copd慢性疼痛.pptVIP

COPD Patients Suffer Chronic Pain Once you adjusted for all other factors to include depression, anxiety, and psychoses, COPD was still very predictive of chronic pain, and in particular, chronic use of opioids, both short acting and long acting, Melissa Roberts, MS, senior research associate at the Lovelace Clinic Foundation and a doctoral candidate at the University of New Mexico College of Pharmacy in Albuquerque, told Medscape Medical News. Patients with COPD often have multiple sources of pain, including neuropathic, muscle, inflammatory, and mechanical or compressive. In a retrospective analysis presented here at the American Thoracic Society (ATS) 2013 International Conference, researchers compared 15,904 patients with COPD to 7952 with other chronic diseases for evidence of chronic pain and for healthcare utilization over a period of 1 year. Investigators identified patients over age 40 years from a managed care population in the southwestern United States. They determined diagnoses, pain treatments by procedure codes, and outpatient prescription claims. They defined chronic pain as similar pain persisting 6 weeks from an initial event. We found that overall, pain is pretty common among all these people with chronic disease, but its much more prevalent among COPD patients to an extent that could not be explained by their other comorbidities, Roberts reported. More patients with COPD, 59.8%, had chronic pain than patients with other chronic disease (51.7%; P .05). The patients with COPD also had evidence of greater use of pain medications (41.2% vs 31.5%; P .001). The chronic conditions affecting patients without COPD were Alzheimers disease, atrial fibrillation, cancers, chronic kidney disease, diabetes, heart failure, ischemic heart disease, stroke, transient ischemic attack, and osteoarthritis or rheumatoid arthritis. For these conditions except arthritis, the prevalence of pain was less than in the COPD cohort (P .01 for all). The prevalence of chro