Journal
AIDS
Volume 32, Issue 18, Pages 2697-2706Publisher
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/QAD.0000000000002021
Keywords
depressive symptoms; HIV; healthcare resource use; pain; quality of life; well-being
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Funding
- National Institute for Health Research (NIHR) Biomedical Research Centre based at Imperial College Healthcare NHS Trust and Imperial College London
- NIHR Senior Investigator Award
- Bristol-Myers Squibb
- Gilead Sciences
- Merck Sharp and Dohme
- ViiV Healthcare
- JanssenCilag
- MRC [MR/M004236/1] Funding Source: UKRI
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Objective: We describe the prevalence of pain and its associations with healthcare resource utilization and quality-of-life. Design: The POPPY Study recruited three cohorts: older people living with HIV (PLWH; >= 50 years, n = 699), younger demographically/lifestyle similar PLWH (less than 50 years, n = 374) and older demographically/lifestyle similar HIV-negative (>= 50 years, n = 304) people from April 2013 to February 2016. Methods: Current pain and pain-related healthcare use was collected via a self-reported questionnaire. Logistic regression assessed between-group differences in the prevalence of pain in the past month and current pain after controlling for potential confounders. Associations between current pain and healthcare resource use, reported joint problems, depressive symptoms, quality-of-life and functional status were assessed in PLWH using Mann Whitney U and chi-squared tests. Results: Pain in the past month was reported by 473 out of 676 (70.0%) older PLWH, 224 out of 357 (62.7%) younger PLWH and 188 out of 295 (63.7%) older HIV-negative controls (P=0.03), with current pain reported in 330 (48.8%), 134 (37.5%) and 116 (39.3%), respectively (P=0.0007). Older PLWH were more likely to experience current pain, even after adjustment for confounders. Of those with pain in the past month, 56 out of 412 (13.6%) had missed days of work or study due to pain, and 520 (59%) had seen a doctor about their pain. PLWH experiencing current pain had more depressive symptoms, poorer quality-of-life on all domains and greater functional impairment, regardless of age group. Conclusion: Even in the effective anti retroviral therapy era, pain remains common in PLWH and has a major impact on quality-of-life and associated healthcare and societal costs. Interventions are required to assist clinicians and PLWH to proactively manage pain. Copyright (C) 2018 Wolters Kluwer Health, Inc. All rights reserved.
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