Longitudinal Treatment Outcomes for Geriatric Patients with Chronic Non-Cancer Pain at an Interdisciplinary Pain Rehabilitation Program

Pain Medicine

Volumn 11, Issue 9, 2010, Pages 1352-1364

  Darchuk, Kathleen M ^a   Townsend, Cynthia O ^b   Rome, Jeffrey D ^b   Bruce, Barbara K ^b   Hooten, Michael ^b  

^a VETERANS AFFAIRS MEDICAL CENTER   (United States)

^b MAYO CLINIC   (United States)

Author keywords

Chronic Pain; Geriatric; Interdisciplinary; Longitudinal Outcomes; Rehabilitation

Indexed keywords

ANTICONVULSIVE AGENT; BENZODIAZEPINE; MUSCLE RELAXANT AGENT; NONSTEROID ANTIINFLAMMATORY AGENT; OPIATE;

ABDOMINAL PAIN; ADULT; AGED; ARTICLE; CHRONIC PAIN; COGNITIVE THERAPY; CONTROLLED STUDY; DEPRESSION; DISEASE SEVERITY; FEMALE; FIBROMYALGIA; FOLLOW UP; FUNCTIONAL STATUS; GERIATRIC PATIENT; GROUPS BY AGE; HEADACHE; HEALTH BEHAVIOR; HOSPITAL DISCHARGE; HUMAN; INTERDISCIPLINARY PAIN REHABILITATION PROGRAM; LONGITUDINAL STUDY; LOW BACK PAIN; MAJOR CLINICAL STUDY; MALE; MENTAL HEALTH; NECK PAIN; OUTPATIENT CARE; PAIN ASSESSMENT; PSYCHOSOCIAL CARE; QUESTIONNAIRE; REHABILITATION CARE; SHORT FORM 36; TREATMENT OUTCOME; WITHDRAWAL SYNDROME;

EID: 77956534704     PISSN: 15262375     EISSN: 15264637     Source Type: Journal    
DOI: 10.1111/j.1526-4637.2010.00937.x     Document Type: Article

References (57)

