ArticlePain medicine (Malden, Mass.)2013
Under treatment of pain: a prescription for opioid misuse among the elderly?
Article in Pain medicine (Malden, Mass.), 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
17 citing papers in PubMed, 59 citations in OpenAlex.
- Spinal manipulative therapy and exercise for older adults with chronic low back pain: a randomized clinical trial.Chiropractic & manual therapies · 2019Trial
- Indirect effects of emotion regulation in the relationship between pain and cannabis use in adults 18-64 years.Addictive behaviors · 2024Article
- Current status of opioid prescription in South Korea using narcotics information management system.The Korean journal of pain · 2024Article
- Ageing and older people who use illicit opioids, cocaine or methamphetamine: a scoping review and literature map.Addiction (Abingdon, England) · 2022Article
- Editorial: Chronic Pain and Health Disparities in Older Adults With Complex Needs.Frontiers in pain research (Lausanne, Switzerland) · 2022Article
- The influence of undertreated chronic pain in a national survey: Prescription medication misuse among American indians, Asian Pacific Islanders, Blacks, Hispanics and whites.SSM - population health · 2020Article
- Managing Pain in the Setting of Opioid Use Disorder.Pain management nursing : official journal of the American Society of Pain Management Nurses · 2020Review
- A Pain eHealth Platform for Engaging Obese, Older Adults with Chronic Low Back Pain in Nonpharmacological Pain Treatments: Protocol for a Pilot Feasibility Study.JMIR research protocols · 2020Article
- Prescription Drug Misuse: Taking a Lifespan Perspective.Substance abuse : research and treatment · 2020Review
- Women's Perspectives On Provider Education Regarding Opioid Use.Journal of pain research · 2020Article
- Prescription Opioid Misuse in US Older Adults: Associated Comorbidities and Reduced Quality of Life in the National Epidemiologic Survey of Alcohol and Related Conditions-III.The Journal of clinical psychiatry · 2019Article
- Heroin use onset among nonmedical prescription opioid users in the club scene.Drug and alcohol dependence · 2017Article
- Pharmacological Approaches for the Management of Persistent Pain in Older Adults: What Nurses Need to Know.Journal of gerontological nursing · 2016Article
- Association between age, substance use, and outcomes in Medicare enrollees with prostate cancer.Journal of geriatric oncology · 2016Article
- Enhanced recovery programme reduces opiate consumption in hip hemiarthroplasty.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2016Article
- Primary care providers' experiences with urine toxicology tests to manage prescription opioid misuse and substance use among chronic noncancer pain patients in safety net health care settings.Substance abuse · 2016Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 1 institution in 1 country.
Funding
Abstract
objectiveTo examine the demographic, physical, and mental health characteristics; current drug use patterns; motivations for use; and diversion sources among elderly prescription opioid misusers.
designMixed methods design.
settingResearch field offices, or senior or community center offices in South Florida. SUBJECTS: Individuals aged 60 and over reporting past 90-day prescription medication misuse; only prescription opioid misusers (N = 88) were included in the final analysis.
methodsThe Global Appraisal of Individual Needs was the main survey instrument. A subsample of elderly reporting substantial prescription drug misuse were chosen for the in-depth interview (N = 30).
resultsThe mean age was 63.3. Fifty percent reported ever being admitted to a drug treatment program; several endorsed recent illicit drug use: powder cocaine and/or crack (35.2%), marijuana (30.7%), heroin (14.8%). The majority reported past year severe physical pain and discomfort (86.4%), and misuse of their primary opioid for pain (80.7%); over half (52.3%) obtained their primary opioid from their regular doctor. Qualitative data highlight the misuse of prescription opioids due to untreated or undertreated pain. Participants with primary opioid misuse for pain had over 12 times higher odds of obtaining the medication from their regular doctor (odds ratio [OR] = 12.22, P = 0.002) and had lower odds of using a dealer (OR = 0.20, P = 0.005).
conclusionsFindings suggest that this group of elderly participants often misuse their own prescriptions for pain management. This study highlights the need to educate prescribing professionals on appropriate pain management for older adults while still being sensitive to issues of substance abuse and dependence.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.