Evidence map›Paper›PMID 33580415›Full record

ArticleSchmerz (Berlin, Germany)2021

[Older care receivers with chronic pain : Cross-sectional study of gender-specific pain intensity and home-care provision in the city environment].

D Dräger, R Kreutz, A Wenzel, J Schneider, A Budnick

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In one paragraph

Article in Schmerz (Berlin, Germany), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Guideline
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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

5 authors.

D DrägerInstitut für Medizinische Soziologie und Rehabilitationswissenschaft, Campus Charité Mitte, Charité - Universitätsmedizin Berlin, Virchowweg 22, 10117, Berlin, Deutschland. dagmar.draeger@charite.de.
R KreutzInstitut für Klinische Pharmakologie und Toxikologie, Charité - Universitätsmedizin Berlin, Berlin, Deutschland.
A WenzelInstitut für Medizinische Soziologie und Rehabilitationswissenschaft, Campus Charité Mitte, Charité - Universitätsmedizin Berlin, Virchowweg 22, 10117, Berlin, Deutschland.
J SchneiderInstitut für Klinische Pharmakologie und Toxikologie, Charité - Universitätsmedizin Berlin, Berlin, Deutschland.
A BudnickInstitut für Medizinische Soziologie und Rehabilitationswissenschaft, Campus Charité Mitte, Charité - Universitätsmedizin Berlin, Virchowweg 22, 10117, Berlin, Deutschland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPain prevalence rates of up to 53% are found among older home-care recipients (aged ≥ 60 years). Of people affected by pain in Germany, care recipients comprise a relevant group with prevalence rates of around 70%. The available information on gender-specific pain experience shows a range of differing findings.

objectiveOur objective was to determine pain parameters of older care receivers in the big city environment who are capable of self-reporting, taking into account gender differences and relevant aspects of medical care and medication. MATERIAL AND

methodsA cross-sectional study (structured interviews) was carried out among older (≥65 years) home-care recipients (German Social Security Code SGB XI) in Berlin, with chronic pain (n = 225), capable of self-reporting (MMST ≥ 18). Pain parameters were determined using the German version of the brief pain inventory (BPI-NHR). Multiple regression analysis was applied to test and explain how the severest pain was influenced by sociodemographic and medical parameters, mental and physical restrictions, and analgesic provision.

resultsAnalyses showed an average pain intensity of 5.3 (SD ± 2.0). The severest pain averaged 7.0 (SD ± 2.2). Few indications of significant gender-based differences were found (e.g. pain location, number of medications). The final model identified the number of pain locations (≥14), everyday abilities, and pain medication (as needed, none) as being associated with the severest pain. Treatment achieved pain relief of over 70% in only 24.6% of cases among pain-affected care receivers.

conclusionThe findings indicate a significant level of pain experienced by older home-care recipients. Interdisciplinary care concepts are urgently needed.

Indexed as

Chronic PainHome Care ServicesCross-Sectional StudiesGermanyHumansPain MeasurementAnalgesic provisionGender differencesMedical pain treatmentPain parameters Brief Pain Inventory

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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.