Opioids for the Treatment of Chronic Non-Cancer Pain in Older People
- 1 December 2009
- journal article
- review article
- Published by Springer Science and Business Media LLC in Drugs & Aging
- Vol. 26 (Supplement), 63-73
- https://doi.org/10.2165/11534670-000000000-00000
Abstract
Chronic pain occurs in 45–85% of the geriatric population and the need to treat chronic pain is growing substantially. Unfortunately, treatment for chronic pain is not always correctly targeted, which leads to a reduced quality of life, with decreased socialization, depression, sleep disturbances, cognitive impairment, disability and malnutrition. Considering these consequences, healthcare professionals should aim at improving the diagnosis and treatment of chronic pain in older persons. One of the most important limitations in achieving successful pain management is that older people are not aware that pain management options exist or medications for pain, such as opioids, have associated benefits and adverse effects. Importantly, opioids do not induce any organ failure and if adequately used at the right dosage may only present some predictable and preventable adverse effects. Treating and controlling chronic pain is essential in elderly patients in order to maintain a good quality of life and an active role in both the family and society. To date there are only a few randomized clinical trials testing opioid therapy in elderly patients, and the aim of the present review is to highlight the efficacy and tolerability of opioid use through a literature search strategy in elderly people with chronic non-cancer pain.Keywords
This publication has 67 references indexed in Scilit:
- Opioids and the Management of Chronic Severe Pain in the Elderly: Consensus Statement of an International Expert Panel with Focus on the Six Clinically Most Often Used World Health Organization step III Opioids (Buprenorphine, Fentanyl, Hydromorphone, Methadone, Morphine, Oxycodone)Pain Practice, 2008
- From Chronic Low Back Pain to Disability, a Multifactorial Mediated PathwaySpine, 2007
- Management of Chronic Noncancer Pain in the Primary Care SettingSouthern Medical Journal, 2007
- Randomised trial of trigger point acupuncture compared with other acupuncture for treatment of chronic neck painComplementary Therapies in Medicine, 2007
- Assessment of Dosing Frequency of Sustained-Release Opioid Preparations in Patients with Chronic Nonmalignant PainPain Medicine, 2007
- Association between daily pain and physical function among old–old adults living in the community: Results from the ilSIRENTE studyPain, 2006
- Transdermal buprenorphine in clinical practice – a post‐marketing surveillance study in 13 179 patientsCurrent Medical Research and Opinion, 2005
- Pain and Its Relation to Depressive Symptoms in Frail Older People Living in the Community: An Observational StudyJournal of Pain and Symptom Management, 2005
- Underutilisation of Opioids in Elderly Patients with Chronic PainDrugs & Aging, 2005
- EFFICACY OF QI-THERAPY (EXTERNAL QIGONG) FOR ELDERLY PEOPLE WITH CHRONIC PAINInternational Journal of Neuroscience, 2005