Pain Associated with Osteo‐Arthritis

Scott, David

doi:10.1002/9781444314380.ch9

Cited by 1 publication

(1 citation statement)

References 23 publications

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“…Studies that consider the treatment given in a primary care setting are a particularly priority since much of the last year of life is lived in the community, either at home or within a care home [2,35]. Pharmacological and non-pharmacological treatments that are known to be efficacious in the short term like intra-articular injections and topical NSAIDs [44] may be worth re-examining as short acting analgesic measures are frequently valuable at the end of life. Case series that rigorously and systematically describe the effect of treatment on a consecutive series of patients with musculoskeletal pain at the end of life should be instigated.…”

Section: Priorities For Future Researchmentioning

confidence: 99%

Musculoskeletal pain in older adults at the end-of-life: a systematic search and critical review of the literature with priorities for future research

et al. 2013

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BackgroundPain is an important issue in end of life care. Although musculoskeletal pain is common in older adults, it is rarely associated with the cause of death and may be overlooked as death approaches. Hence a major target for improving quality of life may be being missed.MethodsThe aim of this study was to systematically search and critically review the literature on musculoskeletal pain at the end of life. Amed, Cinahl, Internurse, Medline, Psych Info, Web of Knowledge and Cochrane review databases were searched for relevant research up to September 2012. The search strategy combined key words expanding the terms ‘palliative’ for population, ‘musculoskeletal’ for exposure, and ‘pain’ for outcome. Predefined inclusion and exclusion criteria were applied.ResultsFive relevant papers and one letter to the editor were found, including case studies and epidemiological research. Current evidence suggests musculoskeletal pain is common in older adults at the end of life and that it can have a substantial impact on individual experience. No information about community based treatment of musculoskeletal pain at the end of life was found.ConclusionPriorities for future research include high quality epidemiological studies to establish the prevalence, natural history, impact, assessment, patient priorities and outcomes associated with musculoskeletal pain in the end of life period, and intervention research that provides an evidence base for treatment.

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Section: Priorities For Future Researchmentioning

confidence: 99%