member of the group. All papers considered to be acceptable were incorporated into matrices and included in the commentary within the sections. Prevalence of painMarked differences in the population, methods and definitions used in published research make it impossible to determine the definitive prevalence of pain in older people; however, the prevalence of pain in older people living in residential care is consistently higher than in older people living in the community. Pain is

One-year evaluation of epiduroscopy in chronic back pain with and without radiculopathy: a retrospective study

“…This can be attributed to decreased physical activities and increase in spinal canal stenosis in elder patients. Both patients with FBSS and disc herniation improved in pain scores after epiduroscopy [9,10,12,[19][20][21]. Interestingly, in our study sample, although both groups of patients improved, FBSS patients achieved significantly higher rates of 50% or more reduction in VAS score (65%) compared to patients with disc prolapse (45.1%).…”

An Ecological Monitoring and Management App (EMMA) for Older Adults With Chronic Pain: Protocol for a Design and Feasibility Study

“…Psychoeducation is an essential part of pain management for older people [ 6 ]. Therefore, we will include psychoeducational information in short, easy-to-understand explanatory videos with a maximum duration of 120 seconds.…”

“…The global burden of chronic pain is projected to increase as prevalence rates for pain increase as the global population continues to age. Older patients are the most likely of all age groups to receive inadequate pain treatment [ 6 ]. Internationally, there has been increasing recognition of the importance of developing nonpharmacological interventions for older adults with chronic pain [ 7 ].…”

Revealing brain mechanisms of mTOR-mediated translational regulation: Implications for chronic pain

“…Interest has grown regarding the assessment and management of pain in AD (Gagliese, 2009) and it has been estimated that 50–93% of AD patients suffer from a pain condition (Abdulla et al, 2013, Corbett et al, 2014, van Kooten et al, 2015, Whitlock et al, 2017). Neurodegenerative changes – often observed in AD – have been shown to occur in brain regions associated with pain processing including the locus coeruleus, hypothalamus, periaqueductal grey, anterior cingulate cortex, insula and amygdala (Cole et al, 2006, Scherder et al, 2003, Stubbs et al, 2016, Zarow et al, 2003).…”