ArticlePloS one2020
Deficits in pain medication in older adults with chronic pain receiving home care: A cross-sectional study in Germany.
Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Chronic pain management for older adults in ambulatory care : Results of a randomized pragmatic trial in Berlin, Germany.Zeitschrift fur Gerontologie und Geriatrie · 2025Trial
- Effectiveness of Outpatient Chronic Pain Management for Middle-Aged Patients by Internet Hospitals: Retrospective Cohort Study.JMIR medical informatics · 2024Article
- The use of nonpharmacological interventions for chronic pain treatment in community-dwelling older adults with a certified need for care.BMC geriatrics · 2024Article
- The Effect of Everyday-Life Social Contact on Pain.Journal of medical Internet research · 2024Review
- The quality of care delivered to residents in long-term care in Australia: an indicator-based review of resident records (CareTrack Aged study).BMC medicine · 2024Article
- Paracetamol: A Review of Guideline Recommendations.Journal of clinical medicine · 2021Review
- Brain Imaging Biomarkers for Chronic Pain.Frontiers in neurology · 2021Review
- High Prevalence of Multimorbidity and Polypharmacy in Elderly Patients With Chronic Pain Receiving Home Care are Associated With Multiple Medication-Related Problems.Frontiers in pharmacology · 2021Article
- Palliative Care in Advanced Dementia.Frontiers in psychiatry · 2020Review
- Review
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo analyze the pattern and appropriateness of pain medications in older adults receiving home care.
methodsWe performed a prospective cross-sectional study in patients ≥65 years old having chronic pain and receiving home care in Berlin, Germany. Data on prescribed pain medications were collected using self-reported information, nursing documents, and medication plans during interviews at home. Pain intensity was determined with the numeric rating scale (NRS) and the Pain Assessment In Advanced dementia (PAINAD) scale. The Pain Medication Appropriateness Scale score (SPMAS) was applied to evaluate inappropriateness (i.e. a score ≤67) of pain medication.
resultsOverall 322 patients with a mean age of 82.1 ± 7.4 years (71.4% females) were evaluated. The average pain intensity scores during the last 24 hours were 5.3 ± 2.1 and 2.3 ± 2.3 on NRS and PAINAD scale (range 0-10, respectively). Sixty (18.6%) patients did not receive any pain medication. Among the treated patients, dipyrone was the most frequently prescribed analgesic (71.4%), while 50.8% and 19.1% received systemic treatment with opioids and non-steroidal anti-inflammatory drugs, respectively. The observed median SPMAS was 47.6 (range 0-100) with 58 (18.0%) of patients achieving appropriate values. Half of the patients were treated with scheduled, while 29.9% were only treated with on-demand medications. Cognitive status had no effect on appropriateness of pain treatment.
conclusionsWe observed substantial deficits in dosing patterns and appropriateness of pain medication in older adults with pain receiving home care. This applied to both patients with and without severe cognitive impairment.
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