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Understanding pain among older persons
 — Part 2 - the association between pain profiles and healthcare utilisation
Author(s)Norelee Kennedy, Kieran O'Sullivan, Ailish Hannigan, Helen Purtill
Journal titleAge and Ageing, vol 46, no 1, January 2017
PublisherOxford University Press, January 2017
Pagespp 51-56
Sourcehttps://academic.oup.com/ageing
KeywordsPain ; Ageing process ; Medical care ; Usage [services] ; Ireland.
AnnotationWhile polypharmacy and multimorbidity predict healthcare utilisation among older people, the influence of differing pain profiles on healthcare utilisation is unclear. The objective of this study was to compare healthcare utilisation between people with different pain profiles. Baseline data from The Irish LongituDinal study on Ageing (TILDA), a population-representative cohort study involving over 8,171 community living people resident in Ireland aged 50 or over, was used. Following the creation of four novel pain profiles, variables relating to healthcare utilisation were compared across the different profiles using chi-square tests and logistic regression. Healthcare utilisation differed across the four pain profiles, with pain being an independent predictor of resource use. Pain profiles 3 and 4 had higher use of general practitioner (GP) care and outpatient visits than people with no pain and pain that had less impact. The odds of being a frequent GP attender increased across pain profiles, with those in profile 4 being almost three times as likely to be frequent attenders compared to those with no pain. People in profile 4 were almost twice as likely to have a hospital outpatient visit compared to people with no pain. Overall, healthcare utilisation differed between the four pain profiles, with people in profiles 3 and 4 having greater usage of primary and secondary healthcare resources. Pain profile membership was a significant independent predictor of the utilisation of GP care and hospital outpatient visits. (JL).
Accession NumberCPA-170310203 A
ClassmarkCT7: BG: LK: QLD: 763

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