Evidence map›Paper›PMID 34386937›Full record

ArticleDrugs & aging2021

Prevalence of Musculoskeletal Pain and Analgesic Treatment Among Community-Dwelling Older Adults: Changes from 1999 to 2019.

Tuuli Elina Lehti, M-O Rinkinen, U Aalto, H M Roitto, M Knuutila, H Öhman, H Kautiainen, H Karppinen, R Tilvis, T Strandberg and 1 more

Open access · hybridAbstract read
In one paragraph

Article in Drugs & aging, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
3.7field-weighted citation impact, top 7% of its field
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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.

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  11. Pain: its prevalence and correlates among the oldest old.Aging clinical and experimental research · 2024
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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

11 authors at 1 institution in 2 countries.

Tuuli Elina LehtiPrimary Health Care Unit, Helsinki University Hospital, Ilkantie 10 B 22, 00400, Helsinki, Finland. tuuli.lehti@helsinki.fi.ORCID 0000-0002-1861-8576
M-O RinkinenDepartment of General Practice and Primary Health Care, University of Helsinki, Helsinki, Finland.
U AaltoSocial Services and Health Care Division, City of Helsinki, Helsinki, Finland.
H M RoittoSocial Services and Health Care Division, City of Helsinki, Helsinki, Finland.
M KnuutilaSocial Services and Health Care Division, City of Helsinki, Helsinki, Finland.
H ÖhmanGeriatric Medicine, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
H KautiainenDepartment of General Practice and Primary Health Care, University of Helsinki, Helsinki, Finland.
H KarppinenDepartment of General Practice and Primary Health Care, University of Helsinki, Helsinki, Finland.
R TilvisGeriatric Unit, Department of Internal Medicine, University of Helsinki, Helsinki, Finland.
T StrandbergGeriatric Unit, Department of Internal Medicine, University of Helsinki, Helsinki, Finland.
K H PitkäläPrimary Health Care Unit, Helsinki University Hospital, Ilkantie 10 B 22, 00400, Helsinki, Finland.
University of Helsinki · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPain is undertreated in older populations. At the same time, increased use of opioids is of concern in the Western world.

aimsWe sought to analyze temporal trends in musculoskeletal pain and prescribed analgesic treatment among community-dwelling people aged 75-95 years using cross-sectional cohort data spanning 20 years.

methodsThe Helsinki Aging Study recruited random samples of people aged 75, 80, 85, 90, and 95 years in 1999, 2009, and 2019. In total, 5707 community-dwelling persons participated in the study. The participants reported their medical diagnoses, regular prescription medications, and the presence of back pain or joint pain within the last 2 weeks (never, sometimes, or daily). We compared analgesic use among participants reporting and not reporting musculoskeletal pain in 1999, 2009, and 2019.

resultsOf the participants, 57-61% reported intermittent or daily musculoskeletal pain. The percentage receiving a prescribed daily analgesic increased from 9% in 1999 to 16% in 2019. The use of non-steroidal anti-inflammatory drugs (NSAIDs) decreased from 1999 to 2019, while the use of paracetamol increased from 2 to 11%. Opioids were taken by 2% in 1999 and 3% in 2019. Of those reporting daily musculoskeletal pain, 20%, 35%, and 32% received regular pain medication in 1999, 2009, and 2019, respectively.

conclusionsPain remains undertreated in the community-dwelling older population, although the use of regular prescribed analgesics increased between 1999 and 2019. The use of NSAIDs has decreased, while the use of paracetamol has increased. Daily opioid use has remained modest.

Indexed as

Musculoskeletal PainAgedAnalgesicsCross-Sectional StudiesHumansIndependent LivingPrevalenceAnalgesics

Identifiers

PMID34386937
PMCPMC8484214
OpenAlexW3188879457

What OpenQuestion holds

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LicenceCC BY-NC
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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.