eprintid: 24678
rev_number: 11
eprint_status: archive
userid: 1589
dir: disk0/00/02/46/78
datestamp: 2018-06-11 07:32:27
lastmod: 2024-03-09 13:44:38
status_changed: 2018-06-11 07:32:27
type: article
metadata_visibility: show
creators_name: Mallon, Tina
creators_name: Ernst, Annette
creators_name: Brettschneider, Christian
creators_name: König, Hans-Helmut
creators_name: Luck, Tobias
creators_name: Röhr, Susanne
creators_name: Weyerer, Siegfried
creators_name: Werle, Jochen
creators_name: Mösch, Edelgard
creators_name: Weeg, Dagmar
creators_name: Fuchs, Angela
creators_name: Pentzek, Michael
creators_name: Kleineidam, Luca
creators_name: Heser, Kathrin
creators_name: Riedel-Heller, Steffi
creators_name: Maier, Wolfgang
creators_name: Wiese, Birgitt
creators_name: Scherer, Martin
title: Prevalence of pain and its associated factors among the oldest-olds in different care settings – results of the AgeQualiDe study
subjects: ddc-610
divisions: i-910100
abstract: 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.
date: 2018
publisher: BioMed Central ; Springer
id_scheme: DOI
ppn_swb: 165433068X
own_urn: urn:nbn:de:bsz:16-heidok-246782
language: eng
bibsort: MALLONTINAPREVALENCE2018
full_text_status: public
publication: BMC Family Practice
volume: 19
number: 85
place_of_pub: London ; Berlin ; Heidelberg
pagerange: 1-9
issn: 1471-2296
citation:   Mallon, Tina ; Ernst, Annette ; Brettschneider, Christian ; König, Hans-Helmut ; Luck, Tobias ; Röhr, Susanne ; Weyerer, Siegfried ; Werle, Jochen ; Mösch, Edelgard ; Weeg, Dagmar ; Fuchs, Angela ; Pentzek, Michael ; Kleineidam, Luca ; Heser, Kathrin ; Riedel-Heller, Steffi ; Maier, Wolfgang ; Wiese, Birgitt ; Scherer, Martin  (2018) Prevalence of pain and its associated factors among the oldest-olds in different care settings – results of the AgeQualiDe study.  BMC Family Practice, 19 (85).  pp. 1-9.  ISSN 1471-2296     
document_url: https://archiv.ub.uni-heidelberg.de/volltextserver/24678/1/12875_2018_Article_768.pdf