ArticleBMC geriatrics2014
Diagnoses indicating pain and analgesic drug prescription in patients with dementia: a comparison to age- and sex-matched controls.
Article in BMC geriatrics, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
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Who cites it
23 citing papers in PubMed, 40 citations in OpenAlex.
- [Pain management in people with dementia : Recognizing pain and providing supportive care].Schmerz (Berlin, Germany) · 2026Article
- Implementing Pain Management Approaches Among Patients With Dementia in an Acute Hospital Setting: A Scoping Review.Nursing open · 2026Article
- Correlates of chronic pain onset and recovery in the CoLaus cohort.European journal of pain (London, England) · 2025Article
- The interactive effects of different exercises and hawthorn consumption on the pain threshold of TMT-induced Alzheimer male rats.The journal of physiological sciences : JPS · 2024Article
- Partnering to cope with pain: A pilot study of a caregiver-assisted pain coping skills intervention for patients with cognitive impairment and dementia.Palliative & supportive care · 2022Article
- Prescription of analgesics in patients with rheumatic diseases in Germany : A claims data analysis.Zeitschrift fur Rheumatologie · 2021Article
- Pharmacological Pain Treatment in 2012 and 2017 Among Older People with Major Neurocognitive Disorder.Drugs & aging · 2021Article
- [Hospitalization of nursing home residents in the last phase of life: an analysis of health insurance data].Zeitschrift fur Gerontologie und Geriatrie · 2021Article
- [Prescription of analgesics in patients with rheumatic diseases in Germany : A claims data analysis. German version].Zeitschrift fur Rheumatologie · 2021Article
- Prevalence of Pain on Admission by Level of Cognitive Impairment in Nursing Homes.Journal of pain research · 2020Article
- Oral health and orofacial pain in people with dementia admitted to acute hospital wards: observational cohort study.BMC geriatrics · 2018Observational
- Prevalence and treatment of hip and knee osteoarthritis in people aged 60 years or older in Germany: an analysis based on health insurance claims data.Clinical interventions in aging · 2018Article
- Prevalence of pain-related diagnoses in patients with dementia: a nationwide study.Journal of pain research · 2018Article
- Opioid use and the presence of Alzheimer's disease and related dementias among elderly Medicare beneficiaries diagnosed with chronic pain conditions.Alzheimer's & dementia (New York, N. Y.) · 2018Article
- Influence of age and sex on hospitalization of nursing home residents: A cross-sectional study from Germany.BMC health services research · 2017Article
- Polypharmacy and inappropriate medication use in patients with dementia: an underresearched problem.Therapeutic advances in drug safety · 2017Review
- The assessment and management of pain in patients with dementia in hospital settings: a multi-case exploratory study from a decision making perspective.BMC health services research · 2016Article
- Pain treatment for nursing home residents differs according to cognitive state - a cross-sectional study.BMC geriatrics · 2016Article
- Identification, assessment, and management of pain in patients with advanced dementia.The mental health clinician · 2016Article
- [Healthcare services research on pain in Germany. A survey].Schmerz (Berlin, Germany) · 2015Article
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Authors and funding
5 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe evidence of undertreatment of pain in patients with dementia is inconsistent. This may largely be due to methodological differences and shortcomings of studies. In a large cohort of patients with incident dementia and age- and sex-matched controls we examined (1) how often they receive diagnoses indicating pain, (2) how often they receive analgesics and (3) in which agents and formulations.
methodsUsing health insurance claims data we identified 1,848 patients with a first diagnosis of dementia aged ≥ 65 years and 7,385 age- and sex-matched controls. We analysed differences in diagnoses indicating pain and analgesic drugs prescribed between these two groups within the incidence year. We further fitted logistic regression models and stepwise adjusted for several covariates to study the relation between dementia and analgesics.
resultsOn average, patients were 78.7 years old (48% female). The proportions receiving at least one diagnosis indicating pain were similar between the dementia and control group (74.4% vs. 72.5%; p = 0.11). The proportion who received analgesics was higher in patients with dementia in the crude analysis (47.5% vs. 44.7%; OR: 1.12; 95% CI: 1.01-1.24), but was significantly lower when adjusted for socio-demographic variables, care dependency, comorbidities and diagnoses indicating pain (OR: 0.78; 95% CI: 0.68-0.88). Analgesics in liquid form such as metamizole and tramadol were more often used in dementia.
conclusionsOur findings show a comparable documentation of diagnoses indicating pain in persons with incident dementia compared to those without. However, there still seems to be an undertreatment of pain in patients with dementia. Irrespective of dementia, analgesics seem to be more often prescribed to sicker patients and to control pain in the context of mobility.
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