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Is oxycodone/naloxone effective and safe in managing chronic pain of a fragile elderly patient with multiple skin ulcers of the lower limbs? A case report 

Overview of attention for article published in Clinical Interventions in Aging, January 2015
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Mentioned by

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3 tweeters

Citations

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1 Dimensions

Readers on

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22 Mendeley
Title
Is oxycodone/naloxone effective and safe in managing chronic pain of a fragile elderly patient with multiple skin ulcers of the lower limbs? A&nbsp;case report<div>&nbsp;</div>
Published in
Clinical Interventions in Aging, January 2015
DOI 10.2147/cia.s84711
Pubmed ID
Authors

Fabio Guerriero, Mariangela Rondanelli, Carmelo Sgarlata, Giovanni Ricevuti, Matthew Francis, Simone Perna, Marco Rollone, Niccolo' Maurizi, Guerriero, Fabio, Maurizi, Niccolo, Francis, Matthew, Sgarlata, Carmelo, Ricevuti, Giovanni, Rondanelli, Mariangela, Perna, Simone, Rollone, Marco

Abstract

Skin ulcers are a common issue in the elderly, as physiological loss of skin elasticity, alterations in microcirculation, and concomitant chronic diseases typically occur in advanced age, thereby predisposing to these painful lesions. Wound-related pain is often associated with skin ulcers and negatively impacts both the patient's quality of life and, indirectly, wound healing. Pain management is an ongoing issue in the elderly, and remains underestimated and under-treated in this fragile population. Recent guidelines suggest the use of opioids as the frontline treatment of moderate and severe pain in nononcological pain in the elderly. However, due to the concerns of adverse reactions, drug interactions, and addiction, clinicians frequently hesitate to prescribe opioids. This case report describes an elderly diabetic patient with multiple ulcers of the lower limbs suffering wound-related pain. In our report, oxycodone/naloxone has proved to be an effective and safe drug, providing pain relief as well as increased compliance when redressing wounds and faster healing compared to that in similar patients. Our case provides anecdotal evidence, supported by other studies, to justify future, larger studies on chronic pain using this therapy.

Twitter Demographics

The data shown below were collected from the profiles of 3 tweeters who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 22 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Spain 1 5%
Unknown 21 95%

Demographic breakdown

Readers by professional status Count As %
Student > Master 5 23%
Other 4 18%
Researcher 3 14%
Student > Bachelor 2 9%
Librarian 1 5%
Other 3 14%
Unknown 4 18%
Readers by discipline Count As %
Medicine and Dentistry 7 32%
Nursing and Health Professions 6 27%
Psychology 2 9%
Biochemistry, Genetics and Molecular Biology 1 5%
Business, Management and Accounting 1 5%
Other 1 5%
Unknown 4 18%

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 20 April 2016.
All research outputs
#3,916,260
of 7,578,098 outputs
Outputs from Clinical Interventions in Aging
#539
of 939 outputs
Outputs of similar age
#119,431
of 226,142 outputs
Outputs of similar age from Clinical Interventions in Aging
#32
of 68 outputs
Altmetric has tracked 7,578,098 research outputs across all sources so far. This one is in the 28th percentile – i.e., 28% of other outputs scored the same or lower than it.
So far Altmetric has tracked 939 research outputs from this source. They receive a mean Attention Score of 4.9. This one is in the 33rd percentile – i.e., 33% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 226,142 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 37th percentile – i.e., 37% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 68 others from the same source and published within six weeks on either side of this one. This one is in the 44th percentile – i.e., 44% of its contemporaries scored the same or lower than it.