ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2020
Patterns of pain medication use associated with reported pain interference in older adults with and without cancer.
Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed, 10 citations in OpenAlex.
- Prescription Monitoring Program Mandates and Opioids Dispensed to Patients Dying of Cancer.JCO oncology practice · 2026Article
- End-of-life care trajectories among older adults with lung cancer.Journal of geriatric oncology · 2023Article
- Opioid use by cancer status and time since diagnosis among older adults enrolled in the Prostate, Lung, Colorectal, and Ovarian screening trial in the United States.Cancer medicine · 2021Article
- Opioid and Other Medication Use and General Health Status in a Cohort of Older Adults.Gerontology · 2021Article
- Severe functional limitation due to pain & emotional distress and subsequent receipt of prescription medications among older adults with cancer.Journal of geriatric oncology · 2020Article
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Authors and funding
8 authors at 5 institutions in 2 countries.
Funding
Abstract
contextConcerns about the adequacy of pain management among older adults are increasing, particularly with restrictions on opioid prescribing.
objectivesTo examine associations between prescription pain medication receipt and patient-reported pain interference in older adults with and without cancer.
methodsUsing the 2007-2012 Surveillance Epidemiology and End Results (SEER)-Medicare Health Outcomes Survey (MHOS) database linked to Medicare Part D prescription claims, we selected MHOS respondents (N = 15,624) aged ≥ 66 years, ≤ 5 years of a cancer diagnosis (N = 9105), or without cancer (N = 6519). We measured receipt of opioids, non-steroidal anti-inflammatory drugs, and antiepileptics, and selected antidepressants within 30 days prior to survey. Patient-reported activity limitation due to pain (pain interference) within the past 30 days was summarized as severe, moderate, or mild/none. Logistic regression using predictive margins estimated associations between pain interference, cancer history, and pain medication receipt, adjusting for socio-demographics, chronic conditions, and Part D low-income subsidy.
resultsSevere or moderate pain interference was reported by 21.3% and 46.1%, respectively. Pain medication was received by 21.5%, with 11.6% receiving opioids. Among adults reporting severe pain interference, opioid prescriptions were filled by 27.0% versus 23.8% (p = 0.040) with and without cancer, respectively. Over half (56%) of adults reporting severe pain in both groups failed to receive any prescription pain medication.
conclusionsOlder adults with cancer were more likely to receive prescription pain medications compared with adults without cancer; however, many older adults reporting severe pain interference did not receive medications. Improved assessment and management of pain among older adults with and without cancer is urgently needed.
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