ReviewWorld journal of clinical cases2017
Guidance on opioids prescribing for the management of persistent non-cancer pain in older adults.
Review in World journal of clinical cases, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04878562 (Improving Chicago Older Adult Opioid and Pain Management Through Patient-Centered Clinical Decision Support and Project ECHO), which is not on this map. Cited by 33 papers, 3 of them syntheses that pooled 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.
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.
Improving Chicago Older Adult Opioid and Pain Management Through Patient-Centered Clinical Decision Support and Project ECHO
Who cites it
33 citing papers in PubMed, 3 syntheses or guidelines pooled it, 71 citations in OpenAlex.
- Quality Indicators for the Pharmacological Management of Chronic Non-Cancer Pain in Older Adult Patients: An Integrative Review.Journal of evaluation in clinical practice · 2025Pooled it
- A systematic review of opioid prevalence in Australian residential aged care facilities.Australasian journal on ageing · 2022Pooled it
- Association between frailty and chronic pain among older adults: a systematic review and meta-analysis.European geriatric medicine · 2020Pooled it
- Opioids to Treat Chronic Pain in the Older Adult: A Clinical Consensus to Guarantee Safety and Avoid Adverse Events.Drugs & aging · 2026Review
- French National Guidelines for the Appropriate Use of Opioids: Analgesia, Opioid Use Disorder, and Overdose Prevention-Part 1: Methodology and Pain Management.Pain and therapy · 2026Article
- Estimating average causal effects with incomplete exposure and confounders.Journal of causal inference · 2026Article
- Incidence of Opioid Use Before and After Parkinson's Disease Diagnosis.European journal of pain (London, England) · 2025Article
- The association between STOPPFall medication use and falls and fractures in community-dwelling older people.Age and ageing · 2025Article
- Chasing the Pendulum: The Past, Present, and Future of Opioids and Older Adults.Innovation in aging · 2025Article
- Development of a set of indicators for the quality of chronic pain management in Chinese community-dwelling older adults: a Delphi study.BMC geriatrics · 2024Article
- Pharmacological Pain Treatment in Older Persons.Drugs & aging · 2024Review
- Association between Opioid-Benzodiazepine Trajectories and Injurious Fall Risk among US Medicare Beneficiaries.Journal of clinical medicine · 2024Article
- Assessing Risk Factors and Comorbidities in the Treatment of Chronic Pain: A Narrative Review.Current pain and headache reports · 2024Review
- Burden of Chronic and Heavy Opioid Use Among Elderly Community Dwellers in the U.S.AJPM focus · 2024Article
- Chronic pain in the elderly: Exploring cellular and molecular mechanisms and therapeutic perspectives.Frontiers in aging · 2024Review
- Assessing the contributions of modifiable risk factors to serious falls and fragility fractures among older persons living with HIV.Journal of the American Geriatrics Society · 2023Article
- Offering an Alternative to Persons with Chronic Pain: How Access to Cannabis May Provide an Off-Ramp from Undesired Prescription Opioid Use.Cannabis (Albuquerque, N.M.) · 2023Article
- Opioid-related adverse drug reactions in patients visiting the emergency division of a tertiary hospital.Pharmacology research & perspectives · 2022Review
- Prescription opioids among older adults: ten years of data across five countries.BMC geriatrics · 2022Article
- Opioids and Falls Risk in Older Adults: A Narrative Review.Drugs & aging · 2022Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
1 author at 1 institution in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Many older adults suffer from persistent pain but prevalence studies consistently showed high levels of untreated or under-treated pain in old population. Both persistent pain and pain under-treatment adversely affect independence and quality of life in geriatric patients. Pain management is challenging in this age-group because of the declining organ function, the presence of concurrent diseases and polypharmacy. For all the above reasons, persistent pain in the elderly should be considered a geriatric syndrome per se and effective approaches are warranted. Current guidelines and consensus statements recommend opioid therapy for older adults with moderate-to-severe persistent pain or functional impairment and diminished quality of life due to pain. However clinicians and patients themselves have some concerns about opioids use. Age-related decline in organs functions and warnings about risk of addiction and drug misuse/abuse also in geriatric patients need particular attention for safe prescribing. On the basis of clinical evidence, these practical recommendations will help to improve the competence on opioid role in persistent pain management and the likelihood of a successful analgesic trial in older patients.
Indexed as
Identifiers
What OpenQuestion holds
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.