Prevalence and underestimation of pain in HIV-infected patients by physicians: a cross-sectional study in a day care hospital

Bernard, N.; Spira, Rosemary; S, Ybanez; Chêne, Geneviève; Morlat, P.; Lacoste, D.; Loury-Larivière, I; Nouts, C; Burucoa, Benoît; Lebras, M; Beylot, J

doi:10.1097/00002030-199902040-00027

Cited by 11 publications

(12 citation statements)

References 7 publications

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“…8,17,36 However, the current findings are at odds with the positive finding for sex-based differences in pain in HIV positive sample. 3,5 This divergence may be due to variations in cultural settings of the sample compositions, and previous studies did not control for psychological symptom distress in the final models; yet evidence suggests a strong relationship between psychological distress and pain among HIV positive persons. 50,60 The association between pain intensity and psychological symptom distress was also evident in the current findings and psychological symptoms were indeed the most prevalent.…”

Section: Discussionmentioning

confidence: 96%

“…21 In addition, the relationship between gender and pain is ambiguous. Some studies have found gender to be associated with presence and intensity of pain 3,5,20 while other are at odds with this finding. 17,36 The divergent findings may be due to sample variations in sample composition and/or pain assessment including use of unstandaridized measures and small convenience samples.…”

mentioning

confidence: 98%

“…Existing literature on the continent has been based on specific populations, has rarely used outcome measures, has often focused solely on patients with advanced disease or specifically on neuropathic pain, and used differing criteria for determining the presence of pain, rendering data interpretation problematic. 3 Several studies have demonstrated the adverse impact of pain on patient well-being. 44,45,50 However, the vast majority of studies that have investigated HIV-related pain have been conducted in economically developed countries and on patient cohorts consisting predominantly of males, Caucasians, men who have sex with men, and intravenous drug users.…”

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confidence: 99%

“…In addition, there has been conflicting evidence on the association between ART and presence of pain. Some studies have found that use of ART is not associated with presence of pain, 3,30 while others have associated use of ART with reduced risk of having pain. 21 In addition, the relationship between gender and pain is ambiguous.…”

mentioning

confidence: 99%

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Pain Among Ambulatory HIV/AIDS Patients: Multicenter Study of Prevalence, Intensity, Associated Factors, and Effect

Namisango

Harding

Atuhaire

et al. 2012

The Journal of Pain

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Section: Discussionmentioning

confidence: 96%

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confidence: 98%

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confidence: 99%

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confidence: 99%

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Pain Among Ambulatory HIV/AIDS Patients: Multicenter Study of Prevalence, Intensity, Associated Factors, and Effect

Namisango

Harding

Atuhaire

et al. 2012

The Journal of Pain

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“…The prevalence of pain in ambulatory HIV patients in this study was found to be 83.7%. This was quite high considering that estimates of the prevalence of pain complaints by HIV infected patients from other studies range between 30% and 80% 10–12…”

Section: Discussionmentioning

confidence: 88%

Inadequate pain relief in ambulatory patients with human immunodeficiency virus disease in Port Harcourt

Ebirim¹,

Otokwala²

2013

HIV

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ObjectivesTo estimate the prevalence of pain in ambulatory patients with human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS) in Port Harcourt and to determine the type, site, severity, and adequacy of the treatment of pain in these patients.Materials and methodsA cross-sectional survey was carried out at two antiretroviral therapy centers in Port Harcourt, Nigeria. A data sheet, the brief pain inventory, and the short form of the McGill pain questionnaire were used and 157 patients in various stages of HIV/AIDS participated in the study.ResultsAbout 83.7% (129/157) of the ambulatory patients with HIV/AIDS complained of pains. Of the patients who reported pain 61.24% (79/129) reported nociceptive pain while 38.76% (50/129) reported neuropathic pain. Chest pain was the most frequent site of pain followed by headache. About 82% (106/129) of those who complained of pain received some form of analgesic, but only 23.58% (25/106) of these obtained adequate pain relief. The majority of the participants had significant impairment of their quality of life due to the severity of their pain.ConclusionPain associated with significant impairment of quality of life is common in ambulatory patients with HIV/AIDS in Port Harcourt. Whereas the majority of the patients used various pain relief methods, analgesia was inadequate.

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Frequent Occurrence of Pain and Prescription Opioid Use for Treatment of Pain Among Women with and at Risk for HIV Infection

et al. 2017

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Pain is frequent and underreported among HIV+ women. We determined occurrence and severity of pain, and types of pain treatments used among HIV+ and HIV- women. Cross-sectional analyses of pain as measured by the Brief Pain Inventory Short Form, and related pain therapies nested in the Women's Interagency HIV Study (WIHS). Multiple variable linear regression models examined differences by HIV status in pain severity and pain interference in general activity, mood, ability to walk, work, relationships with others, sleep, and enjoyment of life. Among 1393 HIV+ and 587 HIV- participants with median age 47-48 years, there was no statistically significant difference in pain reported within the past week by HIV status (HIV+ 50% vs. 49% HIV-, p = 0.70). Ratings of pain severity and interference were similar between HIV+ and HIV- women, as was receipt of pain medication (58% HIV+ vs. 56% HIV-). Pain medications most frequently used were: NSAIDS (90% HIV+, 96% HIV-), opioids (65% HIV+, 67% HIV-), topical anesthetics (46% HIV+, 56% HIV-), muscle relaxants (23% HIV+, 14% HIV-), and anticonvulsants (23% HIV+, 14% HIV-). Nearly half of predominantly low income, minority women reported pain in the past week, and two-thirds reported opioid use for pain management. The occurrence, severity, and treatment of pain did not differ by HIV status, nor did report of pain interference with mood or function. Additional research is needed to better characterize pain etiology among HIV+ women in the era of potent antiretroviral therapy, and determine the extent to which pain severity and type of medication used for pain treatment impact HIV disease outcomes.

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Prevalence and underestimation of pain in HIV-infected patients by physicians: a cross-sectional study in a day care hospital

Cited by 11 publications

References 7 publications

Pain Among Ambulatory HIV/AIDS Patients: Multicenter Study of Prevalence, Intensity, Associated Factors, and Effect

Pain Among Ambulatory HIV/AIDS Patients: Multicenter Study of Prevalence, Intensity, Associated Factors, and Effect

Inadequate pain relief in ambulatory patients with human immunodeficiency virus disease in Port Harcourt

Frequent Occurrence of Pain and Prescription Opioid Use for Treatment of Pain Among Women with and at Risk for HIV Infection

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