Evidence map›Paper›PMID 27741966›Full record

ReviewClinics in geriatric medicine2016

The Role of Opioid Analgesics in Geriatric Pain Management.

Jennifer Greene Naples, Walid F Gellad, Joseph T Hanlon

Abstract readReview
In one paragraph

Review in Clinics in geriatric medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
53citing 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

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

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Trial
  6. Review
  7. Article
  8. Review
  9. Review
  10. Article
  11. Article
  12. Review
  13. Review
  14. Nonopioid analgesic use in older patients admitted for orthopedic rehabilitation.PM & R : the journal of injury, function, and rehabilitation · 2024
    Article
  15. Article
  16. Prehospital analgesia in suspected hip fracture patients: adherence to national prehospital pain management guidelines.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024
    Observational
  17. Review
  18. Article
  19. Opioid use in older orthopedic rehabilitation inpatients: a retrospective study.European journal of physical and rehabilitation medicine · 2023
    Observational
  20. Review
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

3 authors.

Jennifer Greene NaplesDivision of Geriatrics & Gerontology, Department of Medicine, University of Pittsburgh School of Medicine, University of Pittsburgh, 3471 Fifth Avenue, Kaufmann Medical Building Suite 500, Pittsburgh, PA 15213, USA.
Walid F GelladCenter for Health Equity Research and Promotion, VA Pittsburgh Healthcare System, University of Pittsburgh, Pittsburgh, PA, USA; Division of General Medicine, Department of Medicine, University of Pittsburgh School of Medicine, University Drive (151C), Pittsburgh, PA 15240, USA.
Joseph T HanlonCenter for Health Equity Research and Promotion, Geriatric Research Education and Clinical Center, VA Pittsburgh Healthcare System, University of Pittsburgh, 3471 Fifth Avenue, Kaufmann Medical Building Suite 500, Pittsburgh, PA 15213, USA. Electronic address: jth14@pitt.edu.

Funding

VARIABILITY, STABILITY & SMOOTHNESS OF WALKINGP30AG024827 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI JENNIFER S BRACH · 2004 to 2026
$28.6M
Pitt Integrated Clinical and Geroscience Research Training ProgramT32AG021885 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Aditi U Gurkar · 2003 to 2026
$6.7M
Resilience to Mobility Impairment: Neural Correlates and Protective FactorsR01AG037451 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI AIZENSTEIN, HOWARD J, ROSANO, CATERINA · 2011 to 2015
$2.9M
Improving Outcomes of UTI in LTC Facilities: The IOU StudyR18HS023779 · AHRQ · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI NACE, DAVID A. · 2015 to 2017
$1.4M
Long-Term Care Research NetworkK07AG052668 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI GREENSPAN, SUSAN L · 2016 to 2020
$439k
Safety of Opioid use Among Veterans Receiving Care in Multiple Health SystemsI01HX001765 · VA · VETERANS HEALTH ADMINISTRATION · PI GELLAD, WALID F. · 2015 to 2021
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AHRQ HHS R18 HS023779HSRD VA I01 HX001765NIA NIH HHS K07 AG052668NIA NIH HHS P30 AG024827NIA NIH HHS R01 AG037451NIA NIH HHS T32 AG021885
6 · The paper itself

Abstract

When possible, chronic noncancer pain (CNCP) in older adults should be managed by nonpharmacologic modalities in conjunction with nonopioid analgesics. If moderate-to-severe pain persists despite these approaches, however, nonparenteral opioids may be considered as adjunctive therapy. This article reviews the epidemiology of opioid use and their effectiveness for CNCP in older adults and summarizes important age-related changes in opioid pharmacokinetics and pharmacodynamics that increase the risks of adverse effects in the elderly. Finally, to assist clinicians with selecting appropriate therapy, the article concludes with an evidence-based approach to optimize opioid prescribing in older adults with CNCP.

Indexed as

AgedAnalgesics, OpioidChronic PainDose-Response Relationship, DrugHumansTreatment OutcomeAnalgesics, OpioidAdverse drug eventAgedOpioidPharmacokinetics

Identifiers

PMID27741966
PMCPMC5139620

What OpenQuestion holds

Textmetadata
LicenceTDM
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.