Pain in patients with chronic obstructive pulmonary disease indicated for post-acute pulmonary rehabilitation

Isselt, Eléonore van Dam van F; Groenewegen-Sipkema, K.H.; Eijk, Monica van; Chavannes, Niels H.; Achterberg, Wilco P.

doi:10.1177/1479972318809456

Cited by 9 publications

(27 citation statements)

References 39 publications

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“…The apparent paradoxical relationship between pain and lung function was also reported in lots of pain studies in COPD studies (12,39,40). This inverse relationship, probably also caused by selection bias, also can be interpreted that other symptoms like dyspnea were more distressing than pain, leading to more focus on dyspnea and less on pain, also causing patients to be reluctant to spontaneously report pain (41)(42)(43).…”

Section: Discussionmentioning

confidence: 80%

Pain is a common problem in patients with ILD

Shen

Guo

Song

et al. 2020

Preprint

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Background Less is known about the prevalence and characteristics of pain in interstitial lung disease (ILD) patients. To determine the characteristics of pain in ILD patients.Methods Participants with ILD and age, gender-matched, healthy controls completed short form McGill Pain Questionnaire (SF-MPQ) and part of the Brief Pain Inventory short form(BPI) to elicit pain characteristics. ILD patients also had assessments of pulmonary function test, six minutes walking test (6MWT), modified medical research council dyspnea scale (mMRC) for state of the illness and measured health-related quality of life(HRQoL) by short form-36(SF-36)and psychological associations by hospital anxiety and depression scale(HADS).Results A total of 63 participants with ILD and 63 healthy controls(HC) were recruited in our study. The prevalence of pain was 61.9% in ILDs versus 25.3% in HC (p = 0.005) and the median score of pain rank index (PRI) in ILDs was higher than in HC (P = 0.014). Chest(46.1%) accounted for the highest of overall pain locations in participants with ILD. Associated clinical factors for pain intensity in ILD patients included younger age (< 60 years), exposure history of ILD risk factors, longer distance of 6MWD(≥ 250 m), higher mMRC score(2–4) and lower DLCo, % predicted(≤ 45%). ILD patients with pain are more likely to suffer impaired HRQoL(P = 0.0014) and psychological problems(P = 0.0017,P = 0.044).Conclusion Pain is common in those with ILD and the pain intensity is associated with age, exposure history, 6MWD, mMRC score and DLCo, % predicted. ILD patients with pain have more possible to suffer depression, anxiety and impaired HRQoL.

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Section: Discussionmentioning

confidence: 80%

Pain is a common problem in patients with ILD

Shen

Guo

Song

et al. 2020

Preprint

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“…Random sampling did not occur in any studies and all studies were identified as being at high risk of non-response bias, as no information was provided about potential participants who were approached for inclusion but did not participate. One study 27 was classed as low risk of bias with regard to the instruments used, as it applied valid and reliable instruments.…”

Section: Resultsmentioning

confidence: 99%

The prevalence and assessment of pain and dyspnoea in acute exacerbations of COPD: A systematic review

et al. 2022

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Background Dyspnoea and pain are symptoms of chronic obstructive pulmonary disease (COPD). This review focused upon pain and dyspnoea during hospital admissions for acute exacerbations of COPD (AECOPD), with the aim of examining prevalence, assessment, clinical associations, and researcher-reported implications of these symptoms. Methods Four electronic databases were searched from inception to 31 May 2021. Full text versions of studies were assessed for methodological quality and data were extracted independently by two reviewers. Where data permitted, pooled prevalence of pain and dyspnoea were calculated by meta-analysis. Results Four studies were included. The pooled prevalence of pain and dyspnoea was 44% (95% confidence interval (CI) 35%–52%) and 91% (95% CI 87%–94%) respectively. An array of instruments with varying focal periods were reported (pain: six tools, dyspnoea: four tools). Associations and clinical implications between the two symptoms at the time of hospital admission were rarely reported. Conclusions Few studies reported prevalence of pain and dyspnoea during an AECOPD. A greater understanding into the prevalence, intensity and associations of these symptoms during AECOPD could be furthered by use of standardised assessment tools with clearly defined focal periods.

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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%

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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Pain in patients with chronic obstructive pulmonary disease indicated for post-acute pulmonary rehabilitation

Cited by 9 publications

References 39 publications

Pain is a common problem in patients with ILD

Pain is a common problem in patients with ILD

The prevalence and assessment of pain and dyspnoea in acute exacerbations of COPD: A systematic review

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

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