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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...

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Autores principales: 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
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2018
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.
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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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