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Pain and Pain Medication among Older People with Intellectual Disabilities in Comparison with the General Population

Little is known about pain and pain treatment among people with intellectual disabilities (IDs). We aimed to describe pain and pain medications among older people with ID compared to the general population. Data on diagnoses and prescriptions were collected from national registers for the period bet...

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Autores principales: Axmon, Anna, Ahlström, Gerd, Westergren, Hans
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6023323/
https://www.ncbi.nlm.nih.gov/pubmed/29914061
http://dx.doi.org/10.3390/healthcare6020067
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author Axmon, Anna
Ahlström, Gerd
Westergren, Hans
author_facet Axmon, Anna
Ahlström, Gerd
Westergren, Hans
author_sort Axmon, Anna
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description Little is known about pain and pain treatment among people with intellectual disabilities (IDs). We aimed to describe pain and pain medications among older people with ID compared to the general population. Data on diagnoses and prescriptions were collected from national registers for the period between 2006 and 2012 for 7936 people with an ID and a referent cohort from the general population. IDs were associated with a decreased risk of being diagnosed with headaches, musculoskeletal pain, and pain related to the circulatory and respiratory systems, but they were associated with increased risk of being diagnosed with pain related to the urinary system. Among men, IDs were associated with an increased risk of being diagnosed with visceral pain. People with IDs were more likely to be prescribed paracetamol and fentanyl regardless of the type of pain but were less likely to be prescribed COX(1+2) and COX2 inhibitors and weak opioids. Healthcare staff and caregivers must be made aware of signs of pain among people with IDs who may not be able to communicate it themselves. Further research is needed to investigate whether people with IDs are prescribed paracetamol rather than other pain drugs due to physicians trying to avoid polypharmacy or if there are other reasons not to prescribe a greater range of pain treatments.
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spelling pubmed-60233232018-07-03 Pain and Pain Medication among Older People with Intellectual Disabilities in Comparison with the General Population Axmon, Anna Ahlström, Gerd Westergren, Hans Healthcare (Basel) Article Little is known about pain and pain treatment among people with intellectual disabilities (IDs). We aimed to describe pain and pain medications among older people with ID compared to the general population. Data on diagnoses and prescriptions were collected from national registers for the period between 2006 and 2012 for 7936 people with an ID and a referent cohort from the general population. IDs were associated with a decreased risk of being diagnosed with headaches, musculoskeletal pain, and pain related to the circulatory and respiratory systems, but they were associated with increased risk of being diagnosed with pain related to the urinary system. Among men, IDs were associated with an increased risk of being diagnosed with visceral pain. People with IDs were more likely to be prescribed paracetamol and fentanyl regardless of the type of pain but were less likely to be prescribed COX(1+2) and COX2 inhibitors and weak opioids. Healthcare staff and caregivers must be made aware of signs of pain among people with IDs who may not be able to communicate it themselves. Further research is needed to investigate whether people with IDs are prescribed paracetamol rather than other pain drugs due to physicians trying to avoid polypharmacy or if there are other reasons not to prescribe a greater range of pain treatments. MDPI 2018-06-15 /pmc/articles/PMC6023323/ /pubmed/29914061 http://dx.doi.org/10.3390/healthcare6020067 Text en © 2018 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Axmon, Anna
Ahlström, Gerd
Westergren, Hans
Pain and Pain Medication among Older People with Intellectual Disabilities in Comparison with the General Population
title Pain and Pain Medication among Older People with Intellectual Disabilities in Comparison with the General Population
title_full Pain and Pain Medication among Older People with Intellectual Disabilities in Comparison with the General Population
title_fullStr Pain and Pain Medication among Older People with Intellectual Disabilities in Comparison with the General Population
title_full_unstemmed Pain and Pain Medication among Older People with Intellectual Disabilities in Comparison with the General Population
title_short Pain and Pain Medication among Older People with Intellectual Disabilities in Comparison with the General Population
title_sort pain and pain medication among older people with intellectual disabilities in comparison with the general population
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6023323/
https://www.ncbi.nlm.nih.gov/pubmed/29914061
http://dx.doi.org/10.3390/healthcare6020067
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