ArticleSchmerz (Berlin, Germany)2015
[Pain therapy in German long-term care facilities in a European comparison. Results of the SHELTER study].
Article in Schmerz (Berlin, Germany), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 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.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.
- [Pain management in geriatric patients-methods paper for the S3 guideline "GeriPAIN"].Schmerz (Berlin, Germany) · 2026Guideline
- Dipyrone use in Brazil: clinical conditions, sociodemographic characteristics, population attitudes and perceptions.Cadernos de saude publica · 2026Article
- [Interdisciplinary pain therapy in the elderly].Schmerz (Berlin, Germany) · 2024Review
- Association between malnutrition risk and pain in older hospital patients.Scandinavian journal of caring sciences · 2021Article
- Pain severity and analgesics use in the community-dwelling older population: a drug utilization study from Germany.European journal of clinical pharmacology · 2020Article
- Claims data analysis of medical specialist utilization among nursing home residents and community-dwelling older people.BMC health services research · 2020Article
- Regional Differences in Prescribing Patterns of Metamizole in Germany Based on Data from 70 Million Persons.International journal of environmental research and public health · 2020Article
- Differences in medical specialist utilization among older people in need of long-term care - results from German health claims data.International journal for equity in health · 2020Article
- Nursing Education Intervention Effects on Pain Intensity of Nursing Home Residents with Different Levels of Cognitive Impairment: A Cluster-Randomized Controlled Trial.Journal of pain research · 2020Article
- Needs-based provision of medical care to nursing home residents: protocol for a mixed-methods study.BMJ open · 2019Article
- [Status and perspectives of pain and pain therapy in old age : Plea for better care of geriatric pain patients].Zeitschrift fur Gerontologie und Geriatrie · 2017Review
- [Palliative care in nursing homes : Results of a survey about knowledge and self-efficacy of nursing staff].Schmerz (Berlin, Germany) · 2017Article
- [Treatment of elderly with chronic pain in geriatric care and pain therapy facilities in Germany. Survey results].Schmerz (Berlin, Germany) · 2015Article
Corrections and comments
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Authors and funding
5 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundA considerable number of nursing home residents suffering from pain are insufficiently treated. International comparisons of pain management in German (GER) and other European (EU) nursing homes are still lacking.
objectiveThis study compared the treatment of pain in GER and EU nursing homes in order to improve allocation of therapeutic resources. MATERIAL AND
methodsA cross-sectional study was carried out with 4156 residents assessed using the interRAI instrument for long-term care facilities, including pharmacological and non-pharmacological pain management modalities. Only those residents reporting pain were included in the analyses (n = 1900 from EU and 245 from GER). Descriptive analyses and analyses of correlations between different parameters and pain were performed.
resultsMore than three quarters of the residents with at least moderate pain received pharmacological treatment (GER: 77.4 % and EU: 79.3 %). Combination therapy (pharmacological and non-pharmacological) was more frequent in Germany (approximately 13 %). Even in cases of moderate to severe pain one third of GER compared to one quarter of the EU residents received either no analgesic treatment or only on a when needed basis (PRN). Differences were also seen in drugs used (GER metamizole). The amount of PRN was higher in Germany (approximately 13 %, alone or in combination). Only 5 % received the recommended level of non-pharmacological treatment. Pain severity and decubitus were identified as important triggers for pharmacological treatment. Non-pharmacological treatment was used less often than analgesics (EU: 39.2 %, GER: 46.8 %). There were no differences regarding administration frequency and intensity of non-pharmacological treatments in residents with or without pain; however, non-pharmacological treatment was used less often in residents with successful pharmacological treatment.
conclusionThe data demonstrate significant deficits in the recognition and treatment of pain in residents living in German or other European nursing home facilities. Further scope for improvement is seen in better recognition of relevant pain, in the adequate use of PRN and long-term medication and especially in the use of activating non-pharmacological treatment.
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