ArticleJournal of the American Geriatrics Society2018
Prevalence and Characteristics of Moderate to Severe Pain among Hospitalized Older Adults.
Article in Journal of the American Geriatrics Society, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
20 citing papers in PubMed, 39 citations in OpenAlex.
- Effects of proactive healthcare on pain, physical and activities of daily living functioning in vulnerable older adults with chronic pain: a pragmatic clinical trial with one- and two-year follow-up.European geriatric medicine · 2024Trial
- Pain Incidence, Treatment, and Associated Symptoms in Hospitalized Persons with Dementia.Pain management nursing : official journal of the American Society of Pain Management Nurses · 2021Trial
- An augmented prescribed exercise program (APEP) to improve mobility of older acute medical patients - a randomized, controlled pilot and feasibility trial.BMC geriatrics · 2019Trial
- Pain in Alzheimer's Disease: Disrupted Multilevel Integration of Nociception, Affective Processing and Clinical Expression Across Clinical and Preclinical Evidence.Life (Basel, Switzerland) · 2026Review
- Digital Pain Assessment: Patient and Family Perspectives.Nursing reports (Pavia, Italy) · 2026Article
- Artificial Intelligence, Informatics, and Pain in Aging.Clinics in geriatric medicine · 2026Review
- Prevalence, Geographic Variations, and Determinants of Pain Among Older Adults in China: Findings from the National Urban and Rural Elderly Population (UREP) Survey.Healthcare (Basel, Switzerland) · 2025Article
- Pain Intensity and Health Service Utilization in United States Adults with Pain: A Cross-Sectional Database Analysis.Healthcare (Basel, Switzerland) · 2025Article
- Article
- Association between frailty and pain in older people at high risk of future hospitalization.Frontiers in pain research (Lausanne, Switzerland) · 2025Article
- Pain and Frailty in Childhood Cancer Survivors: A Narrative Review.Current oncology (Toronto, Ont.) · 2024Review
- Opioids in geriatric units in 14 Belgian hospitals: prevalence, dosage and associated factors.Annals of medicine · 2024Article
- Pain management inequities by demographic and geriatric-related variables in older adult inpatients.Journal of the American Geriatrics Society · 2024Article
- Agreement Between a Colorimetric Assay and Ultra-Performance Liquid Chromatography-Tandem Mass Spectrometry for Quantifying Paracetamol Plasma Concentrations.The AAPS journal · 2024Article
- The burden of pre-admission pain, depression, and caregiving on palliative care needs for seriously ill trauma patients.Journal of the American Geriatrics Society · 2023Article
- [Nomographic Model for Predicting Severe Foot Pain in Nurses from Tertiary Hospitals in China].Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition · 2023Article
- Article
- Pain Characteristics and Quality of Life in Older People at High Risk of Future Hospitalization.International journal of environmental research and public health · 2021Article
- Multimorbidity and Opioid Prescribing in Hospitalized Older Adults.Journal of palliative medicine · 2020Article
- Chronic Pain, Hopelessness, and Suicide Risk Among Adult Medical Inpatients.Journal of the Academy of Consultation-Liaison PsychiatryArticle
Corrections and comments
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Authors and funding
9 authors at 2 institutions in 1 country.
Funding
Abstract
objectivesTo investigate the prevalence, characteristics, and management of pain in older hospitalized medical patients.
designMedical record aggregate review.
settingTertiary care hospital.
participantsIndividuals aged 65 and older admitted to the medicine service between November 28, 2014, and May 28, 2015. MEASUREMENTS: Demographic characteristics, comorbidity burden, pain characteristics, and analgesics during index hospitalization were assessed in individuals with moderate to severe pain (≥4 on 0-10 Numeric Pain Rating Scale).
resultsOf 1,267 patients admitted to the medicine service, 248 (20%) had moderate to severe pain on admission (mean age 75 ± 8, 57% female, 50% white). During hospitalization, most participants received opioids (80%) and acetaminophen (74%), and few received nonsteroidal antiinflammatory drugs (9%). Participants with chronic pain had less reduction in pain intensity score from admission to discharge than those without a history of chronic pain (mean change score 3.7 vs 4.9, p=.002) and were more likely to receive opioids, adjuvant analgesics, and other analgesics (all p<.05).
conclusionTwenty percent of older adults admitted to a general medicine service had moderate to severe pain. Further research about optimal pain management in hospitalized older adults, particularly those with chronic pain, is necessary to improve care in this population.
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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.