1. Crook J, Rideout E, Browne G. The prevalence of pain complaints in a general population. Pain 1984, 18:299-314.
2. Roy R, Thomas MR. Elderly persons with and without chronic pain: A comparative study. Clin J Pain 1987, 3:102-6.
3. Ferrell BA, Ferrell BR, Osterweil D. Pain in the nursing home. J Am Geriatr Soc 1990, 38:409-14.
4. Roy R, Thomas MR. A survey of chronic pain in an elderly population. Can Fam Physician 1986, 32:513-6.
5. Lichtenberg PA, McGrogan AG. Chronic pain in elderly psychiatric inpatients. Clin Biofeedback Health Int J 1987, 10:3-7.
6. Marzinski LR. The tragedy of dementia: Clinically assessing pain in the confused, nonverbal elderly. J Gerontol Nurs 1991, 17:25-8.
7. Woo J, Ho SC, Lau J, Leung PC. Musculoskeletal complaints and associated consequences in elderly Chinese aged 70 years and over. J Rheumatol 1994, 21:1927-31.
8. The management of chronic pain in older persons: American Geriatrics Society. J Am Geriatr Soc 1998, 46:635-51. American Geriatric Society Panel of Chronic Pain in Older Persons
9. The management of persistent pain in older persons. J Am Geriatr Soc 2002, 50:S205-24. American Geriatric Society Panel on Persistent Pain in Older Persons
10. Exercise prescription for older adults with osteoarthritis pain: Consensus practice recommendations. J Am Geriatr Soc 2001, 49:808-23. American Geriatric Society Panel on Exercise and Osteoarthritis
11. Health care guideline: assessment and management of chronic pain. November 2009, http://www.icsi.org/pain__chronic__assessment_and_management_of_14399/pain__chronic__assessment_and_management_of__guideline_.html, ICSI Institute for Clinical Systems Improvement, Available at: (accessed December 15, 2009
12. Sanders SH, Harden RN, Vicente PJ. Evidence-based clinical practice guidelines for interdisciplinary rehabilitation of chronic nonmalignant pain syndrome patients. Pain Pract 2005, 5:303-15.
13. Gatchel RJ, Okifuji A. Evidence-based scientific data documenting the treatment and cost-effectiveness of comprehensive pain programs for chronic nonmalignant pain. J Pain 2006, 7:779-93.
14. Aronoff GM, Evans WO. The prediction of treatment outcome at a multidisciplinary pain center. Pain 1982, 14:67-73.
15. Guck TP, Meilman PW, Skultety FM, Dowd ET. Prediction of long-term outcome of multidisciplinary treatment. Arch Phys Med Rehabil 1986, 67:293-6.
16. Thomas PS, Kepes ER, Marcus NJ. The stress of musculoskeletal pain: A comparison between primary care patients in various ages. J Psychosom Res 1981, 56:297-305.
17. Hallett EC, Pilowski I. The response to treatment in a multidisciplinary pain clinic. Pain 1982, 12:365-74.
18. Cutler RB, Fishbain DA, Rosomoff RS, Rosomoff HL. Outcomes in treatment of chronic pain in geriatric and younger age groups. Arch Phys Med Rehabil 1994, 75:457-64.
19. Middaugh SJ, Levin RB, Kee W, Barchiesi FS, Roberts JM. Chronic pain: Its treatment in geriatric and younger patients. Arch Phys Med Rehabil 1988, 69:1021-5.
20. Caudill-Slosberg MA, Schwartz LM, Woloshin S. Office visits and analgesic prescriptions for musculoskeletal pain in US: 1980 vs 2000. Pain 2004, 109:514-9.
21. Bellville JW, Forrest WH, Miller E, Brown BW. Influence of age on pain relief from analgesics: A study of postoperative patients. JAMA 1971, 217:1835-41.
22. Kaiko RF. Age and morphine analgesia in cancer patients with postoperative pain. Clin Pharmacol Ther 1980, 28:823-6.
23. Scott JC, Stanski DR. Decreased fentanyl and alfentanil dose requirements with age: A simultaneous pharmacokinetic and pharmacodyndamic evaluation. J Pharmacol Exp Ther 1987, 240:159-65.
24. Weiner D, Hanlon J. Pain in nursing home residents: Management strategies. Drugs Aging 2001, 18:13-29.
25. Ensrud KE, Blackwell T, Mangione CM. Central nervous system-active medications and risk for falls in older women. J Am Geriatr Soc 2002, 50:1629-37.
26. Kotylar M, Gray SL, Lindblad CI, Hanlon JT. Psychiatric manifestations of medications in the elderly. Principles and Practice of Geriatric Psychiatry 2005, 605-15. Malletta G, Agronin M, eds., Philadelphia, Lippincott Williams and Wilkins
27. Weiner DK, Hanlon JT, Studenski SA. CNS drug-related falls liability in community dwelling elderly. Gerontology 1998, 44:217-21.
28. Townsend CO, Kerkvliet J, Bruce BK, Rome JS, Hooten WM. A longitudinal study of the efficacy of a comprehensive pain rehabilitation program with ospioid withdrawal: Comparison of treatment outcomes based on opioid use status at admission. Pain 2008, 140:177-89.
