Chronic Pain in Patients with Chronic Obstructive Pulmonary Disease: A Cross Sectional Study.
Anxiety
COPD
Chronic pain
Depression
Quality of Life
Journal
Tanaffos
ISSN: 1735-0344
Titre abrégé: Tanaffos
Pays: Iran
ID NLM: 101308232
Informations de publication
Date de publication:
Feb 2022
Feb 2022
Historique:
received:
14
01
2021
accepted:
10
09
2021
entrez:
7
3
2023
pubmed:
8
3
2023
medline:
8
3
2023
Statut:
ppublish
Résumé
Many individuals with chronic obstructive pulmonary disease (COPD) report suffering from chronic pain, which affects their quality of life. This study aimed to determine the prevalence, characteristics and impact of chronic pain in patients with COPD, and to explore its possible predictive and aggravating factors. It was a cross-sectional study. Male individuals with COPD responded to a questionnaire, including mMRC, CAT, Brief Pain Inventory (BPI) (composed of Worst pain, Pain Severity Score (PSS) and Pain Interference Score (PIS)), and Hospital Anxiety and Depression Scale. Patients were divided into group 1 (G1) with chronic pain, and group 2 (G2) without chronic pain. Sixty eight patients were included. The general prevalence of chronic pain was 72.1% (CI95%:10.7%). The most common site of pain was the chest (54.4%). Analgesics were used in 38.8%. Patients from G1 had more hospital admissions in the past (OR=6.4[1.7-23.4]). Three variables were associated to pain in the multivariate analysis: socio-economic level (OR=4.6[1.1-19.2]), hospital admissions (OR=0.087[0.017-0.45]), and CAT (OR=0.18[0.05-0.72]). Dyspnea was associated to PIS (p<0.005). A correlation was found between PSS and PIS (r=0.73). Six patients (8.8%) retired because of pain. Patients who had CAT≥10 were more in G1 (OR=4.9[1.6-15.7]). CAT was correlated to PIS (r=0.5). G1 demonstrated higher anxiety scores (p<0.05). There was a moderate positive correlation between depression symptoms and PIS (r=0.33). Pain should be systematically assessed in COPD patients, regarding its high prevalence. New guidelines should take into consideration pain management to ameliorate patients' quality of life.
Sections du résumé
Background
UNASSIGNED
Many individuals with chronic obstructive pulmonary disease (COPD) report suffering from chronic pain, which affects their quality of life. This study aimed to determine the prevalence, characteristics and impact of chronic pain in patients with COPD, and to explore its possible predictive and aggravating factors.
Materials and Methods
UNASSIGNED
It was a cross-sectional study. Male individuals with COPD responded to a questionnaire, including mMRC, CAT, Brief Pain Inventory (BPI) (composed of Worst pain, Pain Severity Score (PSS) and Pain Interference Score (PIS)), and Hospital Anxiety and Depression Scale. Patients were divided into group 1 (G1) with chronic pain, and group 2 (G2) without chronic pain.
Results
UNASSIGNED
Sixty eight patients were included. The general prevalence of chronic pain was 72.1% (CI95%:10.7%). The most common site of pain was the chest (54.4%). Analgesics were used in 38.8%. Patients from G1 had more hospital admissions in the past (OR=6.4[1.7-23.4]). Three variables were associated to pain in the multivariate analysis: socio-economic level (OR=4.6[1.1-19.2]), hospital admissions (OR=0.087[0.017-0.45]), and CAT (OR=0.18[0.05-0.72]). Dyspnea was associated to PIS (p<0.005). A correlation was found between PSS and PIS (r=0.73). Six patients (8.8%) retired because of pain. Patients who had CAT≥10 were more in G1 (OR=4.9[1.6-15.7]). CAT was correlated to PIS (r=0.5). G1 demonstrated higher anxiety scores (p<0.05). There was a moderate positive correlation between depression symptoms and PIS (r=0.33).
Conclusion
UNASSIGNED
Pain should be systematically assessed in COPD patients, regarding its high prevalence. New guidelines should take into consideration pain management to ameliorate patients' quality of life.
Types de publication
Journal Article
Langues
eng
Pagination
167-178Informations de copyright
Copyright© 2022 National Research Institute of Tuberculosis and Lung Disease.
