Pain and health-related quality of life (HRQoL): a national observational study in community-dwelling older adults (original) (raw)
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Pain Characteristics and Quality of Life in Older People at High Risk of Future Hospitalization
International Journal of Environmental Research and Public Health
This study deals with how pain characteristics in conjunction with other factors affect quality of life (QoL) in a vulnerable primary care population. We recruited vulnerable older people (75+, n = 825) living in south-eastern Sweden. A postal questionnaire included pain aspects, QoL (EQ-5D-3L, RAND-36 physical functioning, attitudes toward own aging, and life satisfaction), functional status, social networks, and basic demographic information. Pain extent and localization was obtained by digitalization of pain drawings reported on standard body charts. Most respondents were experiencing pain longer than 3 months (88.8%). Pain frequency varied mostly between occasionally (33.8%) and every day (34.8%). A minority reported high pain intensity (13.6%). The lower back and lower legs were the most frequently reported pain locations (>25%). Multiple linear regression model revealed three characteristics of pain (intensity, frequency, and extent) remained inversely associated with the E...
Revista Latino-Americana de Enfermagem, 2014
OBJECTIVE: to identify the prevalence and intensity of chronic pain among elderly people of the community and to analyze associations with the self-perceived health status.METHOD: cross-sectional study with a populational sample (n=934), conducted through household interviews in the city of Goiânia, Brazil. The intensity of chronic pain (existing for 6 months or more) was measured using a numerical scale (0-10) and the self-perceived health through a verbal scale (very good, good, fair, poor, very poor). For the statistical analysis, the absolute frequency and percentage, CI (95%), Chi-square test, Odds ratio, and regression analysis were used. Significance of 5%.RESULTS: The prevalence of chronic pain was 52.8% [CI (95%):49.4-56.1]; most frequently located in the lower limbs (34.5%) and lumbar region (29.5%); with high or the worst possible intensity for 54.6% of the elderly people. The occurrence of chronic pain was associated with (p<0.0001) a worse self-perception of health (...
The Impact of Pain on Physical and Mental Quality of Life in Adults 65 and Older
Journal of Gerontological Nursing, 2013
The burden of arthritis, sciatica and back pain on quality of life was estimated using ordinary least squares regression techniques to estimate the impact of each of these types of pain on quality of life, controlling for patient demographic, socioeconomic and health status characteristics. For those with arthritis, sciatica and back pain the adjusted average physical component scores (PCS) were 4.2, 1.4 and 6.8 points lower, respectively (all p < 0.0001).
Scandinavian Journal of Pain, 2014
Background and aims The influence of pain as well as Quality of Life (QoL) varies in accordance with biological, social, psychological and existential factors. This study investigates the influence of such factors on the relationship between pain and QoL among older adults from a gender perspective. Methods The Swedish National Study on Aging and Care (SNAC-Blekinge) baseline sample comprised 1402 individuals aged 60–96 years, of whom 769 (55%) reported pain. The participants were invited by a letter to take part in the study, which was carried out by research staff in two sessions of three hour each. Participants gave informed consent and completed a questionnaire between the two sessions. The reason for non-participation was registered among subjects who declined the invitation. Pain and insomnia were self-reported. Data on age, gender and if living alone or not were collected from the questionnaire. Co-morbidity was obtained from electronic patients records for a period of up to ...
Overall and health related quality of life among the oldest old in pain
Quality of Life Research, 2000
Objectives: To compare the oldest old (85 years and above) in pain with those with no pain across gender, regarding demographic data, living conditions, social network/support, walking/mobility problems, fatigue, sleeping problems, depressed mood and quality of life (QoL). The aim was also to test how these variables were related to QoL among the oldest old in pain. Methods: The study comprised 1622 people aged 85-105 years, of whom 47% reported pain. SF-12 and the LGC questionnaire were used to measure QoL. Multiple linear regression analysis was used to identify factors associated with QoL. Results: Functional limitations, fatigue, sleeping problem and depressed mood were significantly more prevalent and QoL was significantly lower among those in pain than those not in pain, and among women compared to men. These complaints, along with financial problems, living in sheltered housing and living alone, were associated with low QoL among those in pain. Conclusion: Pain is common among the oldest old and coexists with several other complaints that together negatively affect QoL. By identifying those in pain and coexisting factors, actions can be taken to contribute to QoL, also in late life.
