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Musculoskeletal pain in older adults at the end-of-life: a systematic search and critical review of the literature with priorities for future research.

Lillie AK, Read S, Mallen C, Croft P, McBeth J - BMC Palliat Care (2013)

Bottom Line: Five relevant papers and one letter to the editor were found, including case studies and epidemiological research.No information about community based treatment of musculoskeletal pain at the end of life was found.Priorities for future research include high quality epidemiological studies to establish the prevalence, natural history, impact, assessment, patient priorities and outcomes associated with musculoskeletal pain in the end of life period, and intervention research that provides an evidence base for treatment.

View Article: PubMed Central - HTML - PubMed

Affiliation: Keele University School of Nursing and Midwifery, Clinical Education Centre, University Hospital of North Staffordshire, Stoke on Trent, ST4 6QG, Staffordshire, UK. a.k.lillie@keele.ac.uk.

ABSTRACT

Background: Pain is an important issue in end of life care. Although musculoskeletal pain is common in older adults, it is rarely associated with the cause of death and may be overlooked as death approaches. Hence a major target for improving quality of life may be being missed.

Methods: The aim of this study was to systematically search and critically review the literature on musculoskeletal pain at the end of life. Amed, Cinahl, Internurse, Medline, Psych Info, Web of Knowledge and Cochrane review databases were searched for relevant research up to September 2012. The search strategy combined key words expanding the terms 'palliative' for population, 'musculoskeletal' for exposure, and 'pain' for outcome. Predefined inclusion and exclusion criteria were applied.

Results: Five relevant papers and one letter to the editor were found, including case studies and epidemiological research. Current evidence suggests musculoskeletal pain is common in older adults at the end of life and that it can have a substantial impact on individual experience. No information about community based treatment of musculoskeletal pain at the end of life was found.

Conclusion: Priorities for future research include high quality epidemiological studies to establish the prevalence, natural history, impact, assessment, patient priorities and outcomes associated with musculoskeletal pain in the end of life period, and intervention research that provides an evidence base for treatment.

No MeSH data available.


Related in: MedlinePlus

Selection of Included Studies.
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Figure 1: Selection of Included Studies.

Mentions: Refworks web based bibliographical management software was used to assist study selection. Identified studies from all databases (except Internurse) were combined. Following the removal of duplicate papers 1633 remained. Figure 1 summarizes the selection process. All papers were initially sorted by title. The abstracts of papers were read when the paper appeared relevant from the title or when it was unclear from the title if the paper was relevant (73 abstracts read). If the abstract suggested that there was original research about musculoskeletal pain at end of life, the paper was read (12 papers). These twelve papers were read by a second person to independently validate the inclusion criteria. Four relevant papers and one ‘letter to the editor’ were included in this review. They comprised of three case studies and two epidemiological studies. One paper, a case study [21], located through Internurse was also included making a total of six relevant studies in the review.


Musculoskeletal pain in older adults at the end-of-life: a systematic search and critical review of the literature with priorities for future research.

Lillie AK, Read S, Mallen C, Croft P, McBeth J - BMC Palliat Care (2013)

Selection of Included Studies.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3733865&req=5

Figure 1: Selection of Included Studies.
Mentions: Refworks web based bibliographical management software was used to assist study selection. Identified studies from all databases (except Internurse) were combined. Following the removal of duplicate papers 1633 remained. Figure 1 summarizes the selection process. All papers were initially sorted by title. The abstracts of papers were read when the paper appeared relevant from the title or when it was unclear from the title if the paper was relevant (73 abstracts read). If the abstract suggested that there was original research about musculoskeletal pain at end of life, the paper was read (12 papers). These twelve papers were read by a second person to independently validate the inclusion criteria. Four relevant papers and one ‘letter to the editor’ were included in this review. They comprised of three case studies and two epidemiological studies. One paper, a case study [21], located through Internurse was also included making a total of six relevant studies in the review.

Bottom Line: Five relevant papers and one letter to the editor were found, including case studies and epidemiological research.No information about community based treatment of musculoskeletal pain at the end of life was found.Priorities for future research include high quality epidemiological studies to establish the prevalence, natural history, impact, assessment, patient priorities and outcomes associated with musculoskeletal pain in the end of life period, and intervention research that provides an evidence base for treatment.

View Article: PubMed Central - HTML - PubMed

Affiliation: Keele University School of Nursing and Midwifery, Clinical Education Centre, University Hospital of North Staffordshire, Stoke on Trent, ST4 6QG, Staffordshire, UK. a.k.lillie@keele.ac.uk.

ABSTRACT

Background: Pain is an important issue in end of life care. Although musculoskeletal pain is common in older adults, it is rarely associated with the cause of death and may be overlooked as death approaches. Hence a major target for improving quality of life may be being missed.

Methods: The aim of this study was to systematically search and critically review the literature on musculoskeletal pain at the end of life. Amed, Cinahl, Internurse, Medline, Psych Info, Web of Knowledge and Cochrane review databases were searched for relevant research up to September 2012. The search strategy combined key words expanding the terms 'palliative' for population, 'musculoskeletal' for exposure, and 'pain' for outcome. Predefined inclusion and exclusion criteria were applied.

Results: Five relevant papers and one letter to the editor were found, including case studies and epidemiological research. Current evidence suggests musculoskeletal pain is common in older adults at the end of life and that it can have a substantial impact on individual experience. No information about community based treatment of musculoskeletal pain at the end of life was found.

Conclusion: Priorities for future research include high quality epidemiological studies to establish the prevalence, natural history, impact, assessment, patient priorities and outcomes associated with musculoskeletal pain in the end of life period, and intervention research that provides an evidence base for treatment.

No MeSH data available.


Related in: MedlinePlus