TY  - JOUR
AV  - public
IS  - 85
PB  - BioMed Central ; Springer
ID  - heidok24678
VL  - 19
CY  - London ; Berlin ; Heidelberg
EP  - 9
UR  - https://archiv.ub.uni-heidelberg.de/volltextserver/24678/
JF  - BMC Family Practice
N2  - Background; The prevalence of pain is very common in the oldest age group. Managing pain successfully is a key topic in primary care, especially within the ageing population. Different care settings might have an impact on the prevalence of pain and everyday life.   

Methods: Participants from the German longitudinal cohort study on Needs, Health Service Use, Costs and Health-related Quality of Life in a large Sample of Oldest-old Primary Care Patients (85+) (AgeQualiDe) were asked to rate their severity of pain as well as the impairment with daily activities. Besides gender, age, education, BMI and use of analgesics we focused on the current housing situation and on cognitive state. Associations of the dependent measures were tested using four ordinal logistic regression models. Model 1 and 4 consisted of the overall sample, model 2 and 3 were divided according to no cognitive impairment (NCI) and mild cognitive impairment (MCI).

Results: Results show a decline in pain at very old age but nonetheless a high prevalence among the 85+ year olds. Sixty-three per cent of the participants report mild to severe pain and 69% of the participants mild to extreme impairment due to pain with daily activities. Use of analgesics, depression and living at home with care support are significantly associated with higher and male gender with lower pain ratings. 

Conclusions: Sufficient pain management among the oldest age group is inevitable. Outpatient care settings are at risk of overlooking pain. Therefore focus should be set on pain management in these settings.
SP  - 1
A1  - Mallon, Tina
A1  - Ernst, Annette
A1  - Brettschneider, Christian
A1  - König, Hans-Helmut
A1  - Luck, Tobias
A1  - Röhr, Susanne
A1  - Weyerer, Siegfried
A1  - Werle, Jochen
A1  - Mösch, Edelgard
A1  - Weeg, Dagmar
A1  - Fuchs, Angela
A1  - Pentzek, Michael
A1  - Kleineidam, Luca
A1  - Heser, Kathrin
A1  - Riedel-Heller, Steffi
A1  - Maier, Wolfgang
A1  - Wiese, Birgitt
A1  - Scherer, Martin
SN  - 1471-2296
Y1  - 2018///
TI  - Prevalence of pain and its associated factors among the oldest-olds in different care settings ? results of the AgeQualiDe study
ER  -