@article {ReidP1912, author = {W. Darlene Reid and Bahareh HajGhanbari and Cristiane Yamabayashi and Vanessa Soloviov and Jeremy Road}, title = {Characteristics and comorbidities associated with pain in people with chronic obstructive pulmonary disease (COPD)}, volume = {40}, number = {Suppl 56}, elocation-id = {P1912}, year = {2012}, publisher = {European Respiratory Society}, abstract = {Background: A recent survey demonstrated that the prevalence of pain in people with COPD was more than twice that in age-matched people without COPD, and pain was \~{}2.5 times more severe. Purpose/Hypothesis: to determine the characteristics and comorbidities associated with pain in people with COPD.Methods: Patients were recruited from respiratory clinics and pulmonary rehabilitation programs. Respondents participated in a mail survey that included: the McGill Pain Questionnaire (MPQ), the Brief Pain Inventory (BPI), a form to list comorbidities (modified from the Charlson Index) and medications.Results: Sixty-five of 92 COPD patients responded to the survey (70\% response rate). They had an FEV1 of 44{\textpm}17 \% pred, a BMI of 27.6 kg/m2 and were 74{\textpm}8 years. Forty-four respondents (67\%) self-reported pain. On the BPI, 64\% of these COPD patients had moderate to very severe pain and 73\% had moderate to very high pain interference with daily activities. Average pain severity scores on the MPQ and BPI were correlated (r= 0.74). Of 44 COPD patients who experienced pain, 39 (89\%) reported >=2 comorbidities and 20 (45 \%) reported >=4 comorbidities; the most common were musculoskeletal (21\%) and circulatory disorders (21\%). Twenty-eight (64\%) of COPD patients used pain alleviating treatments, the most common were non-prescription pain medications (acetaminophen and ibuprophen [n=18; 64\%) followed by prescription NSAIDS and narcotics.Conclusions: Moderate to severe pain is common in people with COPD. This pain likely compromises full participation in rehabilitation and the ability to increase physical activity. Musculoskeletal causes appear to be a major contributing factor.}, issn = {0903-1936}, URL = {https://erj.ersjournals.com/content/40/Suppl_56/P1912}, eprint = {https://erj.ersjournals.com/content/40/Suppl_56/P1912.full.pdf}, journal = {European Respiratory Journal} }