AI Article Synopsis

  • The study investigates the relationship between chronic noncancer pain (CP) and obstructive sleep apnea (OSA) in veterans, aiming to characterize CP and examine its impacts on sleepiness, insomnia, and quality of life.
  • Conducted among 111 veterans with newly diagnosed OSA, the results show that 69.5% report CP, which correlates with higher levels of daytime sleepiness and insomnia, as well as lower overall quality of life.
  • The findings suggest that CP is prevalent in OSA patients and that managing both conditions is essential for improving veterans' health outcomes.

Article Abstract

Study Objectives: Chronic noncancer pain (CP) commonly co-occurs with obstructive sleep apnea (OSA) and may contribute to greater symptom burden. The study aims were to (1) characterize CP among veterans with OSA and (2) examine differences in sleepiness (Epworth Sleepiness Scale), insomnia symptoms (Insomnia Severity Index), and quality of life (Short Form Health Survey-20) in veterans with OSA with or without pre-existing CP.

Methods: An observational, cross-sectional, study of 111 veterans with newly diagnosed, untreated OSA was conducted. Descriptive statistics characterized the sample and comorbid CP outcomes. Regression analyses were performed to investigate associations between self-reported CP and sleep-related symptoms or quality of life while controlling for potential confounders.

Results: CP was reported by 69.5% (95% confidence interval: 61.8%, 76.2%) of participants. Having CP was associated with increased Epworth Sleepiness Scale (12.7 ± 5.5 vs 10.2 ± 5.2; = .021) and Insomnia Severity Index scores (18.1 ± 6.2 vs 13.7 ± 7.4; = .002), and worse quality of life across all Short Form Health Survey-20 domains.

Conclusions: There is a high prevalence of CP among veterans with OSA and symptom burden is higher in patients with OSA and CP. Future investigations should address symptom response and burden to OSA treatment in comorbid OSA and CP to guide outcome expectancies and residual OSA symptom treatment plans.

Citation: Saconi B, Kuna ST, Polomano RC, Compton PA, Keenan BT, Sawyer AM. Chronic pain is common and worsens daytime sleepiness, insomnia, and quality of life in veterans with obstructive sleep apnea. . 2023;19(6):1121-1132.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10235723PMC
http://dx.doi.org/10.5664/jcsm.10516DOI Listing

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