{"doi":"10.2147/jpr.s270689","title":"<p>Prevalence of Pain on Admission by Level of Cognitive Impairment in Nursing Homes</p>","abstract":"PURPOSE: To provide contemporary estimates of pain by level of cognitive impairment among US nursing home residents without cancer. METHODS: Newly admitted US nursing home residents without cancer assessed with the Minimum Data Set 3.0 at admission (2010-2016) were eligible (n=8,613,080). The Cognitive Function Scale was used to categorize level of cognitive impairment. Self-report or staff-assessed pain was used based on a 5-day look-back period. Estimates of adjusted prevalence ratios (aPR) were derived from modified Poisson models. RESULTS: Documented prevalence of pain decreased with increased levels of cognitive impairment in those who self-reported pain (68.9% no/mild, 32.9% severe) and those with staff-assessed pain (50.6% no/mild, 37.2% severe staff-assessed pain). Relative to residents with no/mild cognitive impairment, pharmacologic pain management was less prevalent in those with severe cognitive impairment (self-reported: 51.3% severe vs 76.9% in those with no/mild; staff assessed: 52.0% severe vs 67.7% no/mild). CONCLUSION: Pain was less frequently documented in those with severe cognitive impairment relative to those with no/mild impairments. Failure to identify pain may result in untreated or undertreated pain. Interventions to improve evaluation of pain in nursing home residents with cognitive impairment are needed.","journal":"Journal of Pain Research","year":2020,"id":105784,"datarank":0.7442090889509057,"base_score":3.1780538303479458,"endowment":3.1780538303479458,"self_citation_contribution":0.47670807455219194,"citation_network_contribution":0.26750101439871365,"self_endowment_contribution":0.47670807455219194,"citer_contribution":0.26750101439871365,"corpus_percentile":72.89394291018797,"corpus_rank":3505,"citation_count":23,"citer_count":10,"citers_with_citation_signal":8,"citers_with_endowment":8,"datacite_reuse_total":0,"is_dataset":true,"is_dataset_confidence":0.5114,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2020-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":482133,"name":"Reynolds A. Morrison","orcid":null,"position":1,"is_corresponding":false},{"id":404932,"name":"Deborah S. Mack","orcid":"0000-0002-8619-0364","position":2,"is_corresponding":false},{"id":481306,"name":"Bill M. Jesdale","orcid":"0000-0002-2697-3279","position":3,"is_corresponding":false},{"id":481308,"name":"Anthony P. Nunes","orcid":"0000-0001-9102-3600","position":4,"is_corresponding":false},{"id":445154,"name":"Shao‐Hsien Liu","orcid":"0000-0003-4317-4986","position":5,"is_corresponding":false},{"id":404934,"name":"Kate L. Lapane","orcid":"0000-0001-9957-7747","position":6,"is_corresponding":false},{"id":481307,"name":"Catherine Dubé","orcid":"0000-0003-2342-4538","position":0,"is_corresponding":true}],"reference_count":43,"raw_metadata":null,"created_at":"2026-07-18T23:12:21.275494Z","pmid":"33116808","pmcid":"PMC7586014","fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}