TY - JOUR
T1 - A Comparative Study of Pain in Heart Failure and Non-Heart Failure Veterans
AU - Goebel, Joy R.
AU - Doering, Lynn V.
AU - Evangelista, Lorraine S.
AU - Nyamathi, Adeline M.
AU - Maliski, Sally L.
AU - Asch, Steven M.
AU - Sherbourne, Cathy D.
AU - Shugarman, Lisa R.
AU - Lanto, Andy B.
AU - Cohen, Angela
AU - Lorenz, Karl A.
N1 - Funding Information:
Supported by a grant (IIR03-150) from the Veterans Administration Health Services Research and Development. Dr. Karl Lorenz was supported by a VA HSR&D Career Development Award.
PY - 2009/2
Y1 - 2009/2
N2 - Background: Progress has been made in addressing pain in specific diseases such as cancer, but less attention has focused on understanding pain in nonmalignant states, including heart failure (HF). Methods and Results: From March 2006 to June 2007, 672 veterans were surveyed and scores for the Brief Pain Inventory, pain distress, clinically significant pain levels (moderate to severe pain), and pain locations were compared using univariate and multivariate models. Fifteen percent of the final sample had HF (95/634). In our study, the HF patients were older (P < .000), reported lower levels of general health (P = .018), had more co-morbidities (P < .000), were more likely to have a history of cancer (P = .035), and suffered more chest pain and fewer headaches (P = .026, P = .03, respectively) than their non-HF cohorts. When controlling for age, co-morbidity and cancer disorders, HF and non-HF patients did not differ in pain severity, interference, distress or locations. Of the patients currently experiencing pain, 67.3% of HF patients and 68.4% of non-HF patients rated their pain as moderate or severe (pain ≥4 on a 0 to 10 scale). Conclusions: Although HF has not been identified as a painful condition, this study suggests the burden of pain is significant for both HF and non-HF ambulatory care patients.
AB - Background: Progress has been made in addressing pain in specific diseases such as cancer, but less attention has focused on understanding pain in nonmalignant states, including heart failure (HF). Methods and Results: From March 2006 to June 2007, 672 veterans were surveyed and scores for the Brief Pain Inventory, pain distress, clinically significant pain levels (moderate to severe pain), and pain locations were compared using univariate and multivariate models. Fifteen percent of the final sample had HF (95/634). In our study, the HF patients were older (P < .000), reported lower levels of general health (P = .018), had more co-morbidities (P < .000), were more likely to have a history of cancer (P = .035), and suffered more chest pain and fewer headaches (P = .026, P = .03, respectively) than their non-HF cohorts. When controlling for age, co-morbidity and cancer disorders, HF and non-HF patients did not differ in pain severity, interference, distress or locations. Of the patients currently experiencing pain, 67.3% of HF patients and 68.4% of non-HF patients rated their pain as moderate or severe (pain ≥4 on a 0 to 10 scale). Conclusions: Although HF has not been identified as a painful condition, this study suggests the burden of pain is significant for both HF and non-HF ambulatory care patients.
KW - Palliative care
KW - chronic pain
KW - non-malignant pain
KW - symptoms
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U2 - 10.1016/j.cardfail.2008.09.002
DO - 10.1016/j.cardfail.2008.09.002
M3 - Article
C2 - 19181290
AN - SCOPUS:59149107182
SN - 1071-9164
VL - 15
SP - 24
EP - 30
JO - Journal of Cardiac Failure
JF - Journal of Cardiac Failure
IS - 1
ER -