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Cited by 239Pain Management and Opioid UsePharmaceutical Practices and Patient OutcomesGeriatric Care and Nursing Homes

The DOI matches its Crossref record; 34 of the 34 references it cites were found in a registry or an index.

Persistent Nonmalignant Pain and Analgesic Prescribing Patterns in Elderly Nursing Home Residents: (See editorial comments by Dr. Debra Weiner on pp 1020–1022)

Open access
Won, Aida B., Lapane, Kate L., Vallow, Sue, Schein, Jeff, Morris, John N., Lipsitz, Lewis A.·2004·Journal of the American Geriatrics Society
DOI 10.1111/j.1532-5415.2004.52251.x
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Abstract

OBJECTIVES: To determine the prevalence of analgesics used, their prescribing patterns, and associations with particular diagnoses and medications in patients with persistent pain. DESIGN: Cross-sectional study. SETTING: Nursing homes from 10 U.S. states. PARTICIPANTS: A total of 21,380 nursing home residents aged 65 and older with persistent pain. MEASUREMENTS: Minimum Data Set (MDS) assessments on pain, analgesics, cognitive, functional, and emotional status were summarized. Logistic regression models identified diagnoses associated with different analgesic classes. RESULTS: Persistent pain as determined using the MDS was identified in 49% of residents with an average age of 83; 83% were female. Persistent pain was prevalent in patients with a history of fractures (62.9%) or surgery (63.6%) in the past 6 months. One-quarter received no analgesics. The most common analgesics were acetaminophen (37.2%), propoxyphene (18.2%), hydrocodone (6.8%), and tramadol (5.4%). Only 46.9% of all analgesics were given as standing doses. Acetaminophen was usually prescribed as needed (65.6%), at doses less than 1,300 mg per day. Nonsteroidal antiinflammatory drugs (NSAIDs) were prescribed as a standing dose more than 70% of the time, and one-third of NSAIDs were prescribed at high doses. CONCLUSION: In nursing home residents, persistent pain is highly prevalent, there is suboptimal compliance with geriatric prescribing recommendations, and acute pain may be an important contributing source of persistent pain. More effective provider education and research is needed to determine whether treatment of acute pain could prevent persistent pain.

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Crossref · 10.1111/j.1532-5415.2004.52251.x

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  • Chronic pain occurs in up to 50% of community dwelling older adults.

    “While chronic pain occurs at up to 50% of community dwelling older adults [13].”

    From Preliminary Study on the Effectiveness of Short Group Cognitive Behavioral Therapy (GCBT) on Indonesian Older Adults (2013) · cites this paper as [13]

    The Prevalence of Pain section reports persistent pain in 48.5% of residents, close to the claimed 50%. But the Study Sample section identifies them as nursing home residents, not community-dwelling older adults; the paper does not establish that prevalence for the population in the claim. Page numbers were not available in our copy. (LLM, conf=0.90)

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Citations

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Research works printed but not linked: 10

  1. Bernabei R, 1999, Characteristics of the SAGE database, A new resource for research on outcomes in long-term care. Design and population characteristics of the SAGE database, 54, M25
  2. Morris J, 1991, Resident Assessment Instrument Training Manual and Resource Guide
  3. Donner B, 1996, Direct conversion from oral morphine to transdermal fentanyl, A multicenter study in patients with cancer pain, 64, 527
  4. Hartmaier SL, 1995, Validation of the Minimum Data Set Cognitive Performance Scale, Agreement with the Mini-Mental State Examination, 50, M128
  5. Morris JN, 1997, ADL assessment measures for use with frail elders, J Ment Health Aging, 3, 19
  6. Minimum Data Set Plus Reference Manual. Natick MA: Eliot Press 1991.
  7. Won A, 2002, Do prescribing patterns explain individual differences in the course of pain following fall or fracture?, Gerontologist, 42, 269
  8. O'Neill WM, 2000, The cognitive and psychomotor effects of morphine in healthy subjects, A randomized controlled trial of repeated (four) oral doses of dextropropoxyphene, morphine, lorazepam and placebo, 85, 209
  9. Shorr RI, 1992, Opioid analgesics and the risk of hip fracture in the elderly, Codeine and propoxyphene, 47, M111
  10. Scheman AJ, 2003, Cognitive effects of opioid and benzodiazepine weaning, Clin J Pain, 4, 66

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Metadata

Authors
Won, A. B., Lapane, K. L., Vallow, S., Schein, J., Morris, J. N., & Lipsitz, L. A.
Affiliations
Beth Israel Deaconess Medical Center (US)
Corresponding author
Won, Aida B.
ORCID
Venue
Journal of the American Geriatrics Society
Publisher
Wiley
Published
2004-05-24
Volume
52
Issue
6
Pages
867-874
ISSN
  • 0002-8614 (ISSN-L)
  • 1532-5415
DOI
10.1111/j.1532-5415.2004.52251.x
OpenAlex
W1482248852
Cited by
239
References
34
Citations by year
2025: 1 · 2024: 3 · 2023: 7 · 2022: 4 · 2021: 12 · 2020: 10 · 2019: 7 · 2018: 12 · 2017: 14 · 2016: 9 · 2015: 17 · 2014: 14 · 2013: 10 · 2012: 17
FWCI
16.22
Type
journal article
Language
en
Open access
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations
  • Journal of the American Geriatrics Society (publishedVersion)
  • PubMed (publishedVersion)
Funders
National Institute on Aging (AG-08812, P01AG004390, AG 04390)
Topics
  • Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Opioid Use
  • Health Sciences › Medicine › Geriatrics and Gerontology › Pharmaceutical Practices and Patient Outcomes
  • Health Sciences › Medicine › Geriatrics and Gerontology › Geriatric Care and Nursing Homes
Keywords
analgesic prescribing, nursing home residents, older adults, paracetamol, nonsteroidal anti-inflammatory drugs, propoxyphene, hydrocodone, tramadol, fracture history, acute pain, pain prevalence
MeSH terms
Activities of Daily Living, Affect, Aged, Aged, 80 and over, Analgesics, Analgesics, Opioid, Anti-Inflammatory Agents, Non-Steroidal, Cognition, Drug Utilization, Female, Homes for the Aged, Humans, Interpersonal Relations, Male, Nursing Homes, Pain, Pain Measurement, Drug Prescriptions, Quality of Life, United States

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