Evidence map›Paper›PMID 39238123›Full record

Trial reportAge and ageing2024

Quality of life, pain and use of analgesic, anxiolytic and antidepressant medication, in people living in care homes.

Jemima T Collins, Lisa Irvine, Pip Logan, Katie Robinson, Erika Sims, Adam L Gordon

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report 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 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. Article
  2. Review
  3. 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

6 authors.

Jemima T CollinsCentre for Rehabilitation and Ageing, Injury, Recovery and Inflammation Sciences Academic Unit, School of Medicine, the University of Nottingham, Nottingham, UK.ORCID 0000-0003-3865-7334
Lisa IrvineCentre for Research in Public Health and Community Care, University of Hertfordshire, Hatfield, UK.
Pip LoganCentre for Rehabilitation and Ageing, Injury, Recovery and Inflammation Sciences Academic Unit, School of Medicine, the University of Nottingham, Nottingham, UK.
Katie RobinsonCentre for Rehabilitation and Ageing, Injury, Recovery and Inflammation Sciences Academic Unit, School of Medicine, the University of Nottingham, Nottingham, UK.
Erika SimsNorwich Medical School, University of East Anglia, Norwich, UK.
Adam L GordonCentre for Rehabilitation and Ageing, Injury, Recovery and Inflammation Sciences Academic Unit, School of Medicine, the University of Nottingham, Nottingham, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPeople living in care homes often have problems with pain, anxiety and depression. Whether being on analgesia, anxiolytics or antidepressants has any bearing on pain severity and quality of life (QoL) in this population, requires further investigation.

objectives(i) to examine the relationship between pain, anxiety and depression and medication use in care home residents and (ii) to compare those on medications to treat pain, anxiety and depression, and those who were not, and associations with pain severity and overall QoL.

methodsThis was a secondary analysis of a randomised controlled trial testing a falls prevention intervention in care homes. We recorded pain, anxiety and depression, QoL measurements and prescribed medication use.

resultsIn 1589 participants, the mean age was 84.7 years (±9.3 SD), 32.2% were male and 67.3% had a diagnosis of dementia. 54.3% and 53.2% of participants had some level of pain and anxiety or depression respectively, regardless of prescribed medication use. There was a direct association between pain severity and being on any analgesia, opioid analgesia, and antidepressants, but no associations between pain severity and use of paracetamol and anxiolytics. QoL was best for residents with no pain and not on any analgesia, anxiolytics or antidepressants and worst for those with moderate-extreme pain and taking at least two of these classes of medications.

conclusionMany care home residents live with pain, anxiety and depression. Addressing residents' pain may also increase their quality of life, but using medication alone to reach this goal may be inadequate.

Indexed as

AnalgesicsAnti-Anxiety AgentsAntidepressive AgentsHomes for the AgedNursing HomesPainQuality of LifeAccidental FallsAgedAged, 80 and overAnxietyDepressionFemaleHumansMalePain MeasurementAnalgesicsAnti-Anxiety AgentsAntidepressive Agentsanalgesiacare homesolder peoplepainquality of life

Identifiers

PMID39238123
PMCPMC11377180

What OpenQuestion holds

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LicenceCC BY
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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.