Evidence map›Paper›PMID 37842123›Full record

ArticleFrontiers in aging neuroscience2023

Chronic pain is a risk factor for incident Alzheimer's disease: a nationwide propensity-matched cohort using administrative data.

Nadège Bornier, Aurélien Mulliez, Chouki Chenaf, Antoine Elyn, Sarah Teixeira, Nicolas Authier, Célian Bertin, Nicolas Kerckhove

Abstract read
In one paragraph

Article in Frontiers in aging neuroscience, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 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

13 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
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  12. Mechanisms of comorbidity between Alzheimer's disease and pain.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Review
  13. Review
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

8 authors.

Nadège BornierService de Pharmacologie Médicale, Direction de la Recherche Clinique et de L'Innovation, Université Clermont Auvergne, Clermont-Ferrand, France.
Aurélien MulliezService de Pharmacologie Médicale, Direction de la Recherche Clinique et de L'Innovation, Université Clermont Auvergne, Clermont-Ferrand, France.
Chouki ChenafService de Pharmacologie Médicale, Direction de la Recherche Clinique et de L'Innovation, Université Clermont Auvergne, Clermont-Ferrand, France.
Antoine ElynCentre D'Évaluation et de Traitement de la Douleur, Service de Neurochirurgie, Pôle Neuroscience, Centre Hospitalier Universitaire de Toulouse, Toulouse, France.
Sarah TeixeiraService de Pharmacologie Médicale, Direction de la Recherche Clinique et de L'Innovation, Université Clermont Auvergne, Clermont-Ferrand, France.
Nicolas AuthierService de Pharmacologie Médicale, Direction de la Recherche Clinique et de L'Innovation, Université Clermont Auvergne, Clermont-Ferrand, France.
Célian BertinService de Pharmacologie Médicale, Direction de la Recherche Clinique et de L'Innovation, Université Clermont Auvergne, Clermont-Ferrand, France.
Nicolas KerckhoveService de Pharmacologie Médicale, Direction de la Recherche Clinique et de L'Innovation, Université Clermont Auvergne, Clermont-Ferrand, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Chronic pain (CP) is one of the most disabling conditions in the elderly and seems to be a risk factor for the development of Alzheimer's disease and related dementias (ADRD). Only one study, using national administrative health databases, assessed and demonstrated that chronic pain (all types of pain) was a risk factor for dementia, but without assessing the impact of pain medications. Method: To assess the impact of all types of chronic pain and the long-term use of pain medications on the person-years incidence of ADRD, a retrospective nationwide healthcare administrative data study was performed using the national inter-regime health insurance information system (SNIIRAM) to the French national health data system (SNDS). Incident people >50 years old with chronic pain, defined by at least 6-months duration analgesics treatment or by a diagnosis/long-term illness of chronic pain between 2006 and 2010, were included. Chronic pain individuals were matched with non-CP individuals by a propensity score. Individuals were followed up from 9 to 13 years to identify occurrences of ADRD from 2006. Results: Among 64,496 French individuals, the incidence of ADRD was higher in the chronic pain population than control (1.13% vs. 0.95%, Discussion: Our study highlights the importance of prevention, diagnosis, and management of chronic pain in elderly to reduce the risk of development and/or worsening of dementia.

Indexed as

Alzheimer diseasedementiaepidemiology–analytic (risk factors)incidencepain

Identifiers

PMID37842123
PMCPMC10575742

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Registered trials

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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.