Lower body osteoarticular pain and dose of analgesic medications in older disabled women: The Women's Health and Aging Study

被引:50
作者
Pahor, M
Guralnik, JM
Wan, JY
Ferrucci, L
Penninx, BWJH
Lyles, A
Ling, S
Fried, LP
机构
[1] Univ Tennessee, Dept Prevent Med, Memphis, TN 38105 USA
[2] NIA, Epidemiol Demog & Biometry Program, Bethesda, MD 20892 USA
[3] Ist Nazl Ric & Cura Anziani, Dept Geriatr, Florence, Italy
[4] Vrije Univ Amsterdam, Inst Res Extramural Med, Amsterdam, Netherlands
[5] Johns Hopkins Univ, Welch Ctr Prevent Epidemiol & Clin Res, Baltimore, MD USA
关键词
D O I
10.2105/AJPH.89.6.930
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Objectives. This study assessed use and dosage of analgesic medications in relation to severity of osteorticular pain. Methods. The type and dose of analgesic medication and the severity of pain in the lower back, hips, knees, or feet of 1002 older disabled women were assessed. Results. Severe pain and the use of analgesic medications were reported by 48.5% and 78.8% of women, respectively. Among those who had severe pain, 41.2% were using less than 20% of the maximum analgesic dose. Overall, 6.6% of women were using more than 100% of the maximum dose. Conclusions. Severe pain in common. Additional, more effective, and safe analgesic treatments are needed for controlling pain in older persons.
引用
收藏
页码:930 / 934
页数:5
相关论文
共 33 条
[1]   CHRONIC PAIN IN A GEOGRAPHICALLY DEFINED GENERAL-POPULATION - STUDIES OF DIFFERENCES IN AGE, GENDER, SOCIAL-CLASS, AND PAIN LOCALIZATION [J].
ANDERSSON, HI ;
EJLERTSSON, G ;
LEDEN, I ;
ROSENBERG, C .
CLINICAL JOURNAL OF PAIN, 1993, 9 (03) :174-182
[2]   Use of analgesics in Sweden - The importance of sociodemographic factors, physical fitness, health and health-related factors, and working conditions [J].
Antonov, K ;
Isacson, D .
SOCIAL SCIENCE & MEDICINE, 1996, 42 (11) :1473-1481
[3]   The prevalence of pain in a disabled population [J].
Astin, M ;
Lawton, D ;
Hirst, M .
SOCIAL SCIENCE & MEDICINE, 1996, 42 (11) :1457-1464
[4]   FOOT PAIN AND DISABILITY IN OLDER PERSONS - AN EPIDEMIOLOGIC SURVEY [J].
BENVENUTI, F ;
FERRUCCI, L ;
GURALNIK, JM ;
GANGEMI, S ;
BARONI, A .
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 1995, 43 (05) :479-484
[5]   USE OF MEDICATIONS BY PERSONS 65 AND OVER - DATA FROM THE ESTABLISHED POPULATIONS FOR EPIDEMIOLOGIC STUDIES OF THE ELDERLY [J].
CHRISCHILLES, EA ;
FOLEY, DJ ;
WALLACE, RB ;
LEMKE, JH ;
SEMLA, TP ;
HANLON, JT ;
GLYNN, RJ ;
OSTFELD, AM ;
GURALNIK, JM .
JOURNALS OF GERONTOLOGY, 1992, 47 (05) :M137-M144
[6]   THE PREVALENCE OF PAIN COMPLAINTS IN A GENERAL-POPULATION [J].
CROOK, J ;
RIDEOUT, E ;
BROWNE, G .
PAIN, 1984, 18 (03) :299-314
[7]   Drug therapy for back pain - Which drugs help which patients? [J].
Deyo, RA .
SPINE, 1996, 21 (24) :2840-2849
[8]   The management of chronic pain in older persons [J].
Ferrell, BA ;
Bradley, LA ;
Cooney, LM ;
Ettinger, WH ;
Fine, PG ;
Herr, K ;
Katz, B ;
Katz, PR ;
Lynn, DJ ;
Schwartz, JB ;
Connelly, P ;
Wallace, M ;
Reitt, BB ;
Eisner, J ;
Lundebjerg, N ;
Orraca, G .
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 1998, 46 (05) :635-651
[9]   MINI-MENTAL STATE - PRACTICAL METHOD FOR GRADING COGNITIVE STATE OF PATIENTS FOR CLINICIAN [J].
FOLSTEIN, MF ;
FOLSTEIN, SE ;
MCHUGH, PR .
JOURNAL OF PSYCHIATRIC RESEARCH, 1975, 12 (03) :189-198
[10]  
FRIED LP, 1995, NIH PUB, pE1