Patterns of pain medication use associated with reported pain interference in older adults with and without cancer.
Support Care Cancer
; 28(7): 3061-3072, 2020 Jul.
Article
em En
| MEDLINE
| ID: mdl-31637515
ABSTRACT
CONTEXT Concerns about the adequacy of pain management among older adults are increasing, particularly with restrictions on opioid prescribing. OBJECTIVES:
To examine associations between prescription pain medication receipt and patient-reported pain interference in older adults with and without cancer.METHODS:
Using the 2007-2012 Surveillance Epidemiology and End Results (SEER)-Medicare Health Outcomes Survey (MHOS) database linked to Medicare Part D prescription claims, we selected MHOS respondents (N = 15,624) aged ≥ 66 years, ≤ 5 years of a cancer diagnosis (N = 9105), or without cancer (N = 6519). We measured receipt of opioids, non-steroidal anti-inflammatory drugs, and antiepileptics, and selected antidepressants within 30 days prior to survey. Patient-reported activity limitation due to pain (pain interference) within the past 30 days was summarized as severe, moderate, or mild/none. Logistic regression using predictive margins estimated associations between pain interference, cancer history, and pain medication receipt, adjusting for socio-demographics, chronic conditions, and Part D low-income subsidy.RESULTS:
Severe or moderate pain interference was reported by 21.3% and 46.1%, respectively. Pain medication was received by 21.5%, with 11.6% receiving opioids. Among adults reporting severe pain interference, opioid prescriptions were filled by 27.0% versus 23.8% (p = 0.040) with and without cancer, respectively. Over half (56%) of adults reporting severe pain in both groups failed to receive any prescription pain medication.CONCLUSIONS:
Older adults with cancer were more likely to receive prescription pain medications compared with adults without cancer; however, many older adults reporting severe pain interference did not receive medications. Improved assessment and management of pain among older adults with and without cancer is urgently needed.Palavras-chave
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Base de dados:
MEDLINE
Assunto principal:
Dor
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Dor do Câncer
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Analgésicos Opioides
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Neoplasias
Idioma:
En
Ano de publicação:
2020
Tipo de documento:
Article