ArticleJournal of the American Geriatrics Society2013
Relationship between persistent pain and 5-year mortality: a population-based prospective cohort study.
Article in Journal of the American Geriatrics Society, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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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.
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Who cites it
18 citing papers in PubMed.
- Assessment of depression and pain in the general population: a scoping review.BMC psychiatry · 2026Article
- From age to frailty: redefining chronic pain characterization.Aging clinical and experimental research · 2025Article
- Frailty-Informed Pain Management: A Clinical Imperative Beyond Chronological Age.Drugs & aging · 2025Article
- Patient-reported pain severity is associated with shorter survival in older adults with newly diagnosed cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025Article
- Multi-dimensional frailty and Oral Health-Related Quality-of-Life in older adults: a cross-sectional study.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025Observational
- The impact of an integrative healthcare system on longevity in a nonagenarian population in Northern Mexico: an observational study.Archives of public health = Archives belges de sante publique · 2024Article
- Association between chronic pain and cognitive frailty among middle-aged and elderly individuals: evidence from the China Health and Retirement Longitudinal Study.Frontiers in aging neuroscience · 2024Article
- Screening for frailty and sarcopenia in community-dwelling older adults: a cross-sectional study from the Eastern Black Sea region of Turkey.Aging clinical and experimental research · 2022Article
- Linking Persistent Pain and Frailty in Older Adults.Pain medicine (Malden, Mass.) · 2020Article
- Association between chronic pain and pre-frailty in Japanese community-dwelling older adults: A cross-sectional study.PloS one · 2020Article
- Chronic pain: prevalent and independently associated with frailty and female gender in geriatric outpatients.European geriatric medicine · 2019Article
- Article
- Frail and pre-frail phenotype is associated with pain in older HIV-infected patients.Medicine · 2018Article
- Incorporating Persistent Pain in Phenotypic Frailty Measurement and Prediction of Adverse Health Outcomes.The journals of gerontology. Series A, Biological sciences and medical sciences · 2017Article
- Pain and Satisfaction With Pain Management Among Older Patients During the Transition From Acute to Skilled Nursing Care.The Gerontologist · 2016Article
- Pain in the Elderly.Current pain and headache reports · 2016Review
- Managing Chronic Pain in Special Populations with Emphasis on Pediatric, Geriatric, and Drug Abuser Populations.The Medical clinics of North America · 2016Review
- Physical and Functional Impairment Among Older Adults With a History of Traumatic Brain Injury.The Journal of head trauma rehabilitationArticle
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
objectivesTo assess the association between self-reported noncancer pain and 5-year mortality.
designCohort.
settingCommunity-dwelling older adults.
participantsCanadian Study of Health and Aging 1996 wave. MEASUREMENTS: Registrar of Vital Statistics-established 5-year mortality. Noncancer pain was assessed using the 5-point verbal descriptor scale, dichotomized into no or very mild versus moderate, severe, or very severe pain. Frailty was the accumulation of health deficits. Cognitive status (Modified Mini-Mental State Examination) and depressed mood (five-item mental health screening questionnaire) were also assessed. Multivariable logistic regression and Cox proportional hazards were used to analyze the relationship between pain and 5-year mortality.
resultsOf 5,703 participants, 4,694 (82.3%) had complete data for analysis; 1,663 of these (35.4%) reported moderate, severe, or very severe pain, and 1,343 (28.6%) had died at 5-year follow-up. Four hundred ninety-six of those who died (29.8%) reported moderate, severe, or very severe pain and 847 (27.9%) no or very mild pain. Multivariate logistic analysis found that individuals with moderate, severe, or very severe pain had lower odds of 5-year mortality than those with no or very mild pain (odds ratio=0.78, 95% confidence interval (CI)=0.66-0.92; P<.001). The risk of death was lower in persons reporting moderate or greater pain than in those with no or very mild pain (HR=0.85, 95% CI=0.75-0.96; P=.01). An interaction between pain and sex explained this effect. Men with pain were not significantly more likely than men without pain to die (HR=1.00, 95% CI=0.84-1.19; P=.99), whereas women without pain (HR=0.54, 95% CI=0.47-0.63; P<0.01) and women with pain (HR=0.40; CI=0.33-0.47; P<.01) had less risk of death than men without and with pain, respectively.
conclusionOlder women with pain were less likely to die within 5 years than older women without pain, men in pain, or men without pain.
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