Comorbidities that cause pain and the contributors to pain in individuals with chronic obstructive pulmonary disease

Publication date: Available online 17 November 2016
Source:Archives of Physical Medicine and Rehabilitation
Author(s): Yi-Wen Chen, Pat G. Camp, Harvey O. Coxson, Jeremy D. Road, Jordan A. Guenette, Michael A. Hunt, W. Darlene Reid
ObjectiveTo determine comorbidities that cause pain and the potential contributors to pain in individuals with COPD.DesignProspective cross-sectional survey study.SettingPulmonary rehabilitation programs of six centers.ParticipantsA convenience sample of individuals with COPD who attended pulmonary rehabilitation programs (n=137). In total, 100 (73%) returned the survey packages. Of those responders, 96 (70%) participants were included in the analyses.InterventionsNot applicable.Main Outcome MeasuresPain was measured using the Brief Pain Inventory (BPI). The "health conditions that might contribute to pain and medication record" form asked about comorbidities that cause pain stated in lay terms. The health conditions that cause pain were then validated by health professionals. Demographics, fatigue, dyspnea, quality of life, and self-efficacy were also measured using questionnaires.ResultsPain was reported in 71% of participants (68 of 96). Low back pain was the most common location (41%). Arthritis (75%), back problems (47%) and muscle cramps (46%) were the most common comorbidities that cause pain. Lower self-efficacy, renting rather than home ownership increased the likelihood of pain (p < 0.05). Pain severity and BFI scores contributed to pain interference scores (p < 0.05).ConclusionPain was highly prevalent in pulmonary rehabilitation program participants with COPD. The most common causes of pain were musculoskeletal conditions. Pain severity and higher levels of fatigue contributed to how pain interfered with daily aspects of living. The assessment and management of pain needs to be addressed within the overall care of individuals with COPD.



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