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Pain management in nursing home residents with cancer
Camilla B Pimentel1, Becky A Briesacher, Jerry H Gurwitz
1Clinical and Population Health Research Program, Graduate School of Biomedical Sciences, University of Massachusetts Medical School, Worcester, Massachusetts.
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. NHs (N = 1,382).
Participants:
Newly admitted, Medicare-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%
Conclusion:
Untreated pain is still common in NH residents with cancer and persists despite pain management quality indicators.
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