TY - JOUR
T1 - Understanding pain among older persons
T2 - Part 2-the association between pain profiles and healthcare utilisation
AU - Kennedy, Norelee
AU - O'Sullivan, Kieran
AU - Hannigan, Ailish
AU - Purtill, Helen
N1 - Publisher Copyright:
© The Author 2016. All rights reserved.
PY - 2017
Y1 - 2017
N2 - Background: while polypharmacy and multimorbidity predict healthcare utilisation among older people, the influence of differing pain profiles on healthcare utilisation is unclear. Objective: to compare healthcare utilisation between people with different pain profiles. Methods: 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. Results: 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 (adjusted odds ratio (OR) = 2.79; 95% CI 2.74, 2.83). People in profile 4 were almost twice as likely to have a hospital outpatient visit compared to people with no pain (adjusted OR = 1.75; 95% 1.73, 1.78).Conclusions: 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.
AB - Background: while polypharmacy and multimorbidity predict healthcare utilisation among older people, the influence of differing pain profiles on healthcare utilisation is unclear. Objective: to compare healthcare utilisation between people with different pain profiles. Methods: 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. Results: 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 (adjusted odds ratio (OR) = 2.79; 95% CI 2.74, 2.83). People in profile 4 were almost twice as likely to have a hospital outpatient visit compared to people with no pain (adjusted OR = 1.75; 95% 1.73, 1.78).Conclusions: 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.
KW - Healthcare utilisation
KW - Older adults
KW - Pain
KW - Pain profile
UR - http://www.scopus.com/inward/record.url?scp=85018246006&partnerID=8YFLogxK
U2 - 10.1093/ageing/afw128
DO - 10.1093/ageing/afw128
M3 - Article
C2 - 28181638
AN - SCOPUS:85018246006
SN - 0002-0729
VL - 46
SP - 51
EP - 56
JO - Age and Ageing
JF - Age and Ageing
IS - 1
ER -