Cargando…
Prevalence of Musculoskeletal Pain and Analgesic Treatment Among Community-Dwelling Older Adults: Changes from 1999 to 2019
BACKGROUND: Pain is undertreated in older populations. At the same time, increased use of opioids is of concern in the Western world. AIMS: We sought to analyze temporal trends in musculoskeletal pain and prescribed analgesic treatment among community-dwelling people aged 75–95 years using cross-sec...
Autores principales: | , , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer International Publishing
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8484214/ https://www.ncbi.nlm.nih.gov/pubmed/34386937 http://dx.doi.org/10.1007/s40266-021-00888-w |
_version_ | 1784577273215582208 |
---|---|
author | Lehti, Tuuli Elina Rinkinen, M.-O. Aalto, U. Roitto, H. M. Knuutila, M. Öhman, H. Kautiainen, H. Karppinen, H. Tilvis, R. Strandberg, T. Pitkälä, K. H. |
author_facet | Lehti, Tuuli Elina Rinkinen, M.-O. Aalto, U. Roitto, H. M. Knuutila, M. Öhman, H. Kautiainen, H. Karppinen, H. Tilvis, R. Strandberg, T. Pitkälä, K. H. |
author_sort | Lehti, Tuuli Elina |
collection | PubMed |
description | BACKGROUND: Pain is undertreated in older populations. At the same time, increased use of opioids is of concern in the Western world. AIMS: We sought to analyze temporal trends in musculoskeletal pain and prescribed analgesic treatment among community-dwelling people aged 75–95 years using cross-sectional cohort data spanning 20 years. METHODS: The Helsinki Aging Study recruited random samples of people aged 75, 80, 85, 90, and 95 years in 1999, 2009, and 2019. In total, 5707 community-dwelling persons participated in the study. The participants reported their medical diagnoses, regular prescription medications, and the presence of back pain or joint pain within the last 2 weeks (never, sometimes, or daily). We compared analgesic use among participants reporting and not reporting musculoskeletal pain in 1999, 2009, and 2019. RESULTS: Of the participants, 57–61% reported intermittent or daily musculoskeletal pain. The percentage receiving a prescribed daily analgesic increased from 9% in 1999 to 16% in 2019. The use of non-steroidal anti-inflammatory drugs (NSAIDs) decreased from 1999 to 2019, while the use of paracetamol increased from 2 to 11%. Opioids were taken by 2% in 1999 and 3% in 2019. Of those reporting daily musculoskeletal pain, 20%, 35%, and 32% received regular pain medication in 1999, 2009, and 2019, respectively. CONCLUSIONS: Pain remains undertreated in the community-dwelling older population, although the use of regular prescribed analgesics increased between 1999 and 2019. The use of NSAIDs has decreased, while the use of paracetamol has increased. Daily opioid use has remained modest. |
format | Online Article Text |
id | pubmed-8484214 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Springer International Publishing |
record_format | MEDLINE/PubMed |
spelling | pubmed-84842142021-10-04 Prevalence of Musculoskeletal Pain and Analgesic Treatment Among Community-Dwelling Older Adults: Changes from 1999 to 2019 Lehti, Tuuli Elina Rinkinen, M.-O. Aalto, U. Roitto, H. M. Knuutila, M. Öhman, H. Kautiainen, H. Karppinen, H. Tilvis, R. Strandberg, T. Pitkälä, K. H. Drugs Aging Original Research Article BACKGROUND: Pain is undertreated in older populations. At the same time, increased use of opioids is of concern in the Western world. AIMS: We sought to analyze temporal trends in musculoskeletal pain and prescribed analgesic treatment among community-dwelling people aged 75–95 years using cross-sectional cohort data spanning 20 years. METHODS: The Helsinki Aging Study recruited random samples of people aged 75, 80, 85, 90, and 95 years in 1999, 2009, and 2019. In total, 5707 community-dwelling persons participated in the study. The participants reported their medical diagnoses, regular prescription medications, and the presence of back pain or joint pain within the last 2 weeks (never, sometimes, or