Neuropathic Pain Among Community-Dwelling Older People: A Clinical Study in Finland

S. Rapo-Pylkkö, M. Haanpää, Helena Liira

    Research output: Contribution to journalArticle

    7 Citations (Scopus)

    Abstract

    © 2015, Springer International Publishing Switzerland. Background: Neuropathic pain is more common among older people than in the general population, and the efficacy of medical treatment often remains unsatisfactory. Objective: The aim of this study was to assess the presence, diagnostic certainty, etiology and treatment of neuropathic pain in community-dwelling older people with chronic pain. Methods: Independently living older people aged 75, 80 and 85 years subject to communal preventive home visits with chronic pain were invited to a clinical pain examination by a geriatrician. Results: Overall, 106 patients consented to participate in the clinical study. Neuropathic pain was diagnosed in 51 (48 %) patients, with 75 % of pain states definite and 25 % probable neuropathic pain. The most common etiology was degenerative disease of the spinal column causing radiculopathy. At the study visit, 11 patients (22 % of neuropathic pain patients) were receiving medication that was demonstrated to be effective against neuropathic pain. The geriatrician recommended a trial of a new medicine for 17 patients, but only six continued the medication going forward. Conclusions: Neuropathic pain was surprisingly common in our cohort. Finding effective pain medication is challenging due to comorbidities, possible side effects, and vulnerability in older age. Other pain management methods should be considered.
    Original languageEnglish
    Pages (from-to)737-742
    JournalDrugs & Aging
    Volume32
    Issue number9
    DOIs
    Publication statusPublished - 2015

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    Independent Living
    Neuralgia
    Finland
    Pain
    Chronic Pain
    House Calls
    Radiculopathy
    Pain Management
    Clinical Studies
    Switzerland
    Comorbidity
    Spine
    Medicine

    Cite this

    Rapo-Pylkkö, S. ; Haanpää, M. ; Liira, Helena. / Neuropathic Pain Among Community-Dwelling Older People: A Clinical Study in Finland. In: Drugs & Aging. 2015 ; Vol. 32, No. 9. pp. 737-742.
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    title = "Neuropathic Pain Among Community-Dwelling Older People: A Clinical Study in Finland",
    abstract = "{\circledC} 2015, Springer International Publishing Switzerland. Background: Neuropathic pain is more common among older people than in the general population, and the efficacy of medical treatment often remains unsatisfactory. Objective: The aim of this study was to assess the presence, diagnostic certainty, etiology and treatment of neuropathic pain in community-dwelling older people with chronic pain. Methods: Independently living older people aged 75, 80 and 85 years subject to communal preventive home visits with chronic pain were invited to a clinical pain examination by a geriatrician. Results: Overall, 106 patients consented to participate in the clinical study. Neuropathic pain was diagnosed in 51 (48 {\%}) patients, with 75 {\%} of pain states definite and 25 {\%} probable neuropathic pain. The most common etiology was degenerative disease of the spinal column causing radiculopathy. At the study visit, 11 patients (22 {\%} of neuropathic pain patients) were receiving medication that was demonstrated to be effective against neuropathic pain. The geriatrician recommended a trial of a new medicine for 17 patients, but only six continued the medication going forward. Conclusions: Neuropathic pain was surprisingly common in our cohort. Finding effective pain medication is challenging due to comorbidities, possible side effects, and vulnerability in older age. Other pain management methods should be considered.",
    author = "S. Rapo-Pylkk{\"o} and M. Haanp{\"a}{\"a} and Helena Liira",
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    doi = "10.1007/s40266-015-0294-5",
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    Neuropathic Pain Among Community-Dwelling Older People: A Clinical Study in Finland. / Rapo-Pylkkö, S.; Haanpää, M.; Liira, Helena.

    In: Drugs & Aging, Vol. 32, No. 9, 2015, p. 737-742.

    Research output: Contribution to journalArticle

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    AU - Haanpää, M.

    AU - Liira, Helena

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    N2 - © 2015, Springer International Publishing Switzerland. Background: Neuropathic pain is more common among older people than in the general population, and the efficacy of medical treatment often remains unsatisfactory. Objective: The aim of this study was to assess the presence, diagnostic certainty, etiology and treatment of neuropathic pain in community-dwelling older people with chronic pain. Methods: Independently living older people aged 75, 80 and 85 years subject to communal preventive home visits with chronic pain were invited to a clinical pain examination by a geriatrician. Results: Overall, 106 patients consented to participate in the clinical study. Neuropathic pain was diagnosed in 51 (48 %) patients, with 75 % of pain states definite and 25 % probable neuropathic pain. The most common etiology was degenerative disease of the spinal column causing radiculopathy. At the study visit, 11 patients (22 % of neuropathic pain patients) were receiving medication that was demonstrated to be effective against neuropathic pain. The geriatrician recommended a trial of a new medicine for 17 patients, but only six continued the medication going forward. Conclusions: Neuropathic pain was surprisingly common in our cohort. Finding effective pain medication is challenging due to comorbidities, possible side effects, and vulnerability in older age. Other pain management methods should be considered.

    AB - © 2015, Springer International Publishing Switzerland. Background: Neuropathic pain is more common among older people than in the general population, and the efficacy of medical treatment often remains unsatisfactory. Objective: The aim of this study was to assess the presence, diagnostic certainty, etiology and treatment of neuropathic pain in community-dwelling older people with chronic pain. Methods: Independently living older people aged 75, 80 and 85 years subject to communal preventive home visits with chronic pain were invited to a clinical pain examination by a geriatrician. Results: Overall, 106 patients consented to participate in the clinical study. Neuropathic pain was diagnosed in 51 (48 %) patients, with 75 % of pain states definite and 25 % probable neuropathic pain. The most common etiology was degenerative disease of the spinal column causing radiculopathy. At the study visit, 11 patients (22 % of neuropathic pain patients) were receiving medication that was demonstrated to be effective against neuropathic pain. The geriatrician recommended a trial of a new medicine for 17 patients, but only six continued the medication going forward. Conclusions: Neuropathic pain was surprisingly common in our cohort. Finding effective pain medication is challenging due to comorbidities, possible side effects, and vulnerability in older age. Other pain management methods should be considered.

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