Pain is a common problem in patients with ILD

Qinxue Shen, Ting Guo, Min Song, Wei Guo, Yi Zhang, Wang Duan, Yating Peng, Shanshan Ni, Xiaoli Ouyang, Hong Peng, Qinxue Shen, Ting Guo, Min Song, Wei Guo, Yi Zhang, Wang Duan, Yating Peng, Shanshan Ni, Xiaoli Ouyang, Hong Peng

Abstract

Background: As it is less known about the prevalence and characteristics of pain in the patients with interstitial lung disease (ILD), this paper aims at determining the characteristics of the pain in the patients with ILD.

Methods: Subjects with ILD and health controls with the matched ages and genders completed Short Form McGill Pain Questionnaire (SF-MPQ) and part of the Brief Pain Inventory (BPI) Short Form to elicit the characteristics of the pain. The patients with ILD were also assessed through 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 subjects with ILD and 63 healthy controls (HC) were recruited in our study. The prevalence of the pain was 61.9% in ILD versus 25.3% in HC (P = 0.005) and the median score of the pain rank index (PRI) in ILD was higher than that in HC (P = 0.014). Chest (46.1%) accounted for the highest of overall pain locations in subjects with ILD. Associated clinical factors for pain intensity in the patients with ILD included exposure history of risk factors of ILD, with a longer distance of 6MWD (≥ 250 m), and a higher mMRC score (2-4). The patients with ILD and pain are more likely to suffer impaired HRQoL (P = 0.0014) and psychological problems (P = 0.0017, P = 0.044).

Conclusion: The pain is common in those with ILD and the pain intensity is associated with exposure history, 6MWD, and mMRC score. The patients with ILD and pain were possibly to suffer depression, anxiety, and impaired HRQoL.

Keywords: Brief pain inventory (BPI); Healthy controls (HC); Hospital anxiety and depression scale (HADS); Interstitial lung disease (ILD); Modified medical research council dyspnea scale (mMRC); Short form McGill pain questionnaire (SF-MPQ); Short form-36 (SF-36); Six minutes walking test (6MWT).

Conflict of interest statement

The authors declare that they have no competing interests.

Figures

Fig. 1
Fig. 1
Flow diagram of study participants
Fig. 2
Fig. 2
Pain location and sensory in all participants. Notes: Other pain locations include head, lumbar vertebra, Other sensory include throbbing, tender, stabbing

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