Analgesic purchases among older adults – a population-based study
| Autor: | Markku J Kauppi, Maiju K Marttinen, Jukka Hintikka, Maija Haanpää, Hannu Kautiainen, Heini Pohjankoski |
|---|---|
| Přispěvatelé: | Tampere University, Clinical Medicine, Faculty of Medicine, Anestesiologian yksikkö, HUS Perioperative, Intensive Care and Pain Medicine, University of Helsinki, Helsinki University Hospital Area, HUS Neurocenter, Neurokirurgian yksikkö, HYKS erva, Päijät-Häme Welfare Consortium |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Analgesic Population Pain Opioid 3121 Internal medicine 03 medical and health sciences Elderly 0302 clinical medicine Pain assessment Epidemiology medicine Humans 030212 general & internal medicine Medical prescription education Finland Aged Aged 80 and over Analgesics education.field_of_study business.industry lcsh:Public aspects of medicine Anti-Inflammatory Agents Non-Steroidal Public Health Environmental and Occupational Health Chronic pain lcsh:RA1-1270 Middle Aged medicine.disease NSAID 3142 Public health care science environmental and occupational health Analgesics Opioid 317 Pharmacy Quality of Life Physical therapy Biostatistics business 030217 neurology & neurosurgery Research Article medicine.drug |
| Zdroj: | BMC Public Health BMC Public Health, Vol 21, Iss 1, Pp 1-11 (2021) |
| ISSN: | 1471-2458 |
| DOI: | 10.1186/s12889-021-10272-3 |
| Popis: | Background Pain is a frequent and inevitable factor affecting the quality of life among older people. Several studies have highlighted the ineffectiveness of treating chronic pain among the aged population, and little is known about the prevalence of analgesics administration among community-dwelling older adults. The objective was to examine older adults’ prescription analgesic purchases in relation to SF-36 pain in a population-based setting. Methods One thousand four hundred twenty community-dwelling citizens aged 62–86 years self-reported SF-36 bodily pain (pain intensity and pain-related interference) scores for the previous 4 weeks. The Social Insurance Institution of Finland register data on analgesic purchases for 6 months prior to and 6 months after the questionnaire data collection were considered. Special interest was focused on factors related to opioid purchases. Results Of all participants, 84% had purchased prescription analgesics during 1 year. NSAIDs were most frequently purchased (77%), while 41% had purchased paracetamol, 32% opioids, 17% gabapentinoids, and 7% tricyclic antidepressants. Age made no marked difference in purchasing prevalence. The number of morbidities was independently associated with analgesic purchases in all subjects and metabolic syndrome also with opioid purchases in subjects who had not reported any pain. Discussion Substantial NSAID and opioid purchases emerged. The importance of proper pain assessment and individual deliberation in terms of analgesic contraindications and pain quality, as well as non-pharmacological pain management, need to be highlighted in order to optimize older adults’ pain management. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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