Références
Respir Med. 2012 Jul;106(7):998-1005
pubmed: 22531146
Chest. 2011 Jan;139(1):165-73
pubmed: 21208876
Int J Chron Obstruct Pulmon Dis. 2012;7:137-43
pubmed: 22419861
J Palliat Med. 2011 Jun;14(6):735-43
pubmed: 21510771
Soc Sci Med. 1999 Jun;48(11):1531-48
pubmed: 10400255
Chest. 2015 Jul;148(1):138-150
pubmed: 25675282
Chest. 1994 Jan;105(1):151-4
pubmed: 8275723
J Pain Res. 2017 Sep 15;10:2247-2252
pubmed: 28979162
Caspian J Intern Med. 2011 Spring;2(2):205-12
pubmed: 24024017
Healthcare (Basel). 2019 Jan 22;7(1):
pubmed: 30678205
Physiother Theory Pract. 2018 Oct;34(10):765-772
pubmed: 29319390
Eur J Pain. 2018 Nov;22(10):1718-1726
pubmed: 29883526
BMJ Open. 2014 Sep 26;4(9):e005898
pubmed: 25260370
Saudi J Anaesth. 2017 May;11(Suppl 1):S11-S18
pubmed: 28616000
Clin J Pain. 2018 Sep;34(9):787-794
pubmed: 29485534
Neuroreport. 2000 Jul 14;11(10):2117-20
pubmed: 10923655
Br J Gen Pract. 2011 Jun;61(587):e362-70
pubmed: 21801516
Proc Natl Acad Sci U S A. 1999 Jul 6;96(14):7668-74
pubmed: 10393878
Pain. 2015 Jun;156(6):1003-1007
pubmed: 25844555
J Pain. 2011 May;12(5):539-45
pubmed: 21549316
Rev Mal Respir. 2012 Apr;29(4):537-44
pubmed: 22542411
BMC Public Health. 2018 Jan 25;18(1):181
pubmed: 29370850
Lancet. 2012 Dec 15;380(9859):2095-128
pubmed: 23245604
Arch Phys Med Rehabil. 2017 Aug;98(8):1535-1543
pubmed: 27866992
J Pain Symptom Manage. 2011 Jul;42(1):147-54
pubmed: 21398086
Am J Respir Crit Care Med. 2009 Aug 1;180(3):232-8
pubmed: 19483110
Chest. 2015 May;147(5):1246-1258
pubmed: 25654647
Eur Respir J. 2005 Aug;26(2):319-38
pubmed: 16055882
Acta Psychiatr Scand. 1983 Jun;67(6):361-70
pubmed: 6880820
Saudi Med J. 2011 Oct;32(10):1028-33
pubmed: 22008922
Pain Pract. 2017 Jan;17(1):78-87
pubmed: 26895970
Pain. 2005 Mar;114(1-2):29-36
pubmed: 15733628
Respir Res. 2014 Oct 21;15:122
pubmed: 25331383
Pain Manag Nurs. 2016 Apr;17(2):107-18
pubmed: 27095390
Chronic Obstr Pulm Dis. 2017 May 21;4(3):194-203
pubmed: 28848931
Am J Respir Crit Care Med. 2001 Mar;163(4):951-7
pubmed: 11282772
Int J Chron Obstruct Pulmon Dis. 2014 Apr 08;9:349-62
pubmed: 24748786
J Anesth. 2011 Feb;25(1):157-61
pubmed: 21153843
Pain. 2012 Sep;153(9):1932-1938
pubmed: 22805779
BMC Pulm Med. 2016 Apr 06;16:47
pubmed: 27052199
Int J Chron Obstruct Pulmon Dis. 2018 Mar 06;13:801-811
pubmed: 29563780
Respir Physiol Neurobiol. 2009 May 30;167(1):53-60
pubmed: 18706531
Heart Lung. 2011 May-Jun;40(3):e90-101
pubmed: 21444112
Heart Lung. 2010 May-Jun;39(3):226-34
pubmed: 20457343
Eur Respir J. 2006 Feb;27(2):397-412
pubmed: 16452599
Nurs Health Sci. 2013 Sep;15(3):292-9
pubmed: 23350753
J Neurophysiol. 2002 Sep;88(3):1500-11
pubmed: 12205170
J Adv Nurs. 2010 Dec;66(12):2688-700
pubmed: 20825511
BMC Public Health. 2015 Nov 30;15:1195
pubmed: 26619838
Ann Am Thorac Soc. 2013 Aug;10(4):290-8
pubmed: 23952846
J Am Geriatr Soc. 2000 May;48(S1):S146-53
pubmed: 10809468