Pain and quality of life with chronic obstructive pulmonary disease

Borge, Christine Råheim; Wahl, Astrid Klopstad; Moum, Torbjørn

doi:10.1016/j.hrtlng.2010.10.009

Cited by 70 publications

(82 citation statements)

References 52 publications

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“…Of the 14 articles on pain and symptom burden in COPD, three reports from Bentsen et al 9 21 22 and two reports from Borge et al 18 20 were based on the same original research study. Ten studies were conducted at the outpatient pulmonary department of a hospital (secondary and tertiary care), one in primary care and three were population-based studies.…”

Section: Resultsmentioning

confidence: 99%

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Pain in patients with COPD: a systematic review and meta-analysis

Isselt

Groenewegen-Sipkema

Eijk³

et al. 2014

BMJ Open

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ObjectivesTo systematically investigate the prevalence of pain, factors related with pain and pain management interventions in patients with chronic obstructive pulmonary disease (COPD).DesignSystematic review and meta-analysis.Data sources and study eligibility criteriaPubMed (MEDLINE), EMBASE, CINAHL and PsychINFO from 1966 to December 2013. Studies were included if they presented clinical data on pain or symptom burden in patients with COPD, or pain as a domain of quality of life (QoL). All types of study designs were included.ResultsOf the 1571 articles that were identified, 39 met the inclusion criteria and were included in this review. Fourteen studies focused on pain and symptom burden (including pain) in patients with COPD and 25 studies focused on QoL using a questionnaire that included a separate pain domain. Reported pain prevalence in high-quality studies ranged from 32 to 60%. Included studies report that pain is more prevalent in patients with COPD compared to participants from the general population. Comorbidity, nutritional status, QoL and several symptoms were related to pain. None of the included studies reported a significant relationship between lung function and pain prevalence or severity. However, studies investigating pain in patients with moderate COPD reported higher pain prevalence compared to studies in patients with severe of very severe COPD.ConclusionsAlthough literature on this topic is limited and shows substantial heterogeneity, pain seems to be a significant problem in patients with COPD and is related to several other symptoms, comorbidity and QoL. Data synthesis suggests that pain is more prevalent in patients with moderate COPD compared to patients with severe or very severe COPD. Further research is needed and should focus on determining a more accurate pain prevalence, investigating the relationship between pain prevalence, disease severity and comorbidity and explore implementation and efficacy of pain management interventions in patients with COPD.

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Section: Resultsmentioning

confidence: 99%

“…Shortcomings in quality included insufficient response rate,13 14 18 20 or insufficient comparability between participants 13. Of the 25 studies on pain as a subdomain of QoL, 20 had a score of 75% (n=14) or 100% (n=6).…”

Section: Resultsmentioning

confidence: 99%

Pain in patients with COPD: a systematic review and meta-analysis

Isselt

Groenewegen-Sipkema

Eijk³

et al. 2014

BMJ Open

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“…Earlier studies concerning symptom research and COPD have mostly been focused on a single symptom and/or a single dimension of a symptom [12][13][14][15][16] , whereas studies using multidimensional symptom assessment have only included patients with advanced COPD [5][6][7]17 .…”

Section: Introductionmentioning

confidence: 99%

Symptom burden in stable COPD patients with moderate or severe airflow limitation

et al. 2014

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Running head: Symptom burden in moderate or severe airflow limitations Symptom burden in stable COPD patients with moderate or severe airflow limitations. AbstractObjectives. To describe a multidimensional symptom profile in patients with stable chronic obstructive pulmonary disease (COPD) and determine whether symptom experience differed between patients with moderate or severe airflow limitations.Background. Patients with severe airflow limitation experience numerous symptoms, but

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Section: Editorialmentioning

confidence: 99%

“…First, opioids may be given to individuals with COPD to treat chronic musculoskeletal pain, which occurs in 70% or more of individuals with COPD [3,4]. Common sites of pain include the lower extremities, back, shoulders and chest [3], with pain severity ratings in the moderate range. Musculoskeletal pain in COPD may occur as result of several factors: muscle weakness and wasting from decreased mobility because of breathlessness; respiratory muscle overload and fatigue from altered breathing patterns; osteoporosis; and, skeletal muscle changes as a result of hypoxemia and systemic inflammation.…”

Section: Editorialmentioning

confidence: 99%