Evidence map›Paper›PMID 41118120›Full record

ArticleGeroScience2026

Association of chronic pain and analgesic use with the risks of Parkinson's and Alzheimer's disease.

Fatemeh Vazirian, Jing Tian, Jane Alty, Dawn Aitken, Michele L Callisaya, Anna King, James C Vickers, Flavia Cicuttini, Graeme Jones, Feng Pan

Abstract read
In one paragraph

Article in GeroScience, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

10 authors.

Fatemeh VazirianMenzies Institute for Medical Research, University of Tasmania, TAS, 17 Liverpool Street, Hobart, 7000, Australia.
Jing TianMenzies Institute for Medical Research, University of Tasmania, TAS, 17 Liverpool Street, Hobart, 7000, Australia.
Jane AltyWicking Dementia Research and Education Centre, University of Tasmania, Hobart, Australia.
Dawn AitkenMenzies Institute for Medical Research, University of Tasmania, TAS, 17 Liverpool Street, Hobart, 7000, Australia.
Michele L CallisayaMenzies Institute for Medical Research, University of Tasmania, TAS, 17 Liverpool Street, Hobart, 7000, Australia.
Anna KingWicking Dementia Research and Education Centre, University of Tasmania, Hobart, Australia.
James C VickersWicking Dementia Research and Education Centre, University of Tasmania, Hobart, Australia.
Flavia CicuttiniSchool of Public Health and Preventive Medicine, Monash University, Melbourne, Australia.
Graeme JonesMenzies Institute for Medical Research, University of Tasmania, TAS, 17 Liverpool Street, Hobart, 7000, Australia.
Feng PanMenzies Institute for Medical Research, University of Tasmania, TAS, 17 Liverpool Street, Hobart, 7000, Australia. Feng.Pan@utas.edu.au.ORCID http://orcid.org/0000-0002-3403-0094

Funding

National Health and Medical Research Council 1117037National Health and Medical Research Council 1157535National Health and Medical Research Council 1173155
6 · The paper itself

Abstract

Chronic pain and analgesic use are linked to increased Parkinson's disease (PD) and dementia risk, but the effects of each individually and when both are present remain unclear. This study examined whether chronic pain and analgesic use, separately and together, are associated with the incident risk of these conditions. A total of 355,709 participants (mean age 56.51, 48.4% male) free of parkinsonism and dementia at baseline were included. Chronic musculoskeletal pain lasting ≥ 3 months and regular use of analgesics, including paracetamol, non-steroidal anti-inflammatory drugs (NSAIDs), opioids, and antidepressants, were recorded. Incidence of PD, Alzheimer's disease (AD), all-cause parkinsonism, and all-cause dementia was recorded. Cox regression assessed associations with covariate adjustments. During a 13-year follow-up, 2035 individuals developed PD, 2052 developed AD, 2281 developed all-cause parkinsonism, and 4778 developed all-cause dementia. Compared to participants without chronic pain and analgesic use, those with chronic pain, those using analgesics, and those with both had higher risks of developing PD and AD. In the fully adjusted model, chronic pain showed hazard ratios (HRs) ranging from 1.16 to 1.22 for PD and 1.18 to 1.24 for AD. Among analgesics, only antidepressants increased PD risk (HR 1.77, 95% CI 1.37-2.29), while HRs for AD ranged from 1.22 to 1.57. Those with chronic pain who regularly used analgesics had a higher risk, with HRs ranging from 1.23 to 1.98 for PD and 1.44 to 2.19 for AD. Similar patterns emerged for all-cause parkinsonism and all-cause dementia. Chronic pain and analgesic use are associated with developing parkinsonism and dementia, with an additive effect in individuals with chronic pain who regularly use analgesics.

Indexed as

Alzheimer DiseaseAnalgesicsChronic PainParkinson DiseaseAgedFemaleHumansIncidenceMaleMiddle AgedProportional Hazards ModelsRisk FactorsAnalgesicsAnalgesicChronic musculoskeletal painCohort studyDementiaParkinsonism

Identifiers

PMID41118120
PMCPMC13575016

What OpenQuestion holds

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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.