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Are Fatigue and Pain Overlooked in Subjects with Stable Chronic Obstructive Pulmonary Disease?
Although there have been many published reports on fatigue and pain in patients with chronic obstructive pulmonary disease (COPD), it is considered that these symptoms are seldom, if ever, asked about during consultations in Japanese clinical practice. To bridge this gap between the literature and d...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8620334/ https://www.ncbi.nlm.nih.gov/pubmed/34829376 http://dx.doi.org/10.3390/diagnostics11112029 |
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author | Nishimura, Koichi Nakayasu, Kazuhito Mori, Mio Sanda, Ryo Shibayama, Ayumi Kusunose, Masaaki |
author_facet | Nishimura, Koichi Nakayasu, Kazuhito Mori, Mio Sanda, Ryo Shibayama, Ayumi Kusunose, Masaaki |
author_sort | Nishimura, Koichi |
collection | PubMed |
description | Although there have been many published reports on fatigue and pain in patients with chronic obstructive pulmonary disease (COPD), it is considered that these symptoms are seldom, if ever, asked about during consultations in Japanese clinical practice. To bridge this gap between the literature and daily clinical experience, the authors attempted to gain a better understanding of fatigue and pain in Japanese subjects with COPD. The Brief Fatigue Inventory (BFI) to analyse and quantify the degree of fatigue, the revised Short–Form McGill Pain Questionnaire 2 (SF-MPQ-2) for measuring pain and the Kihon Checklist to judge whether a participant is frail and elderly were administered to 89 subjects with stable COPD. The median BFI and SF-MPQ-2 Total scores were 1.00 [IQR: 0.11–2.78] and 0.00 [IQR: 0.00–0.27], respectively. They were all skewed toward the milder end of the respective scales. A floor effect was noted in around a quarter on the BFI and over half on the SF-MPQ-2. The BFI scores were significantly different between groups regarding frailty determined by the Kihon Checklist but not between groups classified by the severity of airflow limitation. Compared to the literature, neither fatigue nor pain are considered to be frequent, important problems in a real-world Japanese clinical setting, especially among subjects with mild to moderate COPD. In addition, our results might suggest that fatigue is more closely related to frailty than COPD. |
format | Online Article Text |
id | pubmed-8620334 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-86203342021-11-27 Are Fatigue and Pain Overlooked in Subjects with Stable Chronic Obstructive Pulmonary Disease? Nishimura, Koichi Nakayasu, Kazuhito Mori, Mio Sanda, Ryo Shibayama, Ayumi Kusunose, Masaaki Diagnostics (Basel) Article Although there have been many published reports on fatigue and pain in patients with chronic obstructive pulmonary disease (COPD), it is considered that these symptoms are seldom, if ever, asked about during consultations in Japanese clinical practice. To bridge this gap between the literature and daily clinical experience, the authors attempted to gain a better understanding of fatigue and pain in Japanese subjects with COPD. The Brief Fatigue Inventory (BFI) to analyse and quantify the degree of fatigue, the revised Short–Form McGill Pain Questionnaire 2 (SF-MPQ-2) for measuring pain and the Kihon Checklist to judge whether a participant is frail and elderly were administered to 89 subjects with stable COPD. The median BFI and SF-MPQ-2 Total scores were 1.00 [IQR: 0.11–2.78] and 0.00 [IQR: 0.00–0.27], respectively. They were all skewed toward the milder end of the respective scales. A floor effect was noted in around a quarter on the BFI and over half on the SF-MPQ-2. The BFI scores were significantly different between groups regarding frailty determined by the Kihon Checklist but not between groups classified by the severity of airflow limitation. Compared to the literature, neither fatigue nor pain are considered to be frequent, important problems in a real-world Japanese clinical setting, especially among subjects with mild to moderate COPD. In addition, our results might suggest that fatigue is more closely related to frailty than COPD. MDPI 2021-11-02 /pmc/articles/PMC8620334/ /pubmed/34829376 http://dx.doi.org/10.3390/diagnostics11112029 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Nishimura, Koichi Nakayasu, Kazuhito Mori, Mio Sanda, Ryo Shibayama, Ayumi Kusunose, Masaaki Are Fatigue and Pain Overlooked in Subjects with Stable Chronic Obstructive Pulmonary Disease? |
title | Are Fatigue and Pain Overlooked in Subjects with Stable Chronic Obstructive Pulmonary Disease? |
title_full | Are Fatigue and Pain Overlooked in Subjects with Stable Chronic Obstructive Pulmonary Disease? |
title_fullStr | Are Fatigue and Pain Overlooked in Subjects with Stable Chronic Obstructive Pulmonary Disease? |
title_full_unstemmed | Are Fatigue and Pain Overlooked in Subjects with Stable Chronic Obstructive Pulmonary Disease? |
title_short | Are Fatigue and Pain Overlooked in Subjects with Stable Chronic Obstructive Pulmonary Disease? |
title_sort | are fatigue and pain overlooked in subjects with stable chronic obstructive pulmonary disease? |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8620334/ https://www.ncbi.nlm.nih.gov/pubmed/34829376 http://dx.doi.org/10.3390/diagnostics11112029 |
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