Prevalence of Pain in COPD Patients and Associated Factors

Miguel-Díez, Javier de; López‐de‐Andrés, Ana; Hernández‐Barrera, Valentín; Jiménez‐Trujillo, Isabel; Barrio, José Luis del; Puente-Maestu, Luís; Martínez-Huedo, Maria A.; Jiménez‐García, Rodrigo

doi:10.1097/ajp.0000000000000598

Cited by 21 publications

(44 citation statements)

References 42 publications

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“…By 2016, there were 26 papers available as a potential evidence base to the 30 CPGs published between 2010–2015 [46,47,62,63,64,65,66,67,68,69,70,71,72,73,74,75,76,77,78,79,92,93,94,95,96,97,98,99,100,101,102]. Across 2017 to 2018, at least another nine studies have been published providing estimates of pain prevalence in people with COPD, which would be available to developers of future CPGs or of CPGs currently underway or being updated [6,19,20,26,31,32,33,34,35].…”

Section: Discussionmentioning

confidence: 99%

“…In people with chronic obstructive pulmonary disease (COPD), persistent pain is a common clinical issue adversely impacting daily function, symptom burden, and quality of life [1,2,3]. To date, there are at least 34 studies [1,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23,24,25,26,27,28,29,30,31,32,33,34,35,36] and two systematic reviews [2,3] available that report direct estimates of pain prevalence in people with COPD (Figure 1). Prevalence rates for pain vary markedly and range between 21 to 82% (Figure 1) with a mean pooled estimate of 66% (95% Confidence Interval (CI) 44–85%) [2].…”

Section: Introductionmentioning

confidence: 99%

“…Excluding studies where the prevalence is likely to reflect acute pain associated with hospital presentation or end of life care, the majority of studies reflect persistent or chronic pain reported by people participating in pulmonary rehabilitation, attending routine outpatient appointments, or of the broader community. Compared to the general community, large population-based studies report higher rates of persistent pain in people with COPD for (1) “usual” chronic non-cancer pain (34.9% COPD versus 14% control; odds ratio (OR) 1.56, 95%CI 1.40–1.74) [29]; (2) chronic low back pain over 12 months (44.8% COPD versus 28.4% control; OR 1.38, 95%CI 1.16–1.64) [33]; (3) chronic neck pain over 12 months (40.5% COPD versus 26.1% control; OR 1.21, 95%CI 1.02–1.45) [33]; and (4) chronic pain lasting longer than six months (51.8% COPD versus 25.9% control; OR 1.56, 95%CI 1.30–1.92) [34]. People with COPD who have persistent pain have been reported to have significantly higher pain medication use over a 12 month period and higher usage of pain-related services [37].…”

Section: Introductionmentioning

confidence: 99%

“…Systemic inflammatory processes inherent in COPD are likely to provide the foundation for pain susceptibility [1,3,38]. Previous authors have proposed a range of potential mechanisms that may cause, contribute to, or maintain persistent pain in people with COPD, including altered respiratory and musculoskeletal mechanics [38], postural deviations, osteoporosis, compression fractures [39], vertebral deformation, costovertebral arthropathy, [32], central sensitisation [1,38], side effects of prolonged steroid use [38], the presence of comorbid conditions including anxiety and depression [34], and personal habitus (sex and socioeconomic factors) [33]. For people with COPD attending pulmonary rehabilitation programs, musculoskeletal conditions (e.g., arthritis, back problems, and muscle cramps) have been proposed as the commonest cause of persistent pain, with low back, trunk and neck, and lower extremities described as the most common locations [1,11,32,33,40].…”

Section: Introductionmentioning

confidence: 99%

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Systematic Review of Pain in Clinical Practice Guidelines for Management of COPD: A Case for Including Chronic Pain?

et al. 2019

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Chronic pain is highly prevalent and more common in people with chronic obstructive pulmonary disease (COPD) than people of similar age/sex in the general population. This systematic review aimed to describe how frequently and in which contexts pain is considered in the clinical practice guidelines (CPGs) for the broad management of COPD. Databases (Medline, Scopus, CiNAHL, EMbase, and clinical guideline) and websites were searched to identify current versions of COPD CPGs published in any language since 2006. Data on the frequency, context, and specific recommendations or strategies for the assessment or management of pain were extracted, collated, and reported descriptively. Of the 41 CPGs (English n = 20) reviewed, 16 (39%) did not mention pain. Within the remaining 25 CPGs, pain was mentioned 67 times (ranging from 1 to 10 mentions in a single CPG). The most frequent contexts for mentioning pain were as a potential side effect of specific pharmacotherapies (22 mentions in 13 CPGs), as part of differential diagnosis (14 mentions in 10 CPGs), and end of life or palliative care management (7 mentions in 6 CPGs). In people with COPD, chronic pain is common; adversely impacts quality of life, mood, breathlessness, and participation in activities of daily living; and warrants consideration within CPGs for COPD.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Systematic Review of Pain in Clinical Practice Guidelines for Management of COPD: A Case for Including Chronic Pain?

