Fibromyalgia & musculoskeletal pain

Phenotypes of Chronic Overlapping Pain Multimorbidity in Rheumatology: A Population‐Based Claims Study

Arthritis Care Res (Hoboken)Published Cross-sectional study

Authors' conclusion

A substantial burden and distinct multimorbidity patterns of COPCs exist among patients with ARDs, suggesting shared pathophysiologic mechanisms.

Study context

Population
Adults with autoimmune rheumatic diseases (AS, PsA, RA, SjD, SLE, SSc), Merative MarketScan Commercial Claims and Encounters Database, 2008 to 2021
Participants
149,742 adults
Outcome
Prevalence and multimorbidity patterns of chronic overlapping pain conditions (COPCs)
Methodological detailspopulation-based, claims database
  • Population-based
  • Claims database

Main finding

As reported in the abstract

COPC prevalence

One or more chronic overlapping pain conditions (COPCs)

57.5%

Multiple COPCs

22.7%

Chronic low back pain

41.4%

FM

21.1%

Observational data: associations, not effects.

Further findings

Pairwise COPC co-occurrence

FM and chronic low back pain, observed/expected ratio
1.35
Migraine and chronic low back pain, observed/expected ratio
1.42
Urologic chronic pelvic pain and vulvodynia, OR
10.46
  • Many COPC pairs co-occurred more frequently than expected by chance

Original publication

Phenotypes of Chronic Overlapping Pain Multimorbidity in Rheumatology: A Population‐Based Claims Study. Arthritis Care Res (Hoboken). Published 18 May 2026. doi:10.1002/acr.80090

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