Evidence map›Paper›PMID 38360542›Full record

ArticleBMC geriatrics2024

The association of painful and non-painful morbidities with frailty: a cross sectional analysis of a cohort of community dwelling older people in England.

W J Chaplin, H R Lewis, S M Shahtaheri, B S Millar, D F McWilliams, J R F Gladman, D A Walsh

Open access · goldAbstract read
In one paragraph

Article in BMC geriatrics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.4field-weighted citation impact, top 22% 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

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Article
  3. Observational
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

7 authors at 1 institution in 1 country.

W J ChaplinAcademic Rheumatology, Injury, Recovery and Inflammation Sciences, University of Nottingham, Nottingham, England. Wendy.Chaplin1@nottingham.ac.uk.ORCID 0000-0002-2024-9685
H R LewisAcademic Rheumatology, Injury, Recovery and Inflammation Sciences, University of Nottingham, Nottingham, England.ORCID 0000-0002-4103-8262
S M ShahtaheriAcademic Rheumatology, Injury, Recovery and Inflammation Sciences, University of Nottingham, Nottingham, England.ORCID 0000-0002-9623-878X
B S MillarAcademic Rheumatology, Injury, Recovery and Inflammation Sciences, University of Nottingham, Nottingham, England.ORCID 0000-0002-4535-4828
D F McWilliamsAcademic Rheumatology, Injury, Recovery and Inflammation Sciences, University of Nottingham, Nottingham, England.ORCID 0000-0002-0581-1895
J R F GladmanPain Centre Versus Arthritis, University of Nottingham, Nottingham, England.ORCID 0000-0002-8506-7786
D A WalshAcademic Rheumatology, Injury, Recovery and Inflammation Sciences, University of Nottingham, Nottingham, England.ORCID 0000-0002-6316-5692
University of Nottingham · GB

Funding

Medical Research Council MC_PC_19095Versus Arthritis 20777
6 · The paper itself

Abstract

introductionThe association between chronic pain and frailty might indicate that pain is an independent driver of frailty but might alternatively be explained by inclusion within frailty identification tools of morbidities that commonly lead to chronic pain. This research examines the extent to which the association of pain with frailty might be attributed to morbidities.

methodsA cross-sectional analysis of older people in a UK cohort with or at risk of musculoskeletal problems or frailty (Investigating Musculoskeletal Health and Wellbeing study), used multivariable logistic regression and Z-tests to assess the degrees of associations of pain (McGill Pain Rating Index), and painful and non-painful morbidity counts with frailty (modified FRAIL questionnaire).

resultsData were from 2,185 participants, 56% female, median age 73 (range 60 to 96) years. 430 (20%) participants were classified as frail. In a fully adjusted standardised model, pain (aOR 2.07 (95%CI 1.83 to 2.33) and 'any' morbidity aOR (1.74 (95%CI 1.54 to 1.97) were both significantly associated with frailty. When morbidity was subclassified as painful or non-painful, painful (aOR 1.48 (95%CI 1.30 to 1.68) and non-painful (aOR1.39 (95%CI 1.24 to 1.56)) morbidities each were associated with frailty, as also was pain (aOR 2.07 (95%CI 1.83 to 2.34, p < 0.001).

conclusionsPain is associated with frailty, over and above any effect of painful and non-painful morbidities. This forms the justification for future research which focuses on pain management in the identification, prevention, and treatment of frailty.

Indexed as

Chronic PainFrailtyAgedAged, 80 and overCross-Sectional StudiesFemaleFrail ElderlyGeriatric AssessmentHumansIndependent LivingMaleMorbidityChronic painFrailtyMorbiditiesOlder people

Identifiers

PMID38360542
PMCPMC10870594
OpenAlexW4391845309

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.