{"id":"https://openalex.org/W1783691979","doi":null,"title":"Pain management in the elderly.","display_name":"Pain management in the elderly.","publication_year":2002,"publication_date":"2002-09-01","ids":{"openalex":"https://openalex.org/W1783691979","mag":"1783691979","pmid":"https://pubmed.ncbi.nlm.nih.gov/12361180"},"language":"en","primary_location":{"id":"pmid:12361180","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/12361180","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Journal of the American Osteopathic Association","raw_type":"Journal Article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5113522600","display_name":"Thomas A. Cavalieri","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Thomas A Cavalieri","raw_affiliation_strings":["Department of Medicine, University of Medicine and Dentistry-School of Osteopathic Medicine, Stratford, NJ 08084-1504, USA. cavalita@umdnj.edu"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Medicine, University of Medicine and Dentistry-School of Osteopathic Medicine, Stratford, NJ 08084-1504, USA. cavalita@umdnj.edu","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":["https://openalex.org/A5113522600"],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":1.4426,"has_fulltext":false,"cited_by_count":77,"citation_normalized_percentile":{"value":0.80657513,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":92,"max":99},"biblio":{"volume":"102","issue":"9","first_page":"481","last_page":"5"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11199","display_name":"Pain Management and Opioid Use","score":0.9980000257492065,"subfield":{"id":"https://openalex.org/subfields/2703","display_name":"Anesthesiology and Pain Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11199","display_name":"Pain Management and Opioid Use","score":0.9980000257492065,"subfield":{"id":"https://openalex.org/subfields/2703","display_name":"Anesthesiology and Pain Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10496","display_name":"Pharmaceutical Practices and Patient Outcomes","score":0.0008999999845400453,"subfield":{"id":"https://openalex.org/subfields/2717","display_name":"Geriatrics and Gerontology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10189","display_name":"Anesthesia and Pain Management","score":0.00019999999494757503,"subfield":{"id":"https://openalex.org/subfields/2703","display_name":"Anesthesiology and Pain Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/pain-management","display_name":"pain management","score":0.9020000100135803},{"id":"https://openalex.org/keywords/older-adults","display_name":"older adults","score":0.8830000162124634},{"id":"https://openalex.org/keywords/pain-assessment","display_name":"pain assessment","score":0.8840000033378601},{"id":"https://openalex.org/keywords/undertreatment-of-pain","display_name":"undertreatment of pain","score":0.7900000214576721},{"id":"https://openalex.org/keywords/quality-of-life","display_name":"quality of life","score":0.7860000133514404},{"id":"https://openalex.org/keywords/dementia","display_name":"dementia","score":0.8820000290870667},{"id":"https://openalex.org/keywords/communication-disorders","display_name":"communication disorders","score":0.9629999995231628},{"id":"https://openalex.org/keywords/opioid-analgesics","display_name":"opioid analgesics","score":0.8999999761581421},{"id":"https://openalex.org/keywords/non-opioid-analgesics","display_name":"non-opioid analgesics","score":0.9810000061988831},{"id":"https://openalex.org/keywords/adjuvant-analgesics","display_name":"adjuvant analgesics","score":0.9300000071525574},{"id":"https://openalex.org/keywords/polypharmacy","display_name":"polypharmacy","score":0.9940000176429749},{"id":"https://openalex.org/keywords/drug-interactions","display_name":"drug interactions","score":0.6859999895095825},{"id":"https://openalex.org/keywords/age-related-drug-metabolism","display_name":"age-related drug metabolism","score":0.7059999704360962},{"id":"https://openalex.org/keywords/adverse-drug-reactions","display_name":"adverse drug reactions","score":1.0},{"id":"https://openalex.org/keywords/non-pharmacological-pain-management","display_name":"non-pharmacological pain management","score":0.8130000233650208},{"id":"https://openalex.org/keywords/cognitive-behavioral-therapy","display_name":"cognitive behavioral therapy","score":0.9829999804496765},{"id":"https://openalex.org/keywords/osteopathic-manipulative-treatment","display_name":"osteopathic manipulative treatment","score":0.9599999785423279},{"id":"https://openalex.org/keywords/exercise","display_name":"physical activity","score":0.8330000042915344},{"id":"https://openalex.org/keywords/multidisciplinary-care","display_name":"multidisciplinary care","score":0.6470000147819519}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9408512115478516},{"id":"https://openalex.org/C36434225","wikidata":"https://www.wikidata.org/wiki/Q1895998","display_name":"Polypharmacy","level":2,"score":0.8376226425170898},{"id":"https://openalex.org/C2779951463","wikidata":"https://www.wikidata.org/wiki/Q7268788","display_name":"Quality of life (healthcare)","level":2,"score":0.5279537439346313},{"id":"https://openalex.org/C2776867660","wikidata":"https://www.wikidata.org/wiki/Q1814941","display_name":"Depression (economics)","level":2,"score":0.49460145831108093},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.4771430194377899},{"id":"https://openalex.org/C197934379","wikidata":"https://www.wikidata.org/wiki/Q2047938","display_name":"Adverse effect","level":2,"score":0.4758859872817993},{"id":"https://openalex.org/C2781118164","wikidata":"https://www.wikidata.org/wiki/Q1088113","display_name":"Chronic