Evidence map›Paper›PMID 29716389›Full record

ArticleAmerican journal of Alzheimer's disease and other dementias2018

Reduced Pain Reports With Increasing Cognitive Impairment in Older Persons in New Zealand.

Jennifer Jordan, Marie Crowe, Deborah Gillon, Cate McCall, Christopher Frampton, Hamish Jamieson

Abstract read
In one paragraph

Article in American journal of Alzheimer's disease and other dementias, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

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

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

6 authors.

Jennifer Jordan1 Department of Psychological Medicine, University of Otago, Christchurch, New Zealand.ORCID 0000-0003-4699-6301
Marie Crowe1 Department of Psychological Medicine, University of Otago, Christchurch, New Zealand.
Deborah Gillon2 Centre for Postgraduate Nursing Studies, University of Otago, Christchurch, New Zealand.
Cate McCall2 Centre for Postgraduate Nursing Studies, University of Otago, Christchurch, New Zealand.
Christopher Frampton1 Department of Psychological Medicine, University of Otago, Christchurch, New Zealand.
Hamish Jamieson3 Department of Medicine, University of Otago, Christchurch, New Zealand.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundConflicting findings prevail about pain in older persons with cognitive impairment. There is evidence of changed pain perception; however, pain is also underrecognized. Pain and cognitive impairment were examined in a national cohort of older persons assessed using the Home Care International Residential Assessment Instrument (interRAI-HC).

methodsParticipants were 41 459 aged 65+ years receiving a mandated needs assessment to access publicly funded services. InterRAI-HC pain severity and Cognitive Performance Scale analyses covaried for age, gender, and ethnicity.

resultsMilder pain prevalence increased with age, whereas daily severe-excruciating pain prevalence decreased with age. Daily severe-excruciating pain was reported by 18% of cognitively intact individuals decreasing to 8% in the severe cognitive impairment group. This relationship remained after covarying for age, sex, and ethnicity. Differences among dementia subtypes were found.

conclusionAlthough severe pain reports decrease with increasing age and cognitive impairment, more nuanced research covarying for dementia severity and subtype is required.

Indexed as

Needs AssessmentAgedAged, 80 and overCognitive DysfunctionCohort StudiesCross-Sectional StudiesFemaleHome Care ServicesHumansMaleNew ZealandPainPrevalenceagedcognitive impairmentdementianeeds assessmentpain

Identifiers

PMID29716389
PMCPMC10852435

What OpenQuestion holds

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Registered trials

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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.