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Prevalence of pain-related diagnoses in patients with dementia: a nationwide study

PURPOSES: To investigate the prevalence of pain-related diagnoses in patients with dementia and evaluate the association of pain-related diagnoses with demographic characteristics and dementia subtypes. PATIENTS AND METHODS: In this population-based retrospective cohort study, participants were recr...

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Autores principales: Lin, Pei-Chao, Li, Chien-Hsun, Chou, Pi-Ling, Chen, Yao-Mei, Lin, Li-Chan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove Medical Press 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6126483/
https://www.ncbi.nlm.nih.gov/pubmed/30214270
http://dx.doi.org/10.2147/JPR.S172875
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author Lin, Pei-Chao
Li, Chien-Hsun
Chou, Pi-Ling
Chen, Yao-Mei
Lin, Li-Chan
author_facet Lin, Pei-Chao
Li, Chien-Hsun
Chou, Pi-Ling
Chen, Yao-Mei
Lin, Li-Chan
author_sort Lin, Pei-Chao
collection PubMed
description PURPOSES: To investigate the prevalence of pain-related diagnoses in patients with dementia and evaluate the association of pain-related diagnoses with demographic characteristics and dementia subtypes. PATIENTS AND METHODS: In this population-based retrospective cohort study, participants were recruited from a cohort of 2 million people randomly sampled from the general population in the National Health Insurance Research Database of Taiwan from 2000 to 2013. The index year was defined as the period of 1 year from the date of the first diagnosis of dementia. RESULTS: The study group comprised 28,450 patients with the dementia subtypes of vascular dementia, Alzheimer’s disease, or other dementia subtypes. The mean age of patients with dementia was 76.75 years. Of all patients with dementia, 49.07% had at least one pain-related diagnosis documented in their outpatient or inpatient claim records within the index year. The top three pain-related diagnoses were osteoarthritis (29.27%), headache (12.53%), and osteoporosis (11.43%). Musculoskeletal diagnosis was more likely in female patients with vascular dementia. Although patients with vascular dementia had a significantly lower prevalence of pain-related diagnosis, they had a significantly higher risk of 1-year mortality than patients with other dementia subtypes. CONCLUSION: During the index year, 49.07% of patients with dementia had at least one pain-related diagnosis. To investigate the differences of the use of pain medication in patients with different dementia subtypes and the difference of pain-related diagnosis and treatment in patients with and without dementia, future studies are recommended.
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spelling pubmed-61264832018-09-13 Prevalence of pain-related diagnoses in patients with dementia: a nationwide study Lin, Pei-Chao Li, Chien-Hsun Chou, Pi-Ling Chen, Yao-Mei Lin, Li-Chan J Pain Res Original Research PURPOSES: To investigate the prevalence of pain-related diagnoses in patients with dementia and evaluate the association of pain-related diagnoses with demographic characteristics and dementia subtypes. PATIENTS AND METHODS: In this population-based retrospective cohort study, participants were recruited from a cohort of 2 million people randomly sampled from the general population in the National Health Insurance Research Database of Taiwan from 2000 to 2013. The index year was defined as the period of 1 year from the date of the first diagnosis of dementia. RESULTS: The study group comprised 28,450 patients with the dementia subtypes of vascular dementia, Alzheimer’s disease, or other dementia subtypes. The mean age of patients with dementia was 76.75 years. Of all patients with dementia, 49.07% had at least one pain-related diagnosis documented in their outpatient or inpatient claim records within the index year. The top three pain-related diagnoses were osteoarthritis (29.27%), headache (12.53%), and osteoporosis (11.43%). Musculoskeletal diagnosis was more likely in female patients with vascular dementia. Although patients with vascular dementia had a significantly lower prevalence of pain-related diagnosis, they had a significantly higher risk of 1-year mortality than patients with other dementia subtypes. CONCLUSION: During the index year, 49.07% of patients with dementia had at least one pain-related diagnosis. To investigate the differences of the use of pain medication in patients with different dementia subtypes and the difference of pain-related diagnosis and treatment in patients with and without dementia, future studies are recommended. Dove Medical Press 2018-09-03 /pmc/articles/PMC6126483/ /pubmed/30214270 http://dx.doi.org/10.2147/JPR.S172875 Text en © 2018 Lin et al. This work is published and licensed by Dove Medical Press Limited The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed.
spellingShingle Original Research
Lin, Pei-Chao
Li, Chien-Hsun
Chou, Pi-Ling
Chen, Yao-Mei
Lin, Li-Chan
Prevalence of pain-related diagnoses in patients with dementia: a nationwide study
title Prevalence of pain-related diagnoses in patients with dementia: a nationwide study
title_full Prevalence of pain-related diagnoses in patients with dementia: a nationwide study
title_fullStr Prevalence of pain-related diagnoses in patients with dementia: a nationwide study
title_full_unstemmed Prevalence of pain-related diagnoses in patients with dementia: a nationwide study
title_short Prevalence of pain-related diagnoses in patients with dementia: a nationwide study
title_sort prevalence of pain-related diagnoses in patients with dementia: a nationwide study
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6126483/
https://www.ncbi.nlm.nih.gov/pubmed/30214270
http://dx.doi.org/10.2147/JPR.S172875
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