et al. 2019

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“… 12 Regarding risk factors, a recent study has highlighted the influence of age, sex, blood pressure, and obesity in some types of pain suffered by these patients. 13 Nevertheless, the role of other comorbidities in the presence of pain in COPD remains controversial. 14…”

Section: Introductionmentioning

confidence: 99%

<p>COPD is Associated with Higher Prevalence of Back Pain: Results of a Population-Based Case–Control Study, 2017</p>

Fuentes-Alonso¹,

López‐de‐Andrés²,

Palacios‐Ceña³

et al. 2020

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Objective We aimed to assess whether patients suffering from COPD have a higher prevalence of chronic back pain (neck and low back pain) than age-, sex-, and residence-matched non-COPD controls. We also aimed to identify which variables are associated with chronic neck pain (CNP) and chronic low back pain (CLBP) among COPD patients. Methods We carried out a retrospective case–control study using data obtained from the Spanish National Health Survey conducted in 2017. Results We analyzed data from 1034 COPD and 1034 matched non-COPD controls. The prevalence of CNP and CLBP was 38.20% and 45.16%, respectively, among COPD patients and 22.82% and 28.34% for non-COPD controls, respectively (p<0.001 for both). Multivariable analysis showed that COPD patients had a 1.62-fold (95% CI 1.50–1.74) higher risk of CNP and a 1.83-fold (95% CI 1.73–1.91) higher risk of CLBP than non-COPD controls. Experiencing one type of pain greatly increased the risk of having the other. Factors associated with the presence of both types of pain among COPD patients included female sex, “fair/poor/very poor” self-rated health, migraine or frequent headache and use of pain medication. Being aged from 70 to 79 years was a risk factor for CLBP, and suffering from a mental disorder was a risk factor for CNP. Conclusion The prevalence of CNP and CLBP was significantly higher among COPD patients than among non-COPD controls after adjusting for age, sex and other relevant clinical variables. Our findings add new data to the knowledge of chronic pain in COPD patients.

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Are respiratory disorders risk factors for troublesome neck/shoulder pain? A study of a general population cohort in Sweden

2022

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Purpose The etiology of neck/shoulder pain is complex. Our purpose was to investigate if respiratory disorders are risk factors for troublesome neck/shoulder pain in people with no or occasional neck/shoulder pain. Methods This prospective cohort study was based on the Stockholm Public Health Cohorts (SPHC) 2006/2010 and the SPHC 2010/2014. We included adults who at baseline reported no or occasional neck/shoulder pain in the last six months, from the two subsamples (SPHC 06/10 n = 15 155: and SPHC 2010/14 n = 25 273). Exposures were self-reported asthma at baseline in SPHC 06/10 and Chronic Obstructive Pulmonary Disease (COPD) at baseline in SPHC 10/14. The outcome was having experienced at least one period of troublesome neck/shoulder pain which restricted work capacity or hindered daily activities to some or to a high degree during the past six months, asked for four years later. Binomial regression analyses were used to calculate risk ratios (RR) with 95% confidence intervals (95% CI). Results Adjusted results indicate that those reporting to suffer from asthma at baseline had a higher risk of troublesome neck/shoulder pain at follow-up four years later (RR 1.48, 95% CI 1.10–2.01) as did those reporting to suffer from COPD (RR 2.12 95%CI 1.54–2.93). Conclusion Our findings indicate that those with no or occasional neck/shoulder pain and reporting to suffer from asthma or COPD increase the risk for troublesome neck/shoulder pain over time. This highlights the importance of taking a multi-morbidity perspective into consideration in health care. Future longitudinal studies are needed to confirm our findings.

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Prevalence of Pain in COPD Patients and Associated Factors

Cited by 21 publications

References 42 publications

Systematic Review of Pain in Clinical Practice Guidelines for Management of COPD: A Case for Including Chronic Pain?

Systematic Review of Pain in Clinical Practice Guidelines for Management of COPD: A Case for Including Chronic Pain?

<p>COPD is Associated with Higher Prevalence of Back Pain: Results of a Population-Based Case–Control Study, 2017</p>

Are respiratory disorders risk factors for troublesome neck/shoulder pain? A study of a general population cohort in Sweden

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