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Open Access 01-12-2018 | Research article

Prevalence of pain and its associated factors among the oldest-olds in different care settings – results of the AgeQualiDe study

Authors: Tina Mallon, Annette Ernst, Christian Brettschneider, Hans-Helmut König, Tobias Luck, Susanne Röhr, Siegfried Weyerer, Jochen Werle, Edelgard Mösch, Dagmar Weeg, Angela Fuchs, Michael Pentzek, Luca Kleineidam, Kathrin Heser, Steffi Riedel-Heller, Wolfgang Maier, Birgitt Wiese, Martin Scherer, for the AgeCoDe & AgeQualiDe study group

Published in: BMC Primary Care | Issue 1/2018

Abstract

Background

The prevalence of pain is very common in the oldest age group. Managing pain successfully is a key topic in primary care, especially within the ageing population. Different care settings might have an impact on the prevalence of pain and everyday life.

Methods

Participants from the German longitudinal cohort study on Needs, Health Service Use, Costs and Health-related Quality of Life in a large Sample of Oldest-old Primary Care Patients (85+) (AgeQualiDe) were asked to rate their severity of pain as well as the impairment with daily activities. Besides gender, age, education, BMI and use of analgesics we focused on the current housing situation and on cognitive state. Associations of the dependent measures were tested using four ordinal logistic regression models. Model 1 and 4 consisted of the overall sample, model 2 and 3 were divided according to no cognitive impairment (NCI) and mild cognitive impairment (MCI).

Results

Results show a decline in pain at very old age but nonetheless a high prevalence among the 85+ year olds. Sixty-three per cent of the participants report mild to severe pain and 69% of the participants mild to extreme impairment due to pain with daily activities. Use of analgesics, depression and living at home with care support are significantly associated with higher and male gender with lower pain ratings.

Conclusions

Sufficient pain management among the oldest age group is inevitable. Outpatient care settings are at risk of overlooking pain. Therefore focus should be set on pain management in these settings.

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Title: Prevalence of pain and its associated factors among the oldest-olds in different care settings – results of the AgeQualiDe study
Authors: Tina Mallon
Annette Ernst
Christian Brettschneider
Hans-Helmut König
Tobias Luck
Susanne Röhr
Siegfried Weyerer
Jochen Werle
Edelgard Mösch
Dagmar Weeg
Angela Fuchs
Michael Pentzek
Luca Kleineidam
Kathrin Heser
Steffi Riedel-Heller
Wolfgang Maier
Birgitt Wiese
Martin Scherer
for the AgeCoDe & AgeQualiDe study group
Publication date: 01-12-2018
Publisher: BioMed Central
Published in: BMC Primary Care / Issue 1/2018
Electronic ISSN: 2731-4553
DOI: https://doi.org/10.1186/s12875-018-0768-8

At a glance: The STEP trials

Springer Medicine

Prevalence of pain and its associated factors among the oldest-olds in different care settings – results of the AgeQualiDe study

Abstract

Background

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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