TY - JOUR T1 - Characteristics and comorbidities associated with pain in people with chronic obstructive pulmonary disease (COPD) JF - European Respiratory Journal JO - Eur Respir J VL - 40 IS - Suppl 56 SP - P1912 AU - W. Darlene Reid AU - Bahareh HajGhanbari AU - Cristiane Yamabayashi AU - Vanessa Soloviov AU - Jeremy Road Y1 - 2012/09/01 UR - http://erj.ersjournals.com/content/40/Suppl_56/P1912.abstract N2 - 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±17 % pred, a BMI of 27.6 kg/m2 and were 74±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. ER -