eISSN: 1896-9151
ISSN: 1734-1922
Archives of Medical Science
Current issue Archive Manuscripts accepted About the journal Special issues Editorial board Abstracting and indexing Subscription Contact Instructions for authors Ethical standards and procedures
SCImago Journal & Country Rank
3/2020
vol. 16
 
Share:
Share:
more
 
 
Geriatrics
abstract:
Clinical research

Chronic pain and use of analgesics in the elderly: a nationwide population-based study

Yu-Ling Huang
1, 2
,
Wen-Ing Tsay
3
,
Shwu-Huey Her
3
,
Chung-Han Ho
4, 5
,
Kang-Ting Tsai
2, 6
,
Chien-Chin Hsu
7, 8
,
Jhi-Joung Wang
4
,
Chien-Cheng Huang
2, 6, 7, 9

1.
Department of Family Medicine, Madou Sin-Lau Hospital, Tainan, Taiwan
2.
Department of Geriatrics and Gerontology, Chi-Mei Medical Center, Tainan, Taiwan
3.
Division of Controlled Drugs, Food and Drug Administration, Ministry of Health and Welfare, Taiwan
4.
Department of Medical Research, Chi-Mei Medical Center, Tainan, Taiwan
5.
Department of Hospital and Health Care Administration, Chia Nan University of Pharmacy and Science, Tainan, Taiwan
6.
Department of Senior Services, Southern Taiwan University of Science and Technology, Tainan, Taiwan
7.
Department of Emergency Medicine, Chi-Mei Medical Center, Tainan, Taiwan
8.
Department of Biotechnology, Southern Taiwan University of Science and Technology, Tainan, Taiwan
9.
Department of Environmental and Occupational Health, College of Medicine, National Cheng Kung University, Tainan, Taiwan
Arch Med Sci 2020; 16 (3): 627–634
Online publish date: 2020/02/11
View full text
Get citation
ENW
EndNote
BIB
JabRef, Mendeley
RIS
Papers, Reference Manager, RefWorks, Zotero
AMA
APA
Chicago
Harvard
MLA
Vancouver
 
Introduction
Chronic pain may cause many comorbidities in the elderly; however, nationwide data about this issue remain insufficient. We conducted this study to address the data gap.

Material and methods
We identified geriatric participants ( 65 years) with chronic pain between 2000 and 2013 from the Taiwan National Health Insurance Research Database. The causes of chronic pain and use of analgesics between two sexes and among three age subgroups were compared.

Results
A total of 21,018 participants were identified with the mean age (standard deviation) of 72.7 years (5.6) and the female percentage of 50.8%. The prevalence of chronic pain in the elderly was 21.5%, and it was higher in the females than males. The proportions of each age subgroup were 65–74 (66.8%), 75–84 (29.4%), and ≥ 85 years (3.8%). Common causes of chronic pain were osteoarthritis (21.9%), spinal disorders (19.0%), peripheral vascular diseases (12.4%), and osteoporosis (11.4%). Non-steroidal anti-inflammatory drugs were the most common medication, followed by acetaminophen and opioids. The most commonly used opioid was morphine. The use of opioids increased with age.

Conclusions
This study delineated the causes of chronic pain and use of analgesics in a geriatric population, which may help further studies about this issue in the future.

keywords:

acetaminophen, chronic pain, elderly, geriatric, non-steroidal anti-inflammatory drugs

Quick links
© 2020 Termedia Sp. z o.o. All rights reserved.
Developed by Bentus.
PayU - płatności internetowe