Mallon T, et al. - Researchers assessed the prevalence of pain and its associated factors among the oldest-olds in different care settings via enquiring participants from the German longitudinal cohort study on Needs, Health Service Use, Costs and Health-related Quality of Life in a large Sample of Oldest-old Primary Care Patients (85+) (AgeQualiDe). Observations revealed a decline in pain at very old age but nonetheless, the 85+-year-olds demonstrated a high prevalence. Mild to severe pain was reported by 63% of the participants, and mild to extreme impairment due to pain with daily activities was noted in 69% of the participants. Higher pain rating was observed in significant association with the use of analgesics, depression and living at home with care support, and lower pain rating was observed in association with male gender. Observations thus suggest that for the oldest age group, sufficient pain management is inevitable.