Smith, TO, Purdy, R, Latham, SK et al. (3 more authors) (2016) The prevalence, impact and management of musculoskeletal disorders in older people living in care homes: a systematic review. Rheumatology International, 36 (1). pp. 55-64. ISSN 0172-8172
Abstract
The aim was to systematically review the literature describing the prevalence, impact and current management of musculoskeletal pain in older people living in care homes. Published literature (AMED, CINAHL, EMBASE, psycINFO, MEDLINE, Cochrane Library) and unpublished literature (OpenGrey, the WHO International Clinical Trials Registry Platform, Current Controlled Trials, UK National Research Register Archive) were searched on 1 March 2015. All studies assessing the prevalence, impact and management of musculoskeletal disorders in older people living in care homes were included. Literature was appraised using the CASP cohort and qualitative critical appraisal tools. Data were analysed using descriptive statistical approaches, meta-analysis and meta-ethnography techniques. Twenty-four papers reporting the results of 263,775 care home residents in 12 countries were identified. The evidence base was moderate in quality. Prevalence of musculoskeletal pain for people in care homes was 30.2 % (95 % confidence intervals 29.9–30.5 %; n = 105,463). Care home residents reported that musculoskeletal pain had a significant impact on their perceived independence and overall ability to participate in everyday activities of daily living. Three papers which presented data on interventions demonstrated that whilst multi-component assessment and management packages did not significantly change clinical outcomes, these empowered care home staff to feel more confident in managing these patients. Musculoskeletal pain is a common problem in care homes worldwide, and residents report significant impact on their lives. However, there is uncertainty regarding how to assess and manage such pain. PROSPERO Registration Number: CRD42014009824.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2015, Springer-Verlag Berlin Heidelberg. This is an author produced version of a paper published in in Rheumatology International. Uploaded in accordance with the publisher's self-archiving policy. The final publication is available at Springer via http://dx.doi.org/10.1007/s00296-015-3322-1 |
Keywords: | Pain; Elderly; Residential home; Nursing home; Treatment; Prevalence |
Dates: |
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Institution: | The University of Leeds |
Academic Units: | The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Medicine (Leeds) > Institute of Rheumatology & Musculoskeletal Medicine (LIRMM) (Leeds) > Clinical Musculoskeletal Medicine (LIRMM) (Leeds) |
Depositing User: | Symplectic Publications |
Date Deposited: | 18 Sep 2015 11:37 |
Last Modified: | 16 Nov 2016 17:08 |
Published Version: | http://dx.doi.org/10.1007/s00296-015-3322-1 |
Status: | Published |
Publisher: | Springer Verlag |
Identification Number: | 10.1007/s00296-015-3322-1 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:89933 |