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Prevalence of pain and its associated factors among the oldest-olds in different care settings – results of the AgeQualiDe study
BACKGROUND: The prevalence of pain is very common in the oldest age group. Managing pain successfully is a key topic in primary care, especially within the ageing population. Different care settings might have an impact on the prevalence of pain and everyday life. METHODS: Participants from the Germ...
Autores principales: | , , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5994256/ https://www.ncbi.nlm.nih.gov/pubmed/29885656 http://dx.doi.org/10.1186/s12875-018-0768-8 |
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author | Mallon, Tina Ernst, Annette Brettschneider, Christian König, Hans-Helmut Luck, Tobias Röhr, Susanne Weyerer, Siegfried Werle, Jochen Mösch, Edelgard Weeg, Dagmar Fuchs, Angela Pentzek, Michael Kleineidam, Luca Heser, Kathrin Riedel-Heller, Steffi Maier, Wolfgang Wiese, Birgitt Scherer, Martin |
author_facet | Mallon, Tina Ernst, Annette Brettschneider, Christian König, Hans-Helmut Luck, Tobias Röhr, Susanne Weyerer, Siegfried Werle, Jochen Mösch, Edelgard Weeg, Dagmar Fuchs, Angela Pentzek, Michael Kleineidam, Luca Heser, Kathrin Riedel-Heller, Steffi Maier, Wolfgang Wiese, Birgitt Scherer, Martin |
author_sort | Mallon, Tina |
collection | PubMed |
description | BACKGROUND: The prevalence of pain is very common in the oldest age group. Managing pain successfully is a key topic in primary care, especially within the ageing population. Different care settings might have an impact on the prevalence of pain and everyday life. METHODS: Participants from the German longitudinal cohort study on Needs, Health Service Use, Costs and Health-related Quality of Life in a large Sample of Oldest-old Primary Care Patients (85+) (AgeQualiDe) were asked to rate their severity of pain as well as the impairment with daily activities. Besides gender, age, education, BMI and use of analgesics we focused on the current housing situation and on cognitive state. Associations of the dependent measures were tested using four ordinal logistic regression models. Model 1 and 4 consisted of the overall sample, model 2 and 3 were divided according to no cognitive impairment (NCI) and mild cognitive impairment (MCI). RESULTS: Results show a decline in pain at very old age but nonetheless a high prevalence among the 85+ year olds. Sixty-three per cent of the participants report mild to severe pain and 69% of the participants mild to extreme impairment due to pain with daily activities. Use of analgesics, depression and living at home with care support are significantly associated with higher and male gender with lower pain ratings. CONCLUSIONS: Sufficient pain management among the oldest age group is inevitable. Outpatient care settings are at risk of overlooking pain. Therefore focus should be set on pain management in these settings. |
format | Online Article Text |
id | pubmed-5994256 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-59942562018-06-21 Prevalence of pain and its associated factors among the oldest-olds in different care settings – results of the AgeQualiDe study Mallon, Tina Ernst, Annette Brettschneider, Christian König, Hans-Helmut Luck, Tobias Röhr, Susanne Weyerer, Siegfried Werle, Jochen Mösch, Edelgard Weeg, Dagmar Fuchs, Angela Pentzek, Michael Kleineidam, Luca Heser, Kathrin Riedel-Heller, Steffi Maier, Wolfgang Wiese, Birgitt Scherer, Martin BMC Fam Pract Research Article BACKGROUND: The prevalence of pain is very common in the oldest age group. Managing pain successfully is a key topic in primary care, especially within the ageing population. Different care settings might have an impact on the prevalence of pain and everyday life. METHODS: Participants from the German longitudinal cohort study on Needs, Health Service Use, Costs and Health-related Quality of Life in a large Sample of Oldest-old Primary Care Patients (85+) (AgeQualiDe) were asked to rate their severity of pain as well as the impairment with daily activities. Besides gender, age, education, BMI and use of analgesics we focused on the current housing situation and on cognitive state. Associations of the dependent measures were tested using four ordinal logistic regression models. Model 1 and 4 consisted of the overall sample, model 2 and 3 were divided according to no cognitive impairment (NCI) and mild cognitive impairment (MCI). RESULTS: Results show a decline in pain at very old age but nonetheless a high prevalence among the 85+ year olds. Sixty-three per cent of the participants report mild to severe pain and 69% of the participants mild to extreme impairment due to pain with daily activities. Use of analgesics, depression and living at home with care support are significantly associated with higher and male gender with lower pain ratings. CONCLUSIONS: Sufficient pain management among the oldest age group is inevitable. Outpatient care settings are at risk of overlooking pain. Therefore focus should be set on pain management in these settings. BioMed Central 2018-06-09 /pmc/articles/PMC5994256/ /pubmed/29885656 http://dx.doi.org/10.1186/s12875-018-0768-8 Text en © The Author(s). 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Mallon, Tina Ernst, Annette Brettschneider, Christian König, Hans-Helmut Luck, Tobias Röhr, Susanne Weyerer, Siegfried Werle, Jochen Mösch, Edelgard Weeg, Dagmar Fuchs, Angela Pentzek, Michael Kleineidam, Luca Heser, Kathrin Riedel-Heller, Steffi Maier, Wolfgang Wiese, Birgitt Scherer, Martin Prevalence of pain and its associated factors among the oldest-olds in different care settings – results of the AgeQualiDe study |
title | Prevalence of pain and its associated factors among the oldest-olds in different care settings – results of the AgeQualiDe study |
title_full | Prevalence of pain and its associated factors among the oldest-olds in different care settings – results of the AgeQualiDe study |
title_fullStr | Prevalence of pain and its associated factors among the oldest-olds in different care settings – results of the AgeQualiDe study |
title_full_unstemmed | Prevalence of pain and its associated factors among the oldest-olds in different care settings – results of the AgeQualiDe study |
title_short | Prevalence of pain and its associated factors among the oldest-olds in different care settings – results of the AgeQualiDe study |
title_sort | prevalence of pain and its associated factors among the oldest-olds in different care settings – results of the agequalide study |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5994256/ https://www.ncbi.nlm.nih.gov/pubmed/29885656 http://dx.doi.org/10.1186/s12875-018-0768-8 |
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