Improving the Pharmacologic Management of Pain in Older Adults: Identifying the Research Gaps and Methods to Address Them

M. Cary Reid, David A. Bennett, Wen G. Chen, Basil A. Eldadah, John T. Farrar, Bruce Ferrell, Rollin M. Gallagher, Joseph T. Hanlon, Keela Herr, Susan D. Horn, Charles E. Inturrisi, Salma Lemtouni, Yu Woody Lin, Kaleb D Michaud, R. Sean Morrison, Tuhina Neogi, Linda L. Porter, Daniel H. Solomon, Michael Von Korff, Karen WeissJames Witter, Kevin L. Zacharoff

Research output: Contribution to journalReview article

62 Citations (Scopus)

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. Wiley Periodicals, Inc.

Original languageEnglish (US)
Pages (from-to)1336-1357
Number of pages22
JournalPain Medicine
Volume12
Issue number9
DOIs
StatePublished - Sep 2011

Fingerprint

Pain Management
Chronic Pain
Pain
Research
Uncertainty
Cohort Studies
National Institutes of Health (U.S.)
Opioid Analgesics
Observational Studies
Analgesics
Epidemiology
Anti-Inflammatory Agents
Outcome Assessment (Health Care)
Databases
Pharmacology
Delivery of Health Care
Safety
Health
Therapeutics

Keywords

  • Analgesic Use
  • Chronic Noncancer Pain
  • Older Adults

ASJC Scopus subject areas

  • Clinical Neurology
  • Anesthesiology and Pain Medicine

Cite this

Reid, M. C., Bennett, D. A., Chen, W. G., Eldadah, B. A., Farrar, J. T., Ferrell, B., ... Zacharoff, K. L. (2011). Improving the Pharmacologic Management of Pain in Older Adults: Identifying the Research Gaps and Methods to Address Them. Pain Medicine, 12(9), 1336-1357. https://doi.org/10.1111/j.1526-4637.2011.01211.x

Improving the Pharmacologic Management of Pain in Older Adults : Identifying the Research Gaps and Methods to Address Them. / Reid, M. Cary; Bennett, David A.; Chen, Wen G.; Eldadah, Basil A.; Farrar, John T.; Ferrell, Bruce; Gallagher, Rollin M.; Hanlon, Joseph T.; Herr, Keela; Horn, Susan D.; Inturrisi, Charles E.; Lemtouni, Salma; Lin, Yu Woody; Michaud, Kaleb D; Morrison, R. Sean; Neogi, Tuhina; Porter, Linda L.; Solomon, Daniel H.; Von Korff, Michael; Weiss, Karen; Witter, James; Zacharoff, Kevin L.

In: Pain Medicine, Vol. 12, No. 9, 09.2011, p. 1336-1357.

Research output: Contribution to journalReview article

Reid, MC, Bennett, DA, Chen, WG, Eldadah, BA, Farrar, JT, Ferrell, B, Gallagher, RM, Hanlon, JT, Herr, K, Horn, SD, Inturrisi, CE, Lemtouni, S, Lin, YW, Michaud, KD, Morrison, RS, Neogi, T, Porter, LL, Solomon, DH, Von Korff, M, Weiss, K, Witter, J & Zacharoff, KL 2011, 'Improving the Pharmacologic Management of Pain in Older Adults: Identifying the Research Gaps and Methods to Address Them', Pain Medicine, vol. 12, no. 9, pp. 1336-1357. https://doi.org/10.1111/j.1526-4637.2011.01211.x
Reid, M. Cary ; Bennett, David A. ; Chen, Wen G. ; Eldadah, Basil A. ; Farrar, John T. ; Ferrell, Bruce ; Gallagher, Rollin M. ; Hanlon, Joseph T. ; Herr, Keela ; Horn, Susan D. ; Inturrisi, Charles E. ; Lemtouni, Salma ; Lin, Yu Woody ; Michaud, Kaleb D ; Morrison, R. Sean ; Neogi, Tuhina ; Porter, Linda L. ; Solomon, Daniel H. ; Von Korff, Michael ; Weiss, Karen ; Witter, James ; Zacharoff, Kevin L. / Improving the Pharmacologic Management of Pain in Older Adults : Identifying the Research Gaps and Methods to Address Them. In: Pain Medicine. 2011 ; Vol. 12, No. 9. pp. 1336-1357.
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