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    Please use this identifier to cite or link to this item: http://ir.cnu.edu.tw/handle/310902800/32549

    標題: Long-term mortality in older adults with chronic pain: a nationwide population-based study in Taiwan
    作者: Tsai, Meng-Hsiu
    Tsay, Wen-Ing
    Her, Shwu-Huey
    Chung-Han Ho(何宗翰)
    Chen, Yi-Chen
    Hsu, Chien-Chin
    Wang, Jhi-Joung
    Huang, Chien-Cheng
    貢獻者: Chi Mei Med Ctr, Palliat Care Ctr
    Chi Mei Med Ctr, Dept Geriatr & Gerontol
    Minist Hlth & Welf, Food & Drug Adm, Div Controlled Drugs
    Chi Mei Med Ctr, Dept Med Res
    Chia Nan Univ Pharm & Sci, Dept Hosp & Hlth Care Adm
    Chi Mei Med Ctr, Dept Emergency Med
    Southern Taiwan Univ Sci & Technol, Dept Biotechnol
    Southern Taiwan Univ Sci & Technol, Allied AI Biomed Ctr
    Southern Taiwan Univ Sci & Technol, Dept Sr Serv
    Natl Cheng Kung Univ, Coll Med, Dept Environm & Occupat Hlth
    關鍵字: Chronic pain
    日期: 2019-10
    上傳時間: 2020-07-29 13:49:28 (UTC+8)
    出版者: SPRINGER
    摘要: Purpose This study was conducted to clarify the long-term mortality in the older population with chronic pain (CP), which is still unclear. Methods We identified 17,568 older participants (aged >= 65 years) with CP and an identical number of comparison cohort without CP matched 1:1 by age and sex between 1996 and 2000 from the Taiwan National Health Insurance Research Database. Causes of CP, underlying comorbidities, living areas, and mortality were collected for analyses. The long-term mortality and the causes of mortality were compared between the two cohorts through follow-up since 2000 until 2015. Results The mean age (+/- standard deviation) was 73.5 +/- 5.7 years, and female participants comprised 55.1% in both cohorts. The most common causes of CP were osteoarthritis (24.2%), spinal disorders (22.4%), peripheral vascular diseases (14.0%), and osteoporosis (9.5%). Older participants with CP had an increased rate of long-term mortality compared to that among their counterparts without CP after adjusting for the underlying comorbidities and the causes of CP (adjusted hazard ratio [AHR]: 1.18; 95% confidence interval [CI] 1.14-1.21). The increased mortality rate was observed even after the follow-up of 6 years (AHR 1.15; 95% CI 1.10-1.20). No significant difference was observed in the causes of mortality between the two cohorts. The most common cause of mortality was malignancy, followed by cardiovascular and cerebrovascular diseases. Conclusions Chronic pain was associated with an increased rate of long-term mortality in the older population. Early detection and intervention for treating CP are suggested for this population.
    關聯: European Geriatric Medicine, v.10, n.5, pp.777-784
    Appears in Collections:[醫務管理系(所)] 期刊論文

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