ArticleJournal of the American Geriatrics Society2017
Frequency and Predictors of Analgesic Prescribing in U.S. Nursing Home Residents with Persistent Pain.
Article in Journal of the American Geriatrics Society, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
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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
23 citing papers in PubMed, 49 citations in OpenAlex.
- Pain Incidence, Treatment, and Associated Symptoms in Hospitalized Persons with Dementia.Pain management nursing : official journal of the American Society of Pain Management Nurses · 2021Trial
- Factors Associated with the Variation in Drug Prescription of Analgesics in Long-Term Care Facilities: A Systematic Review.Journal of clinical medicine · 2025Review
- Prevalence of Opioid Use in Nursing Homes Over the Last Decade: A Systematic Literature Review.The Journal of pharmacy technology : jPT : official publication of the Association of Pharmacy Technicians · 2024Article
- Pharmacological Prescribing and Satisfaction with Pain Treatment Among Non-Hispanic Black Men with Chronic Pain.Patient preference and adherence · 2024Article
- Identifying Residents Who May Benefit from an Analgesic Review: Applying Analgesic Indicators in Residential Aged Care Services.Drugs & aging · 2023Review
- Development, evaluation, and implementation of an online pain assessment training program for staff in rural long-term care facilities: a case series approach.BMC geriatrics · 2022Article
- Pharmacological Pain Treatment in 2012 and 2017 Among Older People with Major Neurocognitive Disorder.Drugs & aging · 2021Article
- Time Trends in Opioid Use by Dementia Severity in Long-Term Care Nursing Home Residents.Journal of the American Medical Directors Association · 2021Article
- Factors influencing trends in opioid prescribing for older people: a scoping review.Primary health care research & development · 2020Article
- Prescription analgesia and adjuvant use by pain severity at admission among nursing home residents with non-malignant pain.European journal of clinical pharmacology · 2020Article
- Pain Patterns and Treatment Among Nursing Home Residents With Moderate-Severe Cognitive Impairment.Journal of the American Geriatrics Society · 2020Article
- Opioid Prescribing in the Elderly: A Systematic Review.The Journal of pharmacy technology : jPT : official publication of the Association of Pharmacy Technicians · 2020Review
- Prevalence of Therapeutic use of Opioids in Chronic non-Cancer Pain Patients and Associated Factors: A Systematic Review and Meta-Analysis.Frontiers in pharmacology · 2020Review
- Pain Assessment, Management, and Impact Among Older Adults in Assisted Living.Pain management nursing : official journal of the American Society of Pain Management Nurses · 2019Review
- Opioid, antipsychotic and hypnotic use in end of life in long-term care facilities in six European countries: results of PACE.European journal of public health · 2019Article
- Long-acting opioid initiation in US nursing homes.Pharmacoepidemiology and drug safety · 2019Article
- Pain and Pain Medication among Older People with Intellectual Disabilities in Comparison with the General Population.Healthcare (Basel, Switzerland) · 2018Article
- Cognitive status and use of analgesics and anxiolytics in residents of nursing homes in the Czech Republic.Clinical interventions in aging · 2018Article
- Prevalence of Long-Term Opioid Use in Long-Stay Nursing Home Residents.Journal of the American Geriatrics Society · 2018Article
- Prescription of potentially inappropriate medications among older people with intellectual disability: a register study.BMC pharmacology & toxicology · 2017Article
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
Abstract
objectivesTo quantify prescription analgesic use of elderly nursing home (NH) residents with persistent noncancer pain and to identify individual and facility traits associated with no treatment.
designCross-sectional study.
settingLinked Minimum Data Set (MDS) assessments; Online Survey, Certification and Reporting (OSCAR) records; and Medicare Part D claims.
participantsIndividuals aged 65 and older with persistent noncancer pain were identified from a cross-section of all long-stay U.S. NH residents with an MDS assessment and Medicare Part D enrollment in 2008, excluding those who were terminally ill, those with Alzheimer's disease, and those with the most-severe cognitive impairment. MEASUREMENTS: Residents with moderate to severe daily pain on consecutive assessments at least 90 days apart constituted the cohort with persistent pain. Part D dispensing for an opioid or nonsteroidal anti-inflammatory drug (NSAID) within 30 days of persistent pain onset was identified. Information on resident and facility characteristics was obtained from MDS and OSCAR records. Associations between resident and facility attributes and pain treatment were estimated using multilevel mixed-effects logistic regression analyses.
resultsOf the study sample of 18,526 residents with persistent pain, 3,094 (16.7%) did not receive prescription analgesics, 12,815 (69.2%) received a prescription opioid, 485 (2.6%) received a prescription NSAID, and 2,132 (11.5%) received a prescription opioid and NSAID. After adjusting for potentially confounding covariates, residents who were older (≥95, odds ratio (OR) = 2.06, 95% confidence interval (CI) = 1.70-2.49), more cognitively impaired (moderately severe cognitive impairment, OR = 2.12, 95% CI = 1.71-2.62), or black (OR = 1.20, 95% CI = 1.03-1.39) or Asian (OR = 1.97, 95% CI = 1.22-3.20) were less likely to receive a prescription analgesic.
conclusionThrough 2008, pain remained undertreated in NHs, especially in certain subpopulations, including cognitively impaired and older residents. Changes in pain management practice and policies may be necessary to target these vulnerable residents.
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