ArticleClinicoEconomics and outcomes research : CEOR2015
The impact of chronic pain on direct medical utilization and costs in chronic obstructive pulmonary disease.
Article in ClinicoEconomics and outcomes research : CEOR, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 23 citations in OpenAlex.
- Exploring Health Literacy Needs in Different Stages of Older Patients with COPD: An in-Depth Qualitative Study.Patient preference and adherence · 2025Article
- Co-prescribing of Central Nervous System-Active Medications for COPD Patients: Impact on Emergency Room Visits and Hospitalization.The Annals of pharmacotherapy · 2023Article
- Pain in Veterans with COPD: relationship with physical activity and exercise capacity.BMC pulmonary medicine · 2021Article
- [Management of patients with chronic pain in acute and perioperative medicine : An interdisciplinary challenge].Der Anaesthesist · 2020Review
- COPD is Associated with Higher Prevalence of Back Pain: Results of a Population-Based Case-Control Study, 2017.Journal of pain research · 2020Article
- Systematic Review of Pain in Clinical Practice Guidelines for Management of COPD: A Case for Including Chronic Pain?Healthcare (Basel, Switzerland) · 2019Review
- Chronic Inguinal Pain After Kidney Transplantation, a Common and Underexposed Problem.World journal of surgery · 2017Article
- Efficacy and safety of tiotropium + olodaterol maintenance treatment in patients with COPD in the TONADOInternational journal of chronic obstructive pulmonary disease · 2016Article
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo examine how pain affects health care utilization and direct medical costs in individuals with chronic obstructive pulmonary disease (COPD) compared to patients with other chronic diseases. STUDY
designA retrospective cohort analysis using administrative data of a managed health care system in the Southwestern US for years 2006-2010.
methodsCOPD patients age ≥40 years were matched to similar patients with other chronic conditions on age, sex, insurance type, and a health care event (outpatient visit, emergency department visit, or inpatient stay). Chronic pain was indicated by pain-associated diagnoses and procedures, or fills for prescription pain medications. The study population was also stratified into those with and without chronic pain to examine clinical factors and costs associated with chronic pain.
resultsSeven thousand nine hundred and fifty-two COPD patients (mean age 69 years, 58% women) were matched to 15,904 patients with other chronic disease. COPD patients had significantly higher utilization for pain-related services and for overall services. COPD patients had a higher prevalence of any pain medication use over a 12-month period (41.2% versus 31.5%) and, among those using pain medications, a higher mean number of pain medication prescription fills (10.1 versus 6.4). Factors associated with chronic pain included age 40-65 years, being female, having more than one chronic morbidity, insurance type, some emergency department or hospital utilization, and having either COPD, heart failure, arthritis, or stroke. Among COPD patients, those with chronic pain had a mean annual direct cost for overall utilization of $24,261 versus $10,390 among those without chronic pain (P<0.0001 for all comparisons).
conclusionCOPD patients have substantially more utilization for pain medications and pain-related procedures than those with most other chronic diseases. Total direct medical costs among COPD patients who have chronic pain are more than double those of COPD patients without chronic pain. Pain management may be an opportunity for better and more cost-effective care for COPD patients.
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