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Undertreatment of cancer pain in elderly patients

Article Abstract:

Many cancer patients are not receiving adequate pain medication. A 1998 study found that 38% of the cancer patients in the nursing homes surveyed had daily pain, but only one-fourth of these patients received pain medication. Other studies have drawn similar conclusions. Many physicians do not receive adequate training in pain management and many patients do not tell their doctor they are in pain. Physicians are also concerned about the side effects of pain medication as well as the legal consequences of using potentially addictive pain medication.

Author: Cleeland, Charles S.
Publisher: American Medical Association
Publication Name: JAMA, The Journal of the American Medical Association
Subject: Health
ISSN: 0098-7484
Year: 1998
Editorial

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Management of pain in elderly patients with cancer

Article Abstract:

Many elderly cancer patients in nursing homes do not receive adequate pain medication. Researchers analyzed pain medication use in 13,625 cancer patients discharged to 1,492 nursing homes in five states between 1992 and 1995. One-fourth or more of the patients reported daily pain, depending on the age group. Twenty-six percent of the patients with daily pain did not receive any pain medication. Patients older than 85 were more likely to receive no pain medication, as were minority patients and those who had dementia.

Author: Mor, Vincent, Steel, Knight, Landi, Francesco, Gambassi, Giovanni, Bernabei, Roberto, Gatsonis, Constantine, Lapane, Kate, Dunlop, Robert, Lipsitz, Lewis
Publisher: American Medical Association
Publication Name: JAMA, The Journal of the American Medical Association
Subject: Health
ISSN: 0098-7484
Year: 1998
Cancer patients

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Potentially inappropriate medication use among elderly home care patients in Europe

Article Abstract:

The prevalence and associated factors of potentially inappropriate medication use among elderly home care patients medication use among elderly home care patients in European countries are estimated. Substantial differences in potentially inappropriate medication use exist between European countries and might be a consequences of a different regulatory measures, clinical practices, or inequalities in socioeconomic background.

Author: Jonsson, Palmi V., Schroll, Marianne, Onder, Graziano, Gambassi, Giovanni, Bernabei, Roberto, Fialova, Daniela, Topinkova, Eva, Finne-Soveri, Harriet, Carpenter, Iain, Sorbye, Liv Wergeland, Wagner, Cordula, Reissigova, Jindra
Publisher: American Medical Association
Publication Name: JAMA, The Journal of the American Medical Association
Subject: Health
ISSN: 0098-7484
Year: 2005
United States, Europe, Management dynamics, Home health care services, Home Health Care, Aged, Elderly, Management, Risk factors, Company business management, Home care services, Medication errors, Home care services industry

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Subjects list: Health aspects, Care and treatment, Drug therapy, Cancer pain, Aged patients, Elderly patients, Analgesics
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