Evidence map›Paper›PMID 26516543›Full record

ArticleBritish journal of pain2014

Pain reporting in older adults: the influence of cognitive impairment - results from the Cambridge City >75 Cohort study.

Rachael E Docking, Jane Fleming, Carol Brayne, Jun Zhao, Gary J Macfarlane, Gareth T Jones, Cambridge City over-75s Cohort (CC75C) study collaboration

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in British journal of pain, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.3field-weighted citation impact, top 34% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. The impact of care-recipient relationship type on health-related quality of life in community-dwelling older adults with dementia and their informal caregivers.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2022
    Article
  3. Review
  4. 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

7 authors at 2 institutions in 1 country.

Rachael E DockingMusculoskeletal Research Collaboration (Epidemiology Group), University of Aberdeen, Aberdeen, UK ; Faculty of Education and Health, University of Greenwich, London, UK.
Jane FlemingPublic Health and Primary Care, University of Cambridge, Cambridge, UK.
Carol BraynePublic Health and Primary Care, University of Cambridge, Cambridge, UK.
Jun ZhaoPublic Health and Primary Care, University of Cambridge, Cambridge, UK.
Gary J MacfarlaneMusculoskeletal Research Collaboration (Epidemiology Group), University of Aberdeen, Aberdeen, UK.
Gareth T JonesMusculoskeletal Research Collaboration (Epidemiology Group), University of Aberdeen, Aberdeen, UK.
Cambridge City over-75s Cohort (CC75C) study collaboration
University of Aberdeen · GBUniversity of Cambridge · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesEvidence suggests that while disabling back pain (BP), and rheumatic diseases associated with pain, continues to increase with age, the prevalence of non-disabling BP reaches a plateau, or even decreases, in the oldest old. This study aimed to determine whether this age-related pattern of non-disabling BP is a function of increasing cognitive impairment.

methodsCross-sectional study of adults aged >77 years. Participants answered interviewer-administered questions on BP and cognitive function, assessed using the Mini-Mental State Examination, categorised into normal versus mild, moderate or severe impairment. The relationship between cognitive function and BP was examined using multinomial logistic regression, adjusted for age, sex and residence.

resultsOf 1174 participants with BP data, 1126 (96%) completed cognitive assessments. The relationship between cognitive function and BP differed for disabling and non-disabling BP. Across categories of cognitive impairment, increasingly higher prevalence of disabling BP was reported, compared to those with normal cognition, although this was not statistically significant (odds ratio (OR) = 1.7; 95% confidence interval (CI) = 0.7-4.6). No association was found between cognitive function and non-disabling BP (OR = 0.8; 95% CI = 0.4-1.6).

conclusionThis study found no association between the reporting of BP and level of cognitive impairment, suggesting that increasing cognitive impairment is an inadequate explanation for age-related decline in self-reported non-disabling BP. Future research should determine the reasons for the decline in non-disabling pain in older adults, although, meanwhile, it is important to ensure that this group receive appropriate pain assessment and pain management. KEY POINTS: Prevalence of non-disabling back pain decreases in the oldest old.Some have proposed that this may be a function of cognitive impairment in older age, and an increasing inability to adequately report pain.Our findings do not support this hypothesis.

Indexed as

Back paincognitive impairmentdementiaolder people

Identifiers

PMID26516543
PMCPMC4590119
OpenAlexW2109273913

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.