Evidence map›Paper›PMID 38411410›Full record

ArticleAge and ageing2024

A mixed-methods study on the pharmacological management of pain in Australian and Japanese nursing homes.

Laura A Dowd, Shota Hamada, Yukari Hattori, Felicity C Veal, Reina Taguchi, Nobuo Sakata, Agathe D Jadczak, Renuka Visvanathan, Eriko Koujiya, Madhu Rajan and 14 more

Open access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Age and ageing, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
4.5field-weighted citation impact, top 6% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Pain Assessment and Management Among Nursing Home Residents Living With Dementia.Pain management nursing : official journal of the American Society of Pain Management Nurses · 2026
    Article
  5. Review
  6. Article
  7. Article
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

24 authors at 13 institutions in 3 countries.

Laura A DowdCentre for Medicine Use and Safety (CMUS), Faculty of Pharmacy and Pharmaceutical Sciences, Monash University, Parkville, Victoria, Australia.ORCID 0000-0002-2228-5508
Shota HamadaResearch Department, Institute for Health Economics and Policy, Association for Health Economics Research and Social Insurance and Welfare, Tokyo, Japan.
Yukari HattoriDepartment of Geriatric Medicine, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Felicity C VealUnit for Medication Outcomes Research & Education (UMORE), School of Pharmacy and Pharmacology, University of Tasmania, Hobart, Tasmania, Australia.
Reina TaguchiResearch Department, Institute for Health Economics and Policy, Association for Health Economics Research and Social Insurance and Welfare, Tokyo, Japan.
Nobuo SakataDepartment of Health Services Research, Institute of Medicine, University of Tsukuba, Tsukuba, Japan.
Agathe D JadczakAdelaide Geriatrics Training and Research with Aged Care (GTRAC) Centre, Adelaide Medical School, Faculty of Health and Medical Sciences, University of Adelaide, Adelaide, South Australia, Australia.
Renuka VisvanathanNational Health and Medical Research Council (NHMRC) Centre of Research Excellence in Frailty and Healthy Ageing, Adelaide Medical School, Faculty of Health and Medical Sciences, University of Adelaide, Adelaide, South Australia, Australia.
Eriko KoujiyaDivision of Health Sciences, Graduate School of Medicine, Osaka University, Osaka, Japan.
Madhu RajanRoyal Australian College of General Practitioners, Victoria, Australia.
Stefan DoubeTransform Physio, Hobart, Tasmania, Australia.
Ai SuzukiDepartment of Health Services Research, Institute of Medicine, University of Tsukuba, Tsukuba, Japan.
Maree BernothCharles Sturt University, Wagga Wagga, New South Wales, Australia.
Helen RawsonNursing and Midwifery, Monash University, Clayton, Victoria, Australia.
Hiroshi MaruokaYokohama Aobanosato Geriatric Health Services Facility, Yokohama, Japan.
Amelia WoodLongridge Aged Care, Naracoorte, South Australia, Australia.
Jo WagnerAustralian Nursing and Midwifery Federation (SA Branch), Adelaide, South Australia, Australia.
Dee-Anne HullSouthern Cross Care (SA, NT and VIC), Glenside, South Australia, Australia.
Mizuki KatsuhisaDivision of Health Sciences, Graduate School of Medicine, Osaka University, Osaka, Japan.
Justin TurnerCentre for Medicine Use and Safety (CMUS), Faculty of Pharmacy and Pharmaceutical Sciences, Monash University, Parkville, Victoria, Australia.
Shin J LiauCentre for Medicine Use and Safety (CMUS), Faculty of Pharmacy and Pharmaceutical Sciences, Monash University, Parkville, Victoria, Australia.ORCID 0000-0001-7308-0572
Emily ReeveCentre for Medicine Use and Safety (CMUS), Faculty of Pharmacy and Pharmaceutical Sciences, Monash University, Parkville, Victoria, Australia.ORCID 0000-0002-1405-999X
J Simon BellCentre for Medicine Use and Safety (CMUS), Faculty of Pharmacy and Pharmaceutical Sciences, Monash University, Parkville, Victoria, Australia.
Amanda J CrossCentre for Medicine Use and Safety (CMUS), Faculty of Pharmacy and Pharmaceutical Sciences, Monash University, Parkville, Victoria, Australia.ORCID 0000-0001-6001-9211
Parks Victoria · AUUniversity of Tsukuba · JPOsaka Health Science University · JPAustralian Federation of University Women – South Australia · AUCharles Sturt University · AUInstitute for Health Economics and Policy · JPMonash University · AUQueen Elizabeth Hospital · AURoyal Australian College of General Practitioners · AUSouth Australian Health and Medical Research Institute · AUTokyo Metropolitan Geriatric Hospital · JPUniversity of South Australia · AUUniversity of Tasmania · AU

Funding

Healthy Ageing Research ConsortiumHospital Research Foundation and Resthaven IncJSPS KAKENHI 22 K10406Monash UniversityNational Health and Medical Research CouncilNHMRC APP1195460NHMRC Boosting Dementia Research Leadership FellowshipSouth Australian Department for Innovation and Skills
6 · The paper itself

Abstract

backgroundUnderstanding how analgesics are used in different countries can inform initiatives to improve the pharmacological management of pain in nursing homes.

aimsTo compare patterns of analgesic use among Australian and Japanese nursing home residents; and explore Australian and Japanese healthcare professionals' perspectives on analgesic use.

methodsPart one involved a cross-sectional comparison among residents from 12 nursing homes in South Australia (N = 550) in 2019 and four nursing homes in Tokyo (N = 333) in 2020. Part two involved three focus groups with Australian and Japanese healthcare professionals (N = 16) in 2023. Qualitative data were deductively content analysed using the World Health Organization six-step Guide to Good Prescribing.

resultsAustralian and Japanese residents were similar in age (median: 89 vs 87) and sex (female: 73% vs 73%). Overall, 74% of Australian and 11% of Japanese residents used regular oral acetaminophen, non-steroidal anti-inflammatory drugs or opioids. Australian and Japanese healthcare professionals described individualising pain management and the first-line use of acetaminophen. Australian participants described their therapeutic goal was to alleviate pain and reported analgesics were often prescribed on a regular basis. Japanese participants described their therapeutic goal was to minimise impacts of pain on daily activities and reported analgesics were often prescribed for short-term durations, corresponding to episodes of pain. Japanese participants described regulations that limit opioid use for non-cancer pain in nursing homes.

conclusionAnalgesic use is more prevalent in Australian than Japanese nursing homes. Differences in therapeutic goals, culture, analgesic regulations and treatment durations may contribute to this apparent difference.

Indexed as

AcetaminophenPainAnalgesics, OpioidAustraliaCross-Sectional StudiesFemaleHumansJapanNursing HomesAcetaminophenAnalgesics, OpioidAnalgesicsNursing homesOlder peoplePainPain managementQualitative researchResidential aged care homes

Identifiers

PMID38411410
PMCPMC10898334
OpenAlexW4392203260

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.