Prevalence of Musculoskeletal Pain and Analgesic Treatment Among Community-Dwelling Older Adults : Changes from 1999 to 2019

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dc.contributor.author Lehti, Tuuli Elina
dc.contributor.author Rinkinen, M. -O.
dc.contributor.author Aalto, U.
dc.contributor.author Roitto, H. M.
dc.contributor.author Knuutila, M.
dc.contributor.author Öhman, H.
dc.contributor.author Kautiainen, H.
dc.contributor.author Karppinen, H.
dc.contributor.author Tilvis, R.
dc.contributor.author Strandberg, T.
dc.contributor.author Pitkälä, K. H.
dc.date.accessioned 2021-10-01T04:51:02Z
dc.date.available 2021-10-01T04:51:02Z
dc.date.issued 2021-10
dc.identifier.citation Lehti , T E , Rinkinen , M -O , Aalto , U , Roitto , H M , Knuutila , M , Öhman , H , Kautiainen , H , Karppinen , H , Tilvis , R , Strandberg , T & Pitkälä , K H 2021 , ' Prevalence of Musculoskeletal Pain and Analgesic Treatment Among Community-Dwelling Older Adults : Changes from 1999 to 2019 ' , Drugs & Aging , vol. 38 , no. 10 , pp. 931–937 . https://doi.org/10.1007/s40266-021-00888-w
dc.identifier.other PURE: 168908370
dc.identifier.other PURE UUID: 50ba24b2-8669-4ec4-8b6a-51ce8c6bf89e
dc.identifier.other WOS: 000684472000002
dc.identifier.other ORCID: /0000-0001-9659-6985/work/100869234
dc.identifier.other ORCID: /0000-0001-6299-925X/work/100869678
dc.identifier.other ORCID: /0000-0002-1861-8576/work/100869723
dc.identifier.uri http://hdl.handle.net/10138/334807
dc.description.abstract Background Pain is undertreated in older populations. At the same time, increased use of opioids is of concern in the Western world. Aims We sought to analyze temporal trends in musculoskeletal pain and prescribed analgesic treatment among community-dwelling people aged 75-95 years using cross-sectional cohort data spanning 20 years. Methods The Helsinki Aging Study recruited random samples of people aged 75, 80, 85, 90, and 95 years in 1999, 2009, and 2019. In total, 5707 community-dwelling persons participated in the study. The participants reported their medical diagnoses, regular prescription medications, and the presence of back pain or joint pain within the last 2 weeks (never, sometimes, or daily). We compared analgesic use among participants reporting and not reporting musculoskeletal pain in 1999, 2009, and 2019. Results Of the participants, 57-61% reported intermittent or daily musculoskeletal pain. The percentage receiving a prescribed daily analgesic increased from 9% in 1999 to 16% in 2019. The use of non-steroidal anti-inflammatory drugs (NSAIDs) decreased from 1999 to 2019, while the use of paracetamol increased from 2 to 11%. Opioids were taken by 2% in 1999 and 3% in 2019. Of those reporting daily musculoskeletal pain, 20%, 35%, and 32% received regular pain medication in 1999, 2009, and 2019, respectively. Conclusions Pain remains undertreated in the community-dwelling older population, although the use of regular prescribed analgesics increased between 1999 and 2019. The use of NSAIDs has decreased, while the use of paracetamol has increased. Daily opioid use has remained modest. en
dc.format.extent 7
dc.language.iso eng
dc.relation.ispartof Drugs & Aging
dc.rights cc_by_nc
dc.rights.uri info:eu-repo/semantics/openAccess
dc.subject PERSISTENT PAIN
dc.subject MEDICATION USE
dc.subject UNITED-STATES
dc.subject BACK-PAIN
dc.subject POPULATION
dc.subject MANAGEMENT
dc.subject OPIOIDS
dc.subject PEOPLE
dc.subject TRENDS
dc.subject SEVERITY
dc.subject 3121 General medicine, internal medicine and other clinical medicine
dc.subject 317 Pharmacy
dc.title Prevalence of Musculoskeletal Pain and Analgesic Treatment Among Community-Dwelling Older Adults : Changes from 1999 to 2019 en
dc.type Article
dc.contributor.organization Department of General Practice and Primary Health Care
dc.contributor.organization Helsinki University Hospital Area
dc.contributor.organization Department of Medicine
dc.contributor.organization Geriatrian yksikkö
dc.contributor.organization Clinicum
dc.contributor.organization HUS Internal Medicine and Rehabilitation
dc.contributor.organization Timo Strandberg / Principal Investigator
dc.contributor.organization Teachers' Academy
dc.description.reviewstatus Peer reviewed
dc.relation.doi https://doi.org/10.1007/s40266-021-00888-w
dc.relation.issn 1170-229X
dc.rights.accesslevel openAccess
dc.type.version publishedVersion

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