pain","level":2,"score":0.4695753753185272},{"id":"https://openalex.org/C2779483572","wikidata":"https://www.wikidata.org/wiki/Q83030","display_name":"Dementia","level":3,"score":0.46748441457748413},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.4593956172466278},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.45641639828681946},{"id":"https://openalex.org/C500440147","wikidata":"https://www.wikidata.org/wiki/Q701216","display_name":"Pharmacotherapy","level":2,"score":0.439988911151886},{"id":"https://openalex.org/C55932262","wikidata":"https://www.wikidata.org/wiki/Q7827726","display_name":"Pain ladder","level":4,"score":0.4253448247909546},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.42339611053466797},{"id":"https://openalex.org/C54183767","wikidata":"https://www.wikidata.org/wiki/Q10384","display_name":"Geriatrics","level":2,"score":0.4123893976211548},{"id":"https://openalex.org/C2781063702","wikidata":"https://www.wikidata.org/wiki/Q427523","display_name":"Opioid","level":3,"score":0.402370810508728},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.20377609133720398},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.13332802057266235},{"id":"https://openalex.org/C170493617","wikidata":"https://www.wikidata.org/wiki/Q208467","display_name":"Receptor","level":2,"score":0.0},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.0},{"id":"https://openalex.org/C139719470","wikidata":"https://www.wikidata.org/wiki/Q39680","display_name":"Macroeconomics","level":1,"score":0.0},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000082","descriptor_name":"Acetaminophen","qualifier_ui":"Q000627","qualifier_name":"therapeutic use","is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000701","descriptor_name":"Analgesics, Opioid","qualifier_ui":"Q000627","qualifier_name":"therapeutic use","is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010146","descriptor_name":"Pain","qualifier_ui":"Q000188","qualifier_name":"drug therapy","is_major_topic":false},{"descriptor_ui":"D010147","descriptor_name":"Pain Measurement","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D018712","descriptor_name":"Analgesics, Non-Narcotic","qualifier_ui":"Q000627","qualifier_name":"therapeutic use","is_major_topic":false},{"descriptor_ui":"D059408","descriptor_name":"Pain Management","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true}],"locations_count":2,"locations":[{"id":"pmid:12361180","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/12361180","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Journal of the American Osteopathic Association","raw_type":"Journal Article"},{"id":"mag:1783691979","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/12361180","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":"PubMed","raw_type":null}],"best_oa_location":null,"sustainable_development_goals":[{"score":1.0,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W4238224917","https://openalex.org/W2904134253","https://openalex.org/W2339063384","https://openalex.org/W2123096149","https://openalex.org/W1580024490","https://openalex.org/W2011959641","https://openalex.org/W2103725359","https://openalex.org/W2117066117","https://openalex.org/W3027508095","https://openalex.org/W2186145713"],"abstract_inverted_index":{"Pain":[0],"in":[1,54,68,82,112,128,131,149],"the":[2,18,41,47,59,116],"elderly":[3,83],"is":[4,76],"often":[5],"unrecognized":[6],"and":[7,30,51,61,73,89,102,107,115,144,158],"undertreated.":[8],"Ineffective":[9],"pain":[10,50,67,80,162],"management":[11,81,163],"can":[12,164],"have":[13],"a":[14,31,155],"significant":[15],"impact":[16],"on":[17],"quality":[19],"of":[20,22,33,37,49,63,66,97,119,161],"life":[21],"older":[23,38,69,170],"adults,":[24],"leading":[25],"to":[26,43,57,124,151],"depression,":[27],"social":[28],"isolation,":[29],"loss":[32],"function.":[34],"Proper":[35],"assessment":[36,55],"adults":[39,70],"requires":[40],"physician":[42],"regularly":[44],"ask":[45],"about":[46],"presence":[48],"be":[52,125,147],"skillful":[53],"strategies":[56,93],"evaluate":[58],"frequency":[60,118],"intensity":[62],"pain.":[64],"Assessment":[65],"with":[71],"dementia":[72],"communication":[74],"disorders":[75],"especially":[77],"challenging.":[78],"Effective":[79],"patients":[84],"should":[85,146],"include":[86],"both":[87],"pharmacologic":[88,152],"nonpharmacologic":[90],"strategies.":[91],"Pharmacologic":[92],"call":[94],"for":[95,169],"administration":[96],"nonopioid":[98],"analgesics,":[99,101],"opioid":[100],"adjuvant":[103],"medication.":[104],"Polypharmacy,":[105],"drug-drug":[106],"drug-disease":[108],"interactions,":[109],"age-associated":[110],"changes":[111],"drug":[113,121],"metabolism,":[114],"high":[117],"adverse":[120],"reactions":[122],"need":[123],"carefully":[126],"considered":[127],"using":[129],"medications":[130],"this":[132],"population.":[133],"Nonpharmacologic":[134],"approaches":[135],"such":[136],"as":[137],"cognitive-behavioral":[138],"therapy,":[139],"education,":[140],"osteopathic":[141],"manipulative":[142],"treatment,":[143],"exercise":[145],"applied":[148],"addition":[150],"therapy.":[153],"Using":[154],"team":[156],"approach":[157],"incorporating":[159],"principles":[160],"effectively":[165],"provide":[166],"good":[167],"analgesia":[168],"adults.":[171]},"counts_by_year":[{"year":2025,"cited_by_count":2},{"year":2024,"cited_by_count":2},{"year":2023,"cited_by_count":3},{"year":2022,"cited_by_count":3},{"year":2021,"cited_by_count":2},{"year":2020,"cited_by_count":7},{"year":2019,"cited_by_count":6},{"year":2017,"cited_by_count":4},{"year":2016,"cited_by_count":3},{"year":2015,"cited_by_count":3},{"year":2014,"cited_by_count":6},{"year":2013,"cited_by_count":7},{"year":2012,"cited_by_count":5}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}