Patterns of pain medication use associated with reported pain interference in older adults with and without cancer
- 21.10.2019
- Original Article
Erschienen in:
- Verfasst von
- Amy J. Davidoff
- Maureen E. Canavan
- Shelli Feder
- Shiyi Wang
- Ella Sheinfeld
- Erin E. Kent
- Jennifer Kapo
- Carolyn J. Presley
- Erschienen in
- Supportive Care in Cancer | Ausgabe 7/2020
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.
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- Titel
- Patterns of pain medication use associated with reported pain interference in older adults with and without cancer
- Verfasst von
-
Amy J. Davidoff
Maureen E. Canavan
Shelli Feder
Shiyi Wang
Ella Sheinfeld
Erin E. Kent
Jennifer Kapo
Carolyn J. Presley
- Publikationsdatum
- 21.10.2019
- Verlag
- Springer Berlin Heidelberg
- Erschienen in
-
Supportive Care in Cancer / Ausgabe 7/2020
Print ISSN: 0941-4355
Elektronische ISSN: 1433-7339 - DOI
- https://doi.org/10.1007/s00520-019-05074-8
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