The prevalence of smokers within chronic pain patients and highest pain levels versus comparison groups

David A. Fishbain, John E. Lewis, Daniel Bruns, Laura J. Meyer, Jinrun Gao, John Mark Disorbio

Research output: Contribution to journalArticle

9 Scopus citations

Abstract

Objectives.: The objectives of this study were to (1) compare the prevalence of smoking within chronic pain patients (CPPs) to community non-patients without pain (CNPWP), community patients with pain (CPWP), and acute pain patients (APPs); and (2) compare smokers to nonsmokers within CPPs, APPs, and CPWP for highest pain level. Design.: CNPWP, CPWP, APPs, and CPPs were compared to each other for smoking status (nonsmoker, less than one pack per day, one pack/day or more, any amount per day). Within CPWP, APPs, and CPPs, smokers were also compared to nonsmokers by t-test for highest reported pain level. For both analyses, sub-analyses were performed controlling for age or gender, or race or education. Results.: Utilizing all available patients, the prevalence of smokers within CPPs was significantly greater vs each of the comparison groups (CNPWP, CPWP, APPs). In the sub-analyses, only CPPs who were 38 or younger or male or White, or had some college or above were at greater risk than CPWP for smoking one pack or greater per day. CPP smokers were not significantly more likely than nonsmokers to have higher pain, and this was confirmed in the sub-analyses. Conclusions.: The prevalence of smokers could be significantly greater within CPPs vs CPWP. CPPs who smoke do not have higher levels of pain than nonsmoking CPPs.

Original languageEnglish (US)
Pages (from-to)403-416
Number of pages14
JournalPain Medicine (United States)
Volume14
Issue number3
DOIs
StatePublished - Mar 2013

Keywords

  • Acute Pain
  • Acute Pain Patients
  • Chronic Pain
  • Chronic Pain Patients
  • Community Non-Patients Without Pain
  • Community Patients with Pain
  • Highest Level of Pain
  • Pain
  • Smoking
  • Smoking Prevalence

ASJC Scopus subject areas

  • Clinical Neurology
  • Anesthesiology and Pain Medicine

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    Fishbain, D. A., Lewis, J. E., Bruns, D., Meyer, L. J., Gao, J., & Disorbio, J. M. (2013). The prevalence of smokers within chronic pain patients and highest pain levels versus comparison groups. Pain Medicine (United States), 14(3), 403-416. https://doi.org/10.1111/pme.12024