Journal article
Improving the Pharmacologic Management of Pain in Older Adults: Identifying the Research Gaps and Methods to Address Them
Pain medicine (Malden, Mass.), Vol.12(9), pp.1336-1357
09/2011
DOI: 10.1111/j.1526-4637.2011.01211.x
PMCID: PMC3173592
PMID: 21834914
Abstract
Objective. There has been a growing recognition of the need for better pharmacologic management of chronic pain among older adults. To address this need, the National Institutes of Health Pain Consortium sponsored an “Expert Panel Discussion on the Pharmacological Management of Chronic Pain in Older Adults” conference in September 2010 to identify research gaps and strategies to address them. Specific emphasis was placed on ascertaining gaps regarding use of opioid and nonsteroidal anti-inflammatory medications because of continued uncertainties regarding their risks and benefits.
Design. Eighteen panel members provided oral presentations; each was followed by a multidisciplinary panel discussion. Meeting transcripts and panelists' slide presentations were reviewed to identify the gaps and the types of studies and research methods panelists suggested could best address them.
Results. Fifteen gaps were identified in the areas of treatment (e.g., uncertainty regarding the long-term safety and efficacy of commonly prescribed analgesics), epidemiology (e.g., lack of knowledge regarding the course of common pain syndromes), and implementation (e.g., limited understanding of optimal strategies to translate evidence-based pain treatments into practice). Analyses of data from electronic health care databases, observational cohort studies, and ongoing cohort studies (augmented with pain and other relevant outcomes measures) were felt to be practical methods for building an age-appropriate evidence base to improve the pharmacologic management of pain in later life.
Conclusion. Addressing the gaps presented in the current report was judged by the panel to have substantial potential to improve the health and well-being of older adults with chronic pain.
Details
- Title: Subtitle
- Improving the Pharmacologic Management of Pain in Older Adults: Identifying the Research Gaps and Methods to Address Them
- Creators
- M. C Reid - Division of Geriatrics and Gerontology, Weill Cornell Medical Center, New York, NYDavid A Bennett - Department of Neurological Sciences, Rush Alzheimer’s Disease Center, Rush University Medical Center, Chicago, ILWen G Chen - Sensory and Motor Disorders of Aging, Behavioral and Systems Neuroscience Branch, Division of Neuroscience, National Institute on Aging, Bethesda, MDBasil A Eldadah - Division of Geriatrics and Clinical Gerontology, National Institute on Aging, Bethesda, MDJohn T Farrar - Departments of Epidemiology and Neurology, University of Pennsylvania, Philadelphia, PABruce Ferrell - Division of Geriatrics, UCLA School of Medicine, Los Angeles, CARollin M Gallagher - Philadelphia VA Medical Center, Penn Pain Medicine Center, and the Departments of Psychiatry and Anesthesiology and Critical Care, University of Pennsylvania School of Medicine, Philadelphia, PAJoseph T Hanlon - Department of Medicine (Geriatrics), University of Pittsburgh, Pittsburgh, PA and the Geriatric Research Education and Clinical Center, VA Pittsburgh Health System, Pittsburgh, PAKeela Herr - John A. Hartford Center of Geriatric Nursing Excellence, The University of Iowa College of Nursing, Iowa City, IASusan D Horn - Institute for Clinical Outcomes Research, Salt Lake City, UTCharles E Inturrisi - Department of Pharmacology, Weill Cornell Medical College, New York, NYSalma Lemtouni - Center for Drug Evaluation and Research, U.S. Food and Drug Administration, Washington, DCYu Woody Lin - Division of Clinical Neuroscience and Behavioral Research, National Institute on Drug Abuse, Bethesda, MDKaleb Michaud - University of Nebraska Medical Center, Omaha, NE, National Data Bank for Rheumatic Diseases, Wichita, KSR. Sean Morrison - Brookdale Department of Geriatrics and Palliative Medicine, Mount Sinai School of Medicine, New York, NYTuhina Neogi - Sections of Clinical Epidemiology Research and Training Unit, and Rheumatology, Boston University School of Medicine, Boston, MALinda L Porter - National Institute of Neurologic Disorders and Stroke, Bethesda, MDDaniel H Solomon - Division of Pharmacoepidemiology and Pharmacoeconomics, Brigham and Women’s Hospital, Harvard Medical School, Boston, Massachusetts Division of Rheumatology, Brigham and Women’s Hospital, Boston, MAMichael Von Korff - Center for Health Studies Group Health Cooperative, Seattle, WAKaren Weiss - Center for Drug Evaluation and Research, U.S. Food and Drug Administration, Washington, DCJames Witter - Division of Skin and Rheumatic Diseases, National Institute of Arthritis and Musculoskeletal and Skin Diseases, Bethesda, MDKevin L Zacharoff - Inflexxion, Inc. Newton, MA
- Resource Type
- Journal article
- Publication Details
- Pain medicine (Malden, Mass.), Vol.12(9), pp.1336-1357
- DOI
- 10.1111/j.1526-4637.2011.01211.x
- PMID
- 21834914
- PMCID
- PMC3173592
- NLM abbreviation
- Pain Med
- ISSN
- 1526-2375
- eISSN
- 1526-4637
- Language
- English
- Date published
- 09/2011
- Academic Unit
- Nursing Administration and Gen; Nursing
- Record Identifier
- 9984064285802771
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