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Impact of Cigarette Smoking Status on Pain Intensity Among Veterans With and Without Hepatitis C.

Publication ,  Journal Article
Lynch, SM; Wilson, SM; DeRycke, EC; Driscoll, MA; Becker, WC; Goulet, JL; Kerns, RD; Mattocks, KM; Brandt, CA; Bathulapalli, H; Skanderson, M ...
Published in: Pain Med
September 1, 2018

OBJECTIVE: Chronic pain is a significant problem in patients living with hepatitis C virus (HCV). Tobacco smoking is an independent risk factor for high pain intensity among veterans. This study aims to examine the independent associations with smoking and HCV on pain intensity, as well as the interaction of smoking and HCV on the association with pain intensity. DESIGN/PARTICPANTS: Cross-sectional analysis of a cohort study of veterans of Operations Enduring Freedom/Iraqi Freedom/New Dawn (OEF/OIF/OND) who had at least one visit to a Veterans Health Administration (VHA) primary care clinic between 2001 and 2014. METHODS: HCV was identified using ICD-9 codes from electronic medical records (EMRs). Pain intensity, reported on a 0-10 numeric rating scale, was categorized as none/mild (0-3) and moderate/severe (4-10). RESULTS: Among 654,841 OEF/OIF/OND veterans (median age [interquartile range] = 26 [23-36] years), 2,942 (0.4%) were diagnosed with HCV. Overall, moderate/severe pain intensity was reported in 36% of veterans, and 37% were current smokers. The adjusted odds of reporting moderate/severe pain intensity were 1.23 times higher (95% confidence interval [CI] = 1.14-1.33) for those with HCV and 1.26 times higher (95% CI = 1.25-1.28) for current smokers. In the interaction model, there was a significant Smoking Status × HCV interaction (P = 0.03). Among veterans with HCV, smoking had a significantly larger association with moderate/severe pain (adjusted odds ratio [OR] = 1.50, P < 0.001) than among veterans without HCV (adjusted OR = 1.26, P < 0.001). CONCLUSIONS: We found that current smoking is more strongly linked to pain intensity among veterans with HCV. Further investigations are needed to explore the impact of smoking status on pain and to promote smoking cessation and pain management in veterans with HCV.

Duke Scholars

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Published In

Pain Med

DOI

EISSN

1526-4637

Publication Date

September 1, 2018

Volume

19

Issue

suppl_1

Start / End Page

S5 / S11

Location

England

Related Subject Headings

  • Young Adult
  • Veterans
  • Pain Measurement
  • Male
  • Humans
  • Hepatitis C
  • Female
  • Cross-Sectional Studies
  • Cohort Studies
  • Cigarette Smoking
 

Citation

APA
Chicago
ICMJE
MLA
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Lynch, S. M., Wilson, S. M., DeRycke, E. C., Driscoll, M. A., Becker, W. C., Goulet, J. L., … Bastian, L. A. (2018). Impact of Cigarette Smoking Status on Pain Intensity Among Veterans With and Without Hepatitis C. Pain Med, 19(suppl_1), S5–S11. https://doi.org/10.1093/pm/pny146
Lynch, Shaina M., Sarah M. Wilson, Eric C. DeRycke, Mary A. Driscoll, William C. Becker, Joseph L. Goulet, Robert D. Kerns, et al. “Impact of Cigarette Smoking Status on Pain Intensity Among Veterans With and Without Hepatitis C.Pain Med 19, no. suppl_1 (September 1, 2018): S5–11. https://doi.org/10.1093/pm/pny146.
Lynch SM, Wilson SM, DeRycke EC, Driscoll MA, Becker WC, Goulet JL, et al. Impact of Cigarette Smoking Status on Pain Intensity Among Veterans With and Without Hepatitis C. Pain Med. 2018 Sep 1;19(suppl_1):S5–11.
Lynch, Shaina M., et al. “Impact of Cigarette Smoking Status on Pain Intensity Among Veterans With and Without Hepatitis C.Pain Med, vol. 19, no. suppl_1, Sept. 2018, pp. S5–11. Pubmed, doi:10.1093/pm/pny146.
Lynch SM, Wilson SM, DeRycke EC, Driscoll MA, Becker WC, Goulet JL, Kerns RD, Mattocks KM, Brandt CA, Bathulapalli H, Skanderson M, Haskell SG, Bastian LA. Impact of Cigarette Smoking Status on Pain Intensity Among Veterans With and Without Hepatitis C. Pain Med. 2018 Sep 1;19(suppl_1):S5–S11.
Journal cover image

Published In

Pain Med

DOI

EISSN

1526-4637

Publication Date

September 1, 2018

Volume

19

Issue

suppl_1

Start / End Page

S5 / S11

Location

England

Related Subject Headings

  • Young Adult
  • Veterans
  • Pain Measurement
  • Male
  • Humans
  • Hepatitis C
  • Female
  • Cross-Sectional Studies
  • Cohort Studies
  • Cigarette Smoking