ArticleJournal of pain research2018
Non-Hispanic Black-White disparities in pain and pain management among newly admitted nursing home residents with cancer.
Article in Journal of pain research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.
- Building evidence to advance health equity: a systematic review on care-related outcomes for older, minoritised populations in long-term care homes.Age and ageing · 2024Pooled it
- The Influence of Patient Race and Activation on Pain Management in Advanced Lung Cancer: a Randomized Field Experiment.Journal of general internal medicine · 2019Trial
- Disparities associated with race and ethnicity in pain management: a scoping review.International journal of clinical pharmacy · 2026Article
- Racial and Ethnic Disparities in Pharmacologic and Non-Pharmacologic Pain Management Among Older Cancer Survivors.Cancer medicine · 2026Article
- Methods for studying health disparities in U.S. nursing homes: a scoping review.BMC health services research · 2025Article
- Potentially Avoidable Hospitalizations Among Historically Marginalized Nursing Home Residents.JAMA network open · 2024Article
- Improving Pathways to Care for Ethnic Minority Communities.Advances in experimental medicine and biology · 2024Review
- Exploring the Holistic Needs of People Living with Cancer in Care Homes: An Integrative Review.Healthcare (Basel, Switzerland) · 2023Review
- Association Between Documented Severe Pain and Cognitive Impairment in Home Health Care Patients: Results from the National Outcome and Assessment Information Set Data.Journal of palliative medicine · 2023Article
- Oncology distress screening within predominately Black Veterans: Outcomes on supportive care utilization, hospitalizations, and mortality.Cancer medicine · 2023Article
- Psychological Evaluation of Patients With Cancer Presenting to the Emergency Department With Pain: Independent Predictors of Worse Pain Severity, Interference, and Higher Hourly Opioid Administration.JCO oncology practice · 2022Article
- Quality of Care and Outcomes Among a Diverse Group of Long-Term Care Residents With Alzheimer's Disease and Related Dementias.Journal of aging and health · 2022Article
- Top Ten Tips Palliative Care Clinicians Should Know About Delivering Antiracist Care to Black Americans.Journal of palliative medicine · 2022Review
- Algorithmic harms and digital ageism in the use of surveillance technologies in nursing homes.Frontiers in sociology · 2022Article
- Racial/Ethnic Differences in Staff-Assessed Pain Behaviors Among Newly Admitted Nursing Home Residents.Journal of pain and symptom management · 2021Article
- Cancer Pain in Relation to Metropolitan Area Segregation and Nursing Home Racial and Ethnic Composition.Journal of the American Medical Directors Association · 2020Article
- Management of Pain in the United States-A Brief History and Implications for the Opioid Epidemic.Health services insights · 2018Article
- A Narrative Review of the Current Research in Cancer-Related Pain Inequities: The Necessity of Applying Intersectionality to Advance Cancer Pain Research.Cancer control : journal of the Moffitt Cancer CenterReview
- Pilot testing implementation of the pain management clinical practice guideline in nursing homes.Geriatric nursing (New York, N.Y.)Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
Abstract
backgroundRacial disparities in pain management persist across health care settings and likely extend into nursing homes. No recent studies have evaluated racial disparities in pain management among residents with cancer in nursing homes at time of admission.
methodsUsing a cross-sectional study design, we compared reported pain and pain management between non-Hispanic White and non-Hispanic Black newly admitted nursing home residents with cancer (n=342,920) using the de-identified Minimum Data Set version 3.0. Pain management strategies included the use of scheduled analgesics, pro re nata analgesics, and non-pharmacological methods. Presence of pain was based on self-report when residents were able, and staff report when unable. Robust Poisson models provided estimates of adjusted prevalence ratios (aPR) and 95% CIs for reported pain and pain management strategies.
resultsAmong nursing home residents with cancer, ~60% reported pain with non-Hispanic Blacks less likely to have both self-reported pain (aPR [Black versus White]: 0.98, 95% CI: 0.97-0.99) and staff-reported pain (aPR: 0.89, 95% CI: 0.86-0.93) documentation compared with Non-Hispanic Whites. While most residents received some pharmacologic pain management, Blacks were less likely to receive any compared with Whites (Blacks: 66.6%, Whites: 71.1%; aPR: 0.98, 95% CI: 0.97-0.99), consistent with differences in receipt of non-pharmacologic treatments (Blacks: 25.8%, Whites: 34.0%; aPR: 0.98, 95 CI%: 0.96-0.99).
conclusionLess pain was reported for Black compared with White nursing home residents and White residents subsequently received more frequent pain management at admission. The extent to which unequal reporting and management of pain persists in nursing homes should be further explored.
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Registered trials
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