Analgesic purchases among older adults - a population-based study.
BACKGROUND
Pain is a frequent and inevitable factor affecting the quality of life among older people. Several studies have highlighted the ineffectiveness of treating chronic pain among the aged population, and little is known about the prevalence of analgesics administration among community-dwelling older adults. The objective was to examine older adults' prescription analgesic purchases in relation to SF-36 pain in a population-based setting.


METHODS
One thousand four hundred twenty community-dwelling citizens aged 62-86 years self-reported SF-36 bodily pain (pain intensity and pain-related interference) scores for the previous 4 weeks. The Social Insurance Institution of Finland register data on analgesic purchases for 6 months prior to and 6 months after the questionnaire data collection were considered. Special interest was focused on factors related to opioid purchases.


RESULTS
Of all participants, 84% had purchased prescription analgesics during 1 year. NSAIDs were most frequently purchased (77%), while 41% had purchased paracetamol, 32% opioids, 17% gabapentinoids, and 7% tricyclic antidepressants. Age made no marked difference in purchasing prevalence. The number of morbidities was independently associated with analgesic purchases in all subjects and metabolic syndrome also with opioid purchases in subjects who had not reported any pain.


DISCUSSION
Substantial NSAID and opioid purchases emerged. The importance of proper pain assessment and individual deliberation in terms of analgesic contraindications and pain quality, as well as non-pharmacological pain management, need to be highlighted in order to optimize older adults' pain management.
['Marttinen|Maiju K|MK|0000-0002-5863-4837', 'Kautiainen|Hannu|H|', 'Haanpää|Maija|M|', 'Pohjankoski|Heini|H|', 'Hintikka|Jukka|J|', 'Kauppi|Markku J|MJ|']
D000368:Aged D000369:Aged, 80 and over D000700:Analgesics D000701:Analgesics, Opioid D000894:Anti-Inflammatory Agents, Non-Steroidal D005387:Finland D006801:Humans D008875:Middle Aged D011788:Quality of Life
Analgesic Pain Opioid NSAID Elderly