Non-pharmacological and non-invasive interventions for chronic pain in people with chronic obstructive pulmonary disease: A systematic review without meta-analysis

Chronic Obstructive Pulmonary Disease (COPD) is complicated by chronic pain. People with COPD report higher pain prevalence than the general population. Despite this, chronic pain management is not reflected in current COPD clinical guidelines and pharmacological treatments are often ineffective. We...

Full description

Saved in:
Bibliographic Details
Published in:Respiratory medicine 2023-05, Vol.211, p.107191-107191, Article 107191
Main Authors: Morris, Jeanette R., Harrison, Samantha L., Robinson, Jonathan, Martin, Denis, Avery, Leah
Format: Article
Language:English
Subjects:
Behavior Therapy
Behavioural change
Chronic obstructive
Chronic Pain - therapy
COPD
Humans
Pain
Pain management
Psychosocial
Pulmonary disease
Pulmonary Disease, Chronic Obstructive - complications
Pulmonary Disease, Chronic Obstructive - therapy
Quality of Life
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Chronic Obstructive Pulmonary Disease (COPD) is complicated by chronic pain. People with COPD report higher pain prevalence than the general population. Despite this, chronic pain management is not reflected in current COPD clinical guidelines and pharmacological treatments are often ineffective. We conducted a systematic review that aimed to establish the efficacy of existing non-pharmacological and non-invasive interventions on pain and identify behaviour change techniques (BCTs) associated with effective pain management. A systematic review was conducted with reference to Preferred Reporting Items for Systematic Review (PRISMA) [1], Systematic review without Meta analysis (SWIM) standards [2] and Grading of Recommendations Assessment, Development and Evaluation (GRADE) guidelines [3]. We searched 14 electronic databases for controlled trials of non-pharmacological and non-invasive interventions where the outcome measure assessed pain or contained a pain subscale. Twenty-nine studies were identified involving 3,228 participants. Seven interventions reported a minimally important clinical difference in pain outcomes, although only two of these reached statistical significance (p 
ISSN:0954-6111
1532-3064
DOI:10.1016/j.rmed.2023.107191