daily). We compared analgesic use among participants reporting and not reporting musculoskeletal pain in 1999, 2009, and 2019. RESULTS: Of the participants, 57–61% reported intermittent or daily musculoskeletal pain. The percentage receiving a prescribed daily analgesic increased from 9% in 1999 to 16% in 2019. The use of non-steroidal anti-inflammatory drugs (NSAIDs) decreased from 1999 to 2019, while the use of paracetamol increased from 2 to 11%. Opioids were taken by 2% in 1999 and 3% in 2019. Of those reporting daily musculoskeletal pain, 20%, 35%, and 32% received regular pain medication in 1999, 2009, and 2019, respectively. CONCLUSIONS: Pain remains undertreated in the community-dwelling older population, although the use of regular prescribed analgesics increased between 1999 and 2019. The use of NSAIDs has decreased, while the use of paracetamol has increased. Daily opioid use has remained modest. Springer International Publishing 2021-08-13 2021 /pmc/articles/PMC8484214/ /pubmed/34386937 http://dx.doi.org/10.1007/s40266-021-00888-w Text en © The Author(s) 2021 https://creativecommons.org/licenses/by-nc/4.0/Open AccessThis article is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License, which permits any non-commercial use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) . |
spellingShingle | Original Research Article Lehti, Tuuli Elina Rinkinen, M.-O. Aalto, U. Roitto, H. M. Knuutila, M. Öhman, H. Kautiainen, H. Karppinen, H. Tilvis, R. Strandberg, T. Pitkälä, K. H. Prevalence of Musculoskeletal Pain and Analgesic Treatment Among Community-Dwelling Older Adults: Changes from 1999 to 2019 |
title | Prevalence of Musculoskeletal Pain and Analgesic Treatment Among Community-Dwelling Older Adults: Changes from 1999 to 2019 |
title_full | Prevalence of Musculoskeletal Pain and Analgesic Treatment Among Community-Dwelling Older Adults: Changes from 1999 to 2019 |
title_fullStr | Prevalence of Musculoskeletal Pain and Analgesic Treatment Among Community-Dwelling Older Adults: Changes from 1999 to 2019 |
title_full_unstemmed | Prevalence of Musculoskeletal Pain and Analgesic Treatment Among Community-Dwelling Older Adults: Changes from 1999 to 2019 |
title_short | Prevalence of Musculoskeletal Pain and Analgesic Treatment Among Community-Dwelling Older Adults: Changes from 1999 to 2019 |
title_sort | prevalence of musculoskeletal pain and analgesic treatment among community-dwelling older adults: changes from 1999 to 2019 |
topic | Original Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8484214/ https://www.ncbi.nlm.nih.gov/pubmed/34386937 http://dx.doi.org/10.1007/s40266-021-00888-w |
work_keys_str_mv | AT lehtituulielina prevalenceofmusculoskeletalpainandanalgesictreatmentamongcommunitydwellingolderadultschangesfrom1999to2019 AT rinkinenmo prevalenceofmusculoskeletalpainandanalgesictreatmentamongcommunitydwellingolderadultschangesfrom1999to2019 AT aaltou prevalenceofmusculoskeletalpainandanalgesictreatmentamongcommunitydwellingolderadultschangesfrom1999to2019 AT roittohm prevalenceofmusculoskeletalpainandanalgesictreatmentamongcommunitydwellingolderadultschangesfrom1999to2019 AT knuutilam prevalenceofmusculoskeletalpainandanalgesictreatmentamongcommunitydwellingolderadultschangesfrom1999to2019 AT ohmanh prevalenceofmusculoskeletalpainandanalgesictreatmentamongcommunitydwellingolderadultschangesfrom1999to2019 AT kautiainenh prevalenceofmusculoskeletalpainandanalgesictreatmentamongcommunitydwellingolderadultschangesfrom1999to2019 AT karppinenh prevalenceofmusculoskeletalpainandanalgesictreatmentamongcommunitydwellingolderadultschangesfrom1999to2019 AT tilvisr prevalenceofmusculoskeletalpainandanalgesictreatmentamongcommunitydwellingolderadultschangesfrom1999to2019 AT strandbergt prevalenceofmusculoskeletalpainandanalgesictreatmentamongcommunitydwellingolderadultschangesfrom1999to2019 AT pitkalakh prevalenceofmusculoskeletalpainandanalgesictreatmentamongcommunitydwellingolderadultschangesfrom1999to2019 |