Evidence map›Paper›PMID 28224474›Full record

ArticleAging clinical and experimental research2017

Pain severity and pharmacologic pain management among community-living older adults: the MOBILIZE Boston study.

Ampicha Nawai, Suzanne G Leveille, Robert H Shmerling, Guusje van der Leeuw, Jonathan F Bean

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Aging clinical and experimental research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04789590 (Determining the Effectiveness of the Geriatric Pain Measure ın Older Adults Attending a Gynecology Clinic), which is not on this map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
6.3field-weighted citation impact, top 3% 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.

NCT04789590 completednot on this mapstarted 2018, after this paper: background citation

Determining the Effectiveness of the Geriatric Pain Measure ın Older Adults Attending a Gynecology Clinic

TypeobservationalSponsorUludag UniversityRan2018 to 2019Enrolled100ConditionsPain
3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 51 citations in OpenAlex.

  1. Pooled it
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  9. Review
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  13. The silent epidemic of chronic pain in older adults.Progress in neuro-psychopharmacology & biological psychiatry · 2019
    Review
  14. 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 · 2018
    Article
  15. XmPain research & management · 2018
    Article
  16. 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

5 authors at 3 institutions in 1 country.

Ampicha NawaiCollege of Nursing and Health Sciences, University of Massachusetts Boston, Boston, MA, USA. ampicha.nawai001@umb.edu.
Suzanne G LeveilleCollege of Nursing and Health Sciences, University of Massachusetts Boston, Boston, MA, USA.
Robert H ShmerlingDepartment of Medicine, Beth Israel Deaconess Medical Center, Boston, MA, USA.
Guusje van der LeeuwCollege of Nursing and Health Sciences, University of Massachusetts Boston, Boston, MA, USA.
Jonathan F BeanHarvard Medical School, Boston, MA, USA.
Beth Israel Deaconess Medical Center · USUniversity of Massachusetts Boston · USSpaulding Rehabilitation Hospital · US

Funding

VITAMIN D NUTRITION IN THE INSTITUTIONALIZED ELDERLYP01AG004390 · NIA · HEBREW REHABILITATION CENTER FOR AGED · PI CHENG, DEBBIE M. · 1985 to 2008
$13.2M
Translational Researchin Aging Trainnig ProgramT32AG023480 · NIA · HEBREW REHABILITATION CENTER FOR AGED · PI LIPSITZ, LEWIS · 2004 to 2024
$7.6M
Attention Demands of Chronic Pain and Risk for Falls in Older AdultsR01AG041525 · NIA · UNIVERSITY OF MASSACHUSETTS BOSTON · PI LEVEILLE, SUZANNE G. · 2011 to 2015
$3.0M
NIA NIH HHS P01 AG004390NIA NIH HHS R01 AG041525NIA NIH HHS T32 AG023480
6 · The paper itself

Abstract

backgroundConcerns about polypharmacy and medication side effects contribute to undertreatment of geriatric pain. This study examines use and effects of pharmacologic treatment for persistent pain in older adults.

methodsThe MOBILIZE Boston Study included 765 adults aged ≥70 years, living in the Boston area, recruited from 2005 to 2008. We studied 599 participants who reported chronic pain at baseline. Pain severity, measured using the Brief Pain Inventory (BPI) severity subscale, was grouped as very mild (BPI <2), mild (BPI 2-3.99), and moderate to severe (BPI 4-10). Medications taken in the previous 2 weeks were recorded from medication bottles in the home interview.

resultsHalf of participants reported using analgesic medications in the previous 2 weeks. Older adults with moderate to severe pain were more likely to use one or more analgesic medications daily than those with very mild pain (49 versus 11%, respectively). The most commonly used analgesic was acetaminophen (28%). Opioid analgesics were used daily by 5% of participants. Adjusted for health and demographic factors, pain severity was strongly associated with daily analgesic use (moderate-severe pain compared to very mild pain, adj. OR 7.19, 95% CI 4.02-12.9). Nearly one third of participants (30%) with moderate to severe pain felt they needed a stronger pain medication while 16% of this group were concerned they were using too much pain medication.

conclusionSerious gaps persist in pain management particularly for older adults with the most severe chronic pain. Greater efforts are needed to understand barriers to effective pain management and self-management in the older population.

Indexed as

AcetaminophenAgedAged, 80 and overAnalgesicsAnalgesics, OpioidChronic PainCohort StudiesFemaleHumansMalePain ManagementPain MeasurementPolypharmacyAcetaminophenAnalgesicsAnalgesics, OpioidAnalgesic medicationsEpidemiologyOlder adultsPainSide effects

Identifiers

PMID28224474
PMCPMC5565717
OpenAlexW2591554440

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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.