29. Rome JS, Townsend CO, Bruce BK. Chronic noncancer pain rehabilitation with opioid withdrawal: Comparison of treatment outcomes based on opioid use status at admission. Mayo Clin Proc 2004, 79:759-68.
30. Hooten WM, Townsend CO, Sletten CD, Bruce BK, Rome JS. Treatment outcomes after multidisciplinary pain rehabilitation with analgesic medication withdrawal for patients with fibromyalgia. Pain Med 2007, 8:8-16.
31. DuPen S, DuPen A. Opioid Conversion Calculator [Computer Software] 2000, Poulsbo, WA, Cynergy Group
32. Radloff LS. The CES-D scale: A self-report depression scale for research in the general population. Appl Psychol Meas 1977, 1:385-401.
33. Weissman MN, Sholomskas D, Pottenger M, Prusoff BA, Locke BZ. Assessing depressive symptoms in five psychiatric populations: A validation study. Am J Epidemiol 1977, 106:203-14.
34. Geisser ME, Roth RS, Robinson ME. Assessing depression among person with chronic pain using the Center for Epidemiological Studies-Depression Scale and the Beck Depression Inventory: A comparative analysis. Clin J Pain 2007, 13:163-70.
35. Tan G, Jensen MP, Robinson-Whelen S, Thornby JI, Monga TN. Coping with chronic pain, a comparison of two measures. Pain 2001, 90:127-33.
36. Sullivan MJL, Bishop S, Pivik J. The Pain Catastrophizing Scale: Development and validation. Psychol Assess 1995, 7:524-32.
37. Sullivan MJL, Thorn B, Haythornthwaite JS. Theoretical perspectives on the relation between catastrophizing and pain. Clin J Pain 2001, 17:52-64.
38. Kerns RD, Turk DC, Rudy TE. The West Haven-Yale Multidimensional Pain Inventory (WHYMPI). Pain 1985, 23:345-56.
39. Rudy TE. Multiaxial Assessment of Pain Mulitidimensional Pain Inventory. Computer Program User's Manual Version 2.0 1989, Pittsburgh, PA, University of Pittsburgh
40. McHorney CA, Ware JE, Raczek AE. The MOS 36-Item Short-Form Health Survey (SF-36): II. Psychometric and clinical tests of validity in measuring physical and mental health constructs. Med Care 1993, 31:247-63.
41. Ware JE, Sherbourne CD. The MOS 36-Item Short Form Health Survey (SF-36): Conceptual framework and item selection. Med Care 1992, 30:473-83.
42. Ware JE. SF-36 Health Survey Manual & Interpretation Guide 1993, Boston, MA, Health Institute, New England Medical Center
43. Wittink H, Turk DC, Carr DB, Sukiennik A, Rogers W. Comparison of the redundancy, reliability, and responsiveness to change among SF-36, oswestry disability index, and multidimensional pain inventory. Clin J Pain 2004, 20:133-42.
44. Dunlop WP, Cortina JM, Vaslow JB, Burke MJ. Meta-analysis of experiments with matched groups or repeated measures designs. Psychol Methods 1996, 1:170-7.
45. Cohen J. Statistical Power Analysis for the Behavioral Sciences 1988, 2nd, edition, Hillsdale, NJ, Lawrence Earlbaum Associates
46. Gagliese L, Melzack R. Chronic pain in the elderly. Pain 1997, 70:3-14.
47. Wittnick HM, Rogers WH, Lipman AG. Older and younger adults in pain management programs in the United States: Differences and similarities. Pain Med 2006, 7:151-63.
48. Gagliese L, Melzak R. Age-related differences in the qualities but not the intensity of chronic pain. Pain 2003, 104:597-608.
49. Gibson SJ, Helme RD. Age differences in pain perception and report: A review of physiological, psychological, laboratory and clinical studies. Pain Rev 1995, 2:111-37.
50. Williamson GM, Schultz R. Pain, activity restriction, and symptoms of depression among community-residing elderly adults. J Gerontol 1992, 47:367-72.
51. Riley J, Wade J, Robinson M, Price D. The stages of pain processing across the adult lifespan. J Pain 2000, 1:162-70.
52. Yonan CA, Wegener ST. Assessment and management of pain in the older adult. Rehabil Psychol 2003, 48:4-13.
53. Carmeli E, Coleman R, Rezick AZ. The biochemistry of aging muscle. Exp Gerontol 2002, 37:477-89.
54. Sorkin BS, Rudy TE, Hanlon RB, Turk D, Steig RL. Chronic pain in older and young patients: Differences appear less important than similarities. J Gerontol Psychol Sci 1990, 45:64-8.
55. Melding P. Is there such a thing as geriatric pain? Pain 1991, 46:119-21.
56. Kee WG, Middaugh SJ, Pawlick K. Persistent pain in the older patient evaluation and treatment. Psychological Approaches to Pain Management: A Practitioners Handbook 1996, 371-402. Gatchel RJ, Turk D, In, eds., New York, Guilford Press
57. Kee WG, Middaugh SJ, Redpath S, Hargadon R. Age as a factor in admission to chronic pain rehabilitation. Clin J Pain 1998, 14:121-8.