ArticleJournal of pain and symptom management2018
Cognitive Impairment and Pain Among Nursing Home Residents With Cancer.
Article in Journal of pain and symptom management, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.
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Who cites it
24 citing papers in PubMed, 39 citations in OpenAlex.
- Procedural pain in pediatric care: educational, ethical, and public health imperatives.Frontiers in pediatrics · 2026Article
- To treat or not to treat: a comparative effectiveness analysis of oral anticoagulant outcomes among U.S. nursing home residents with atrial fibrillation.BMC geriatrics · 2024Article
- Cognitive function and its associated factors among patients with cancer pain: a multicentre cross-sectional study in China.BMJ open · 2024Article
- Exploring the Holistic Needs of People Living with Cancer in Care Homes: An Integrative Review.Healthcare (Basel, Switzerland) · 2023Review
- Discontinuation of oral anticoagulant use among nursing home residents with atrial fibrillation before hospice enrollment.Journal of the American Geriatrics Society · 2023Article
- Update on Prevalence of Pain in Patients with Cancer 2022: A Systematic Literature Review and Meta-Analysis.Cancers · 2023Review
- Impact of cognitive decline on medical outcomes and nursing workload: A retrospective cohort study.PloS one · 2023Article
- Pain Impacting Quality of Life in Persons with Dementia Dying in the Nursing Home by Alternative Medicare Payment Model.Journal of palliative medicine · 2022Article
- Prevalence and treatment of neuropathic pain diagnoses among U.S. nursing home residents.Pain · 2022Article
- Combining subjective and objective appraisals of cognitive dysfunction in patients with cancer: a deeper understanding of meaning and impact on suffering?Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022Article
- Characteristics of patients with cancer in European long-term care facilities.Aging clinical and experimental research · 2022Article
- Exclusion of older adults from clinical trials in cancer-related pain.Frontiers in medicine · 2022Article
- Prevalence and the factors associated with oral anticoagulant use among nursing home residents.Journal of clinical pharmacy and therapeutics · 2021Article
- Pressure pain threshold of masticatory muscles in children and adolescents with and without intellectual disability: a pilot study.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2021Article
- Cultural and Ethical Barriers to Cancer Treatment in Nursing Homes and Educational Strategies: A Scoping Review.Cancers · 2021Article
- Multiple imputation to quantify misclassification in observational studies of the cognitively impaired: an application for pain assessment in nursing home residents.BMC medical research methodology · 2021Article
- Prescription analgesia and adjuvant use by pain severity at admission among nursing home residents with non-malignant pain.European journal of clinical pharmacology · 2020Article
- Severe pain at the end of life: a population-level observational study.BMC palliative care · 2020Observational
- Pain Patterns and Treatment Among Nursing Home Residents With Moderate-Severe Cognitive Impairment.Journal of the American Geriatrics Society · 2020Article
- The Prevalence and Factors Associated with Antiepileptic Drug Use in US Nursing Home Residents.Drugs & aging · 2020Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
Abstract
contextThe prevalence of pain and its management has been shown to be inversely associated with greater levels of cognitive impairment.
objectivesTo evaluate whether the documentation and management of pain varies by level of cognitive impairment among nursing home residents with cancer.
methodsUsing a cross-sectional study, we identified all newly admitted U.S. nursing home residents with a cancer diagnosis in 2011-2012 (n = 367,462). Minimum Data Set 3.0 admission assessment was used to evaluate pain/pain management in the past five days and cognitive impairment (assessed via the Brief Interview for Mental Status or the Cognitive Performance Scale for 91.6% and 8.4%, respectively). Adjusted prevalence ratios with 95% CI were estimated from robust Poisson regression models.
resultsFor those with staff-assessed pain, pain prevalence was 55.5% with no/mild cognitive impairment and 50.5% in those severely impaired. Pain was common in those able to self-report (67.9% no/mild, 55.9% moderate, and 41.8% severe cognitive impairment). Greater cognitive impairment was associated with reduced prevalence of any pain (adjusted prevalence ratio severe vs. no/mild cognitive impairment; self-assessed pain 0.77; 95% CI 0.76-0.78; staff-assessed pain 0.96; 95% CI 0.93-0.99). Pharmacologic pain management was less prevalent in those with severe cognitive impairment (59.4% vs. 74.9% in those with no/mild cognitive impairment).
conclusionIn nursing home residents with cancer, pain was less frequently documented in those with severe cognitive impairment, which may lead to less frequent use of treatments for pain. Techniques to improve documentation and treatment of pain in nursing home residents with cognitive impairment are needed.
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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.