Laurna Bullock l.bullock@keele.ac.uk
Comparative differences in musculoskeletal pain consultation and analgesic prescription for people with dementia: a UK-wide matched cohort study
Bullock, Laurna; Bedson, John; Chen, Ying; Chew-Graham, Carolyn A.; Campbell, Paul
Authors
John Bedson
Ying Chen
Carolyn Chew-Graham c.a.chew-graham@keele.ac.uk
Dr Paul Campbell p.campbell@keele.ac.uk
Honorary Reader
Abstract
Painful musculoskeletal conditions are common in older adults; however, pain identification, assessment, and management are reported to be suboptimal for people with dementia. Adequate pain management is an integral aspect of care for people with dementia to prevent or delay negative outcomes, such as behavioural and psychological changes, emergency department attendance, and premature nursing home admission. This study aims to examine musculoskeletal consultations and analgesic prescriptions for people with dementia compared with those for people without dementia. A dementia cohort (n = 36,582) and matched cohort were identified in the Clinical Practice Research Datalink (a UK-wide primary care database). Period prevalence for musculoskeletal consultations and analgesic prescriptions was described, and logistic regression applied to estimate associations between dementia and musculoskeletal consultation or analgesic prescription from the time of dementia diagnosis to 5 years after diagnosis. People with dementia had a consistently (over time) lower prevalence and odds of musculoskeletal consultation and analgesic prescription compared with people without dementia. The evidence suggests that pain management may be suboptimal for people with dementia. These results highlight the need to increase awareness of pain and use better methods of pain assessment, evaluation of treatment response, and acceptable and effective management for people with dementia, in primary care.
Citation
Bullock, L., Bedson, J., Chen, Y., Chew-Graham, C. A., & Campbell, P. (2021). Comparative differences in musculoskeletal pain consultation and analgesic prescription for people with dementia: a UK-wide matched cohort study. PAIN, 162(10), 2613-2620. https://doi.org/10.1097/j.pain.0000000000002257
Journal Article Type | Article |
---|---|
Acceptance Date | Mar 9, 2021 |
Online Publication Date | Mar 9, 2021 |
Publication Date | 2021-03 |
Publicly Available Date | May 30, 2023 |
Journal | Pain |
Print ISSN | 0304-3959 |
Publisher | Lippincott, Williams & Wilkins |
Peer Reviewed | Peer Reviewed |
Volume | 162 |
Issue | 10 |
Pages | 2613-2620 |
DOI | https://doi.org/10.1097/j.pain.0000000000002257 |
Keywords | Anesthesiology and Pain Medicine, Neurology (clinical), Neurology |
Publisher URL | https://journals.lww.com/pain/Abstract/9000/Comparative_differences_in_musculoskeletal_pain.98101.aspx |
PMID | 33902094 |
Files
Bullock et al Pain Dementia_PAIN accepted version.pdf
(320 Kb)
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Publisher Licence URL
https://creativecommons.org/licenses/by-nc/4.0/
Bullock et al Pain Dementia_PAIN submitted version.pdf
(311 Kb)
PDF
Publisher Licence URL
https://creativecommons.org/licenses/by-nc/4.0/
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