ArticleJournal of the American Geriatrics Society2015
Pain management in nursing home residents with cancer.
Article in Journal of the American Geriatrics Society, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.
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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
26 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.
- Pharmaceutical policies: effects of regulating drug insurance schemes.The Cochrane database of systematic reviews · 2022Pooled it
- Pain Management Algorithms for Implementing Best Practices in Nursing Homes: Results of a Randomized Controlled Trial.Journal of the American Medical Directors Association · 2016Trial
- Neuropathic Pain in Nursing Homes.European journal of pain (London, England) · 2025Article
- Outcomes of Discontinuing Long-Term Opioid Therapy among Older Cancer Survivors in Long-Term Care Settings.Journal of the American Medical Directors Association · 2025Article
- Exploring the Holistic Needs of People Living with Cancer in Care Homes: An Integrative Review.Healthcare (Basel, Switzerland) · 2023Review
- Update on Prevalence of Pain in Patients with Cancer 2022: A Systematic Literature Review and Meta-Analysis.Cancers · 2023Review
- Cultural and Ethical Barriers to Cancer Treatment in Nursing Homes and Educational Strategies: A Scoping Review.Cancers · 2021Article
- Racial/Ethnic Differences in Staff-Assessed Pain Behaviors Among Newly Admitted Nursing Home Residents.Journal of pain and symptom management · 2021Article
- Cancer Pain in Relation to Metropolitan Area Segregation and Nursing Home Racial and Ethnic Composition.Journal of the American Medical Directors Association · 2020Article
- Adjuvant Use and the Intensification of Pharmacologic Management for Pain in Nursing Home Residents with Cancer: Data from a US National Database.Drugs & aging · 2019Article
- Long-acting opioid initiation in US nursing homes.Pharmacoepidemiology and drug safety · 2019Article
- The Relationship of Age and Postoperative Pain in Women after Surgery for Breast Cancer.Pain management nursing : official journal of the American Society of Pain Management Nurses · 2018Article
- Cognitive Impairment and Pain Among Nursing Home Residents With Cancer.Journal of pain and symptom management · 2018Article
- Prevalence of Long-Term Opioid Use in Long-Stay Nursing Home Residents.Journal of the American Geriatrics Society · 2018Article
- Non-Hispanic Black-White disparities in pain and pain management among newly admitted nursing home residents with cancer.Journal of pain research · 2018Article
- Ethical decision making in pain management: a conceptual framework.Journal of pain research · 2018Article
- Update in Hospice and Palliative Care.Journal of palliative medicine · 2017Review
- Article
- Hospice Use and Pain Management in Elderly Nursing Home Residents With Cancer.Journal of pain and symptom management · 2017Article
- Frequency and Predictors of Analgesic Prescribing in U.S. Nursing Home Residents with Persistent Pain.Journal of the American Geriatrics Society · 2017Article
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
Abstract
objectivesTo assess improvements in pain management of nursing home (NH) residents with cancer since the implementation of pain management quality indicators.
designCross-sectional.
settingOne thousand three hundred eighty-two U.S. NHs (N = 1,382).
participantsNewly admitted, Medicare-eligible NH residents with cancer (N = 8,094). MEASUREMENTS: Nationwide data on NH resident health from Minimum Data Set 2.0 linked to all-payer pharmacy dispensing records (February 2006-June 2007) were used to determine prevalence of pain, including frequency and intensity, and receipt of nonopioid and opioid analgesics. Multinomial logistic regression was used to evaluate resident-level correlates of pain and binomial logistic regression to identify correlates of untreated pain.
resultsMore than 65% of NH residents with cancer had any pain (28.3% daily, 37.3% <daily), 13.5% of whom had severe and 61.3% had moderate pain. Women; residents admitted from acute care or who were bedfast; and those with compromised activities of daily living, depressed mood, an indwelling catheter, or a terminal prognosis were more likely to have pain. More than 17% of residents in daily pain (95% confidence interval (CI) = 16.0-19.1%) received no analgesics, including 11.7% with daily severe pain (95% CI = 8.9-14.5%) and 16.9% with daily moderate pain (95% CI = 15.1-18.8%). Treatment was negatively associated with age of 85 and older (adjusted OR (aOR) = 0.67, 95% CI = 0.55-0.81 vs aged 65-74), cognitive impairment (aOR = 0.71, 95% CI = 0.61-0.82), presence of feeding tube (aOR = 0.77, 95% CI = 0.60-0.99), and restraints (aOR = 0.50, 95% CI = 0.31-0.82).
conclusionUntreated pain is still common in NH residents with cancer and persists despite pain management quality indicators.
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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.