The impact of chronic pain on functionality and quality of life of the elderly
Brazilian Journal Of Pain, 2019
BACKGROUND AND OBJECTIVES: Chronic pain is one of the most common conditions found by health professionals in elderly and is associated with substantial impairment of reduced mobility, avoidance of activities, depression, sleep impairment and isolation. The objective of this study was to check the impact of chronic pain on the functionality and the quality of life of the elderly. METHODS: It is a descriptive, cross-sectional and exploratory study with 20 patients attending the Pain Clinic of Hospital de Base de São José do Rio Preto. Twenty patients under the age of 60 were evaluated by the same instruments for comparative data. The instruments used were a semi-structured interview containing questions about sensory aspects, emotional and functional impact, sleep, attitudes and beliefs, coping style, treatment, expectation and objectives, and resources. The World Health Organization Quality of Life Assessment for Older Adults questionnaire was used to evaluate the quality of life and, to evaluate the functional capacity of daily life, the OARS, multidimensional functional assessment questionnaire. The pain was assessed by the Brief Pain Inventory. RESULTS: A significant difference was observed between the domains of sensory abilities, autonomy and intimacy (p<0.05) in which the analyzed group presented worse values than the control, while the latter presented worse value in the domain of death and dying. In addition, there was a statistical difference between the groups in the instrumental activity of daily living and between the intensity of pain. The impact of chronic pain on functionality and quality of life of the elderly O impacto da dor crônica na funcionalidade e qualidade de vida de idosos
Prevalence and Relevance of Pain in Older Persons
Pain Medicine, 2012
Setting. With the ageing of the world's population, any health problem which adversely affects quality of life in older persons becomes increasingly salient. Persistent pain is one of the most prevalent health conditions faced by adults of advanced age, and is recognized as a major concern for this segment of the population. Results. Numerous epidemiologic surveys suggest that pain is most common during the late middleaged phase of life (55-65 years) and continues at approximately the same prevalence into older age (65+). This is true regardless of the anatomical site or the pathogenic cause of pain. The one exception appears to be pain associated with degenerative joint disease (e.g., osteoarthritis) which shows an exponential increase until at least 90 years of age. Common age associated conditions like dementia may result in a reduced frequency and intensity of pain. Daily pain is a major risk factor for developing disability and the oldest age cohorts are most vulnerable. Discretionary and higher order physical activities appear most affected, while basic activities of daily living may be modified but are rarely ceased altogether. Similar relationships have been documented for risk of depression and mood disturbance in older persons with persistent pain. Despite such well characterized adverse impacts, pain often remains poorly treated in older persons. This occurs across all health care settings examined (i.e., emergency, acute, outpatient, long-term care). Conclusion. Improved knowledge for both health professionals and patients, addressing the current research gaps and expansion of age-appropriate pain management services will be required to better meet the needs of our rapidly ageing population.
Longitudinal Patterns of Pain Reporting Among Community-dwelling Older Adults
The Clinical Journal of Pain, 2020
Objective: The objective of this study was to identify and describe long-term trajectories of bothersome pain and activity-limiting pain in a population-based sample of older adults. Materials and Methods: We conducted a retrospective cohort study of 6783 community-dwelling participants using 6 years of longitudinal data from the National Health and Aging Trends Study (NHATS). NHATS is a cohort of older adults that is representative of Medicare Beneficiaries aged 65 years and older. NHATS data collection began in 2011, and demographic and health data are collected annually through in-person interviews. Participants were asked if they had bothersome pain and activity-limiting pain in the past month. We used group-based trajectory modeling to identify longitudinal patterns of bothersome pain and activity-limiting pain over 6 years. We used weighted, multinomial logistic regression to examine associations with each trajectory. Results: The cohort was 57% female, 68% white, and 58% were 75 years and older. Four trajectories were identified for the probability of bothersome pain: persistently high (n = 1901, 35%), increasing (n = 898, 17%), decreasing (n = 917, 17%), and low (n = 1735, 32%). Similar trajectories were identified for activity-limiting pain: persistently high (n = 721, 13%), increasing (n = 812, 15%), decreasing (n = 677, 12%), and low (n = 3241, 60%). The persistently high bothersome and activitylimiting pain groups had worse health characteristics, were more likely to have fallen in the past year, and had slower gait speed and worse physical capacity compared with the low groups. Discussion: Approximately one half of older adults had a high or increasing probability of long-term bothersome pain, and over one quarter had a high or increasing probability of long-term activitylimiting pain.