Evidence map›Paper›PMID 25265035›Full record

ArticleJournal of palliative medicine2014

Pain behind bars: the epidemiology of pain in older jail inmates in a county jail.

Brie A Williams, Cyrus Ahalt, Irena Stijacic-Cenzer, Alexander K Smith, Joe Goldenson, Christine S Ritchie

Open access · greenAbstract read
In one paragraph

Article in Journal of palliative medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
2.6field-weighted citation impact, top 10% of its field
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 27 citations in OpenAlex.

  1. Trial
  2. Sleep Health Behind Bars: A Global Scoping Review of Sleep in Carceral Settings.medRxiv : the preprint server for health sciences · 2025
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Six-Month Emergency Department Use among Older Adults Following Jail Incarceration.Journal of urban health : bulletin of the New York Academy of Medicine · 2018
    Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Brie A Williams1 Division of Geriatrics, University of California , San Francisco, San Francisco, California.
Cyrus Ahalt
Irena Stijacic-Cenzer
Alexander K Smith
Joe Goldenson
Christine S Ritchie
University of California, San Francisco · USSan Francisco VA Medical Center · US

Funding

VARC CoreP30AG044281 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Alexander Keliimoeanu Smith · 2013 to 2026
$19.9M
Health, function, and health outcomes of geriatric prisonersK23AG033102 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI WILLIAMS, BRIE A · 2009 to 2013
$743k
NIA NIH HHS K23 AG033102NIA NIH HHS K23AG033102NIA NIH HHS P30 AG044281
6 · The paper itself

Abstract

backgroundThe number of older jail inmates in poor health is increasing rapidly. Among older adults, pain is common and leads to greater acute care use. In jail, pain management is complicated by concerns about misuse and diversion. A lack of data about the prevalence and management of pain in older jail inmates limits our ability to develop optimal palliative care strategies for this population.

objectiveTo describe the prevalence of and factors associated with pain and analgesic use in a population of older jail inmates.

designCross-sectional study. χ(2) tests assessed association between characteristics, pain, and analgesic use. SETTING/SUBJECTS: Two hundred ten jail inmates age 55 or older. MEASUREMENTS: "Severe frequent pain" defined as "severe or very severe" pain experienced "frequently or constantly" using the validated Memorial Symptom Assessment Scale. Medical conditions, substance use, and analgesic treatment determined through self-report and jail medical records.

resultsParticipants' mean age was 59 years; 69% had multimorbidity; 75% reported any pain; 39% reported severe frequent pain. Report of severe frequent pain was associated with multimorbidity, functional impairment, and pre-jail acute care use (p<0.05), but not with substance use (57% versus 56%, p=0.89). Within a week of their interview, most participants with severe frequent pain had received an analgesic (87%) and many received an opioid (70%).

conclusionHigh rates of pain in a rapidly growing population of older jail inmates with multimorbidity and functional impairment suggest that jails are an important site for assessing symptom burden and developing appropriate palliative care interventions.

Indexed as

PrisonersAnalgesicsCaliforniaCross-Sectional StudiesFemaleHumansMaleMedical AuditMiddle AgedPainPalliative CarePrevalenceSelf ReportAnalgesics

Identifiers

PMID25265035
PMCPMC4268586
OpenAlexW2315143045

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.