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The problems of pain and its detection among geriatric nursing home residents
Sengstaken EA, King SA.. Journal of the American Geriatrics Society, 1993-05-01
Topic: Health services, long-term care and technology
Objective To assess physicians' detection of pain among geriatric nursing home residents and to determine if there are factors that may interfere with their ability to do this. Design Chart review and patient interview. Setting Geriatric nursing home. Participants One hundred nursing home residents age 65 or older. Seventy-six were communicative. Measurements Demographic information, diagnoses, and medication use were compared for several groups of residents to determine their effects on the detection of pain. Results Sixty-six percent of the communicative residents were identified as having chronic pain. Treating physicians did not detect this problem in 34% of these residents. Those whose pain was not so identified were more likely to have a neurologic disorder other than dementia. When non-communicative residents were compared with those who were communicative, the physicians were found to have identified pain less frequently in the former cohort. Conclusions Chronic pain is a common problem among geriatric nursing home residents and is frequently undetected. Identification of this problem among communicative residents may be markedly improved by direct questioning about this problem at frequent intervals. New methods of assessing pain need to be created to assist in its detection among the non-communicative population.
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APA 7th
Sengstaken, E. A., & King, S. A. (1993). The problems of pain and its detection among geriatric nursing home residents. Journal of the American Geriatrics Society. https://doi.org/10.1111/j.1532-5415.1993.tb01892.x
Vancouver
Sengstaken EA, King SA. The problems of pain and its detection among geriatric nursing home residents. Journal of the American Geriatrics Society. 1993. doi:10.1111/j.1532-5415.1993.tb01892.x. PMID: 8486889.
BibTeX
@article{sengstaken1993-8486889,
author = {Sengstaken, E. A. and King, S. A.},
title = {{The problems of pain and its detection among geriatric nursing home residents}},
journal = {Journal of the American Geriatrics Society},
year = {1993},
doi = {10.1111/j.1532-5415.1993.tb01892.x},
pmid = {8486889},
url = {https://doi.org/10.1111/j.1532-5415.1993.tb01892.x}
}
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Key findings
- Results Sixty-six percent of the communicative residents were identified as having chronic pain.
- When non-communicative residents were compared with those who were communicative, the physicians were found to have identified pain less frequently in the former cohort.
Study details
- Evidence strengthModerate
How this study scored 40/100
Published in a peer-reviewed journal. Scored zero for study design, sample size, effect reported, studied in people and randomized / blinded because the record does not state it. We have no data on journal's citation record, times cited, citations per year, impact for its field and year, cited by studies here, still being cited, senior author's track record, institution's track record and multicenter collaboration, so those were left out: it earned 23 of the 58 points we could judge it on, which is 40 out of 100.
| Component | Points | Why |
|---|---|---|
| Journal tier | 7 / 10 | Tier 3 — peer-reviewed journal (Journal of the American Geriatrics Society) |
| Journal's citation record | — / 4 | No journal record from OpenAlex — left out of this score |
| Study design | 0 / 12 | No study design recorded — scores zero, not guessed (not stated in the record — scored 0) |
| Strength of evidence | 3 / 5 | Rated “moderate” in our summary |
| Peer-review validation | 10 / 10 | Peer-reviewed. Published as an article in a named peer-reviewed journal. |
| How recent | 1 / 5 | 1993 — older than 20 years, still counted |
| Sample size | 0 / 4 | Participant count not stated — scores zero (not stated in the record — scored 0) |
| Effect reported | 0 / 3 | No effect size reported — scores zero (not stated in the record — scored 0) |
| Studied in people | 0 / 3 | Not stated whether this was studied in people — scores zero (not stated in the record — scored 0) |
| Randomized / blinded | 0 / 2 | No randomization or blinding stated — scores zero (not stated in the record — scored 0) |
| Times cited | — / 7 | No citation count (not found in OpenAlex) — left out of this score |
| Citations per year | — / 5 | No citation count or no year — left out of this score |
| Impact for its field and year | — / 6 | No field-weighted citation impact (OpenAlex has none yet) — left out of this score |
| Cited by studies here | — / 6 | Not yet checked against this library's citation graph — left out of this score |
| Still being cited | — / 4 | No yearly citation counts — left out of this score |
| Senior author's track record | — / 4 | Senior author's record not available — left out of this score |
| Institution's track record | — / 3 | No institution listed in OpenAlex — left out of this score |
| Multicenter collaboration | — / 3 | Institutions not listed — left out of this score |
| Indexed in PubMed | 2 / 2 | Indexed in PubMed (PMID 8486889) |
| Free to read | 0 / 2 | Behind a paywall — scores zero |
| Points | 23 / 58 | Scored on 11 of 20 parts. We have no data for the rest, so they are left out: 23 of the 58 points we could judge it on is 40 out of 100. |
| Total | 40 / 100 | — |
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