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Pain Management in Nursing Home Residents with Cancer
Author(s) -
Pimentel Camilla B.,
Briesacher Becky A.,
Gurwitz Jerry H.,
Rosen Allison B.,
Pimentel Marc T.,
Lapane Kate L.
Publication year - 2015
Publication title -
journal of the american geriatrics society
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.992
H-Index - 232
eISSN - 1532-5415
pISSN - 0002-8614
DOI - 10.1111/jgs.13345
Subject(s) - medicine , minimum data set , confidence interval , cancer pain , activities of daily living , pharmacy , logistic regression , palliative care , mood , cross sectional study , physical therapy , cancer , nursing homes , family medicine , psychiatry , nursing , pathology
Objectives To assess improvements in pain management of nursing home ( NH ) residents with cancer since the implementation of pain management quality indicators. Design Cross‐sectional. Setting One thousand three hundred eighty‐two U . S . NH s (N = 1,382). Participants Newly admitted, M edicare‐eligible NH residents with cancer (N = 8,094). Measurements Nationwide data on NH resident health from Minimum Data Set 2.0 linked to all‐payer pharmacy dispensing records (February 2006–June 2007) were used to determine prevalence of pain, including frequency and intensity, and receipt of nonopioid and opioid analgesics. Multinomial logistic regression was used to evaluate resident‐level correlates of pain and binomial logistic regression to identify correlates of untreated pain. Results More than 65% of NH residents with cancer had any pain (28.3% daily, 37.3%