Evidence map›Paper›PMID 25887905›Full record

ArticleBMC geriatrics2015

Ageism, negative attitudes, and competing co-morbidities--why older adults may not seek care for restricting back pain: a qualitative study.

Una E Makris, Robin T Higashi, Emily G Marks, Liana Fraenkel, Joanna E M Sale, Thomas M Gill, M Carrington Reid

Abstract read
In one paragraph

Article in BMC geriatrics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 55 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
55citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

55 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Mapping Comorbidities in Patients With Low Back Pain-A Systematic Review.Physiotherapy research international : the journal for researchers and clinicians in physical therapy · 2025
    Pooled it
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  16. [Interdisciplinary pain therapy in the elderly].Schmerz (Berlin, Germany) · 2024
    Review
  17. Review
  18. Leaving no one behind: successful ageing at the intersection of ageism and ableism.Philosophy, ethics, and humanities in medicine : PEHM · 2023
    Article
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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

7 authors.

Una E MakrisDepartment of Internal Medicine, UT Southwestern Medical Center, 5323 Harry Hines Blvd, Dallas, TX, 75390-9169, USA. una.makris@utsouthwestern.edu.
Robin T HigashiDepartment of Clinical Sciences, UT Southwestern Medical Center, Dallas, TX, USA. robin.higashi@utsouthwestern.edu.
Emily G MarksDepartment of Clinical Sciences, UT Southwestern Medical Center, Dallas, TX, USA. emily.marks@utsouthwestern.edu.
Liana FraenkelDepartment of Medicine, Yale School of Medicine, New Haven, CT, USA. liana.fraenkel@yale.edu.
Joanna E M SaleMusculoskeletal Health and Outcomes Research, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, Canada. SaleJ@smh.ca.
Thomas M GillDepartment of Medicine, Yale School of Medicine, New Haven, CT, USA. thomas.gill@yale.edu.
M Carrington ReidDivision of Geriatrics and Palliative Medicine, Weill Cornell Medical College, New York, NY, USA. mcr2004@med.cornell.edu.

Funding

Yale Study Support Suite (YES3): Dashboard and Web Portal Software Supporting Research Workflow through integrated, customizable REDCap External ModulesP30AG021342 · NIA · YALE UNIVERSITY · PI Denise Esserman · 2002 to 2026
$37.9M
UT Southwestern Center for Translational Medicine (UL1/KL2/TL1)UL1TR001105 · NCATS · UT SOUTHWESTERN MEDICAL CENTER · PI TOTO, ROBERT DANIEL · 2013 to 2017
$24.5M
Pilot CoreP30AG022845 · NIA · WEILL MEDICAL COLL OF CORNELL UNIV · PI Manney Carrington Reid · 2003 to 2026
$15.2M
Yale Training Program in Geriatric Clinical Epidemiology and Aging-Related ResearchT32AG019134 · NIA · YALE UNIVERSITY · PI Terri R. Fried · 2001 to 2026
$7.5M
Epidemiology of Disability and Recovery in Older PersonsR37AG017560 · NIA · YALE UNIVERSITY · PI GILL, THOMAS MICHAEL · 2005 to 2014
$7.3M
UT Southwestern Center for Translational Medicine (UL1/KL2/TL1KL2TR001103 · NCATS · UT SOUTHWESTERN MEDICAL CENTER · PI TOTO, ROBERT DANIEL · 2013 to 2017
$4.0M
Treating Pain to Reduce Disability among Older Home Health PatientsR01HS020648 · AHRQ · VISITING NURSE SERVICE OF NEW YORK · PI MURTAUGH, CHRISTOPHER MICHAEL · 2012 to 2014
$1.4M
Improving Decision Making in Patients with Rheumatic DiseaseK24AR060231 · NIAMS · YALE UNIVERSITY · PI FRAENKEL, LIANA · 2011 to 2018
$1.2M
ACADEMIC LEADERSHIP AWARD IN DISABILITY AND DISABLING DISORDERSK07AG043587 · NIA · YALE UNIVERSITY · PI GILL, THOMAS MICHAEL · 2013 to 2017
$645k
Restricting Back Pain in Community-Living Older Persons: A Mixed-Methods ApproachR03AG040653 · NIA · YALE UNIVERSITY · PI MAKRIS, UNA E. · 2011 to 2012
$166k
AHRQ HHS R01 HS020648AHRQ HHS R01HS020648NCATS NIH HHS KL2 TR001103NCATS NIH HHS KL2TR001103NCATS NIH HHS UL1 TR001105NCATS NIH HHS UL1TR001105NIAMS NIH HHS K24 AR060231NIAMS NIH HHS K24AR060231NIA NIH HHS K07 AG043587NIA NIH HHS K07AG043587NIA NIH HHS P30 AG021342NIA NIH HHS P30 AG022845NIA NIH HHS P30AG022845NIA NIH HHS P30AG21342NIA NIH HHS R03 AG040653NIA NIH HHS R03AG040653NIA NIH HHS R37 AG017560NIA NIH HHS R37AG17560NIA NIH HHS T32 AG019134NIA NIH HHS T32AG19134
6 · The paper itself

Abstract

backgroundBack pain, the most common type of pain reported by older adults, is often undertreated for reasons that are poorly understood, especially in minority populations. The objective of this study was to understand older adults' beliefs and perspectives regarding care-seeking for restricting back pain (back pain that restricts activity).

methodsWe used data from a diverse sample of 93 older adults (median age 83) who reported restricting back pain during the past 3 months. A semi-structured discussion guide was used in 23 individual interviews and 16 focus groups to prompt participants to share experiences, beliefs, and attitudes about managing restricting back pain. Transcripts were analyzed in an iterative process to develop thematic categories.

resultsThree themes for why older adults may not seek care for restricting back pain were identified: (1) beliefs about the age-related inevitability of restricting back pain, (2) negative attitudes toward medication and/or surgery, and (3) perceived importance of restricting back pain relative to other comorbidities. No new themes emerged in the more diverse focus groups.

conclusionsIllness perceptions (including pain-related beliefs), and interactions with providers may influence older adults' willingness to seek care for restricting back pain. These results highlight opportunities to improve the care for older adults with restricting back pain.

Indexed as

AttitudeFocus GroupsQualitative ResearchAged, 80 and overAgeismBack PainComorbidityFemaleHumansIncidenceMalePain ManagementPatient ComplianceSocial Behavior

Identifiers

PMID25887905
PMCPMC4392872

What OpenQuestion holds

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LicenceCC BY
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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.