Analgesic purchases among older adults - a population-based study.
Analgesic purchases among older adults - a population-based study.
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DOI：
10.1186/s12889-021-10272-3
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发表时间：
2021-01-31
影响因子：
4.5
通讯作者：
Kauppi MJ
中科院分区：
文献类型：
--
作者：
Marttinen MK;Kautiainen H;Haanpää M;Pohjankoski H;Hintikka J;Kauppi MJ
疼痛是影响老年人生活质量的常见且不可避免的因素。几项研究强调了老年人群慢性疼痛治疗的无效，并且对社区居住的老年人镇痛药的流行情况知之甚少。目的是在以人群为基础的环境中检查老年人处方镇痛药购买与SF-36疼痛的关系。1420名62-86岁的社区居民自我报告了过去4周的SF-36身体疼痛（疼痛强度和疼痛相关干扰）评分。芬兰社会保险机构登记了调查问卷收集前6个月和调查问卷收集后6个月的镇痛药购买数据。特别关注的是与阿片类药物购买有关的因素。在所有参与者中，84%的人在1年内购买了处方止痛药。最常购买的是非甾体抗炎药（77%），而41%的人购买过扑热息痛，32%的阿片类药物，17%的加巴喷丁类药物和7%的三环抗抑郁药。年龄在购买流行程度上没有显著差异。所有受试者的发病率与镇痛药购买独立相关，代谢综合征也与未报告任何疼痛的受试者的阿片类药物购买独立相关。大量购买非甾体抗炎药和阿片类药物。为了优化老年人的疼痛管理，需要强调在止痛禁忌症和疼痛质量方面进行适当的疼痛评估和个人考虑的重要性，以及非药物疼痛管理。
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. 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. 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. 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.
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DOI：
10.1136/bmj.h1225
发表时间：
2015-03-31
期刊：
BMJ (Clinical research ed.)
影响因子：
--
作者：
Machado GC;Maher CG;Ferreira PH;Pinheiro MB;Lin CW;Day RO;McLachlan AJ;Ferreira ML
通讯作者：
Ferreira ML
影响因子：
3.7
作者：
Ingrasciotta, Ylenia;Sultana, Janet;Trifiro', Gianluca
通讯作者：
Trifiro', Gianluca
影响因子：
4.1
作者：
Dong, Huan-Ji;Larsson, Britt;Gerdle, Bjorn
通讯作者：
Gerdle, Bjorn
影响因子：
2.8
作者：
Koponen, Marjaana P. H.;Bell, J. Simon;Hartikainen, Sirpa A.
通讯作者：
Hartikainen, Sirpa A.
影响因子：
16.2
作者：
Abbott CA;Malik RA;van Ross ER;Kulkarni J;Boulton AJ
通讯作者：
Boulton AJ