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Is pain reporting to health care professionals age-related? A cross sectional multicenter study in a hospital setting

Ripamonti CI, Sichetti DA, Fanizza C, Romero M; ECAD_O Working Group.

Expert Opin Pharmacother. 2013 Oct;14(15):2011-7

Editors' comments: Dr. Carla Ripamonti

Older patients are less likely to receive adequate pain management due to poor communication , inadequate training of physicians and nurses, poor knowledge about pain assessment and reluctance to prescribe and administer opioids .Moreover, previous studies suggest that older adults have been less likely to report pain because of the fear to annoy health care professionals (HCPs) considered to be too busy; a belief that nothing can be done and that pain is a normal process of aging; the assumption that doctors and nurses are aware when they are in pain, and will provide adequate care without having be asked; a reluctance to report or complain about pain for fatalism, religious and/or cultural attitudes. Specifically, failure to report pain by older patients is considered a major obstacle. 
To compare the frequency of reporting pain to health-care professionals (HCPs) among older (≥65 yrs) and younger adults