Shannon M Nugent1,2, Travis I Lovejoy1,2,3,4, Sarah Shull1, Steven K Dobscha1,2, Benjamin J Morasco1,2. 1. Center to Improve Veteran Involvement in Care, VA Portland Health Care System, Portland, Oregon. 2. Department of Psychiatry, Oregon Health & Science University, Portland, Oregon. 3. School of Public Health, Oregon Health & Science University, Portland, Oregon. 4. Veterans Rural Health Resource Center, VA Portland Health Care System, Portland, Oregon, USA.
Abstract
OBJECTIVE: The purpose of this study is to examine the extent to which numeric rating scale (NRS) scores collected during usual care are associated with more robust and validated measures of pain, disability, mental health, and health-related quality of life (HRQOL). DESIGN: We conducted a secondary analysis of data from a prospective cohort study. SUBJECTS: We included 186 patients with musculoskeletal pain who were prescribed long-term opioid therapy. SETTING: VA Portland Health Care System outpatient clinic. METHODS: All patients had been screened with the 0-10 NRS during routine outpatient visits. They also completed research visits that assessed pain, mental health and HRQOL every 6 months for 2 years. Accounting for nonindependence of repeated measures data, we examined associations of NRS data obtained from the medical record with scores on standardized measures of pain and its related outcomes. RESULTS: NRS scores obtained in clinical practice were moderately associated with pain intensity scores (B's = 0.53-0.59) and modestly associated with pain disability scores (B's = 0.33-0.36) obtained by researchers. Associations between pain NRS scores and validated measures of depression, anxiety, and health related HRQOL were low (B's = 0.09-0.26, with the preponderance of B's < .20). CONCLUSIONS: Standardized assessments of pain during usual care are moderately associated with research-administered measures of pain intensity and would be improved from the inclusion of more robust measures of pain-related function, mental health, and HRQOL. Published by Oxford University Press on behalf of the American Academy of Pain Medicine. This work is written by US Government employees and is in the public domain in the US.
OBJECTIVE: The purpose of this study is to examine the extent to which numeric rating scale (NRS) scores collected during usual care are associated with more robust and validated measures of pain, disability, mental health, and health-related quality of life (HRQOL). DESIGN: We conducted a secondary analysis of data from a prospective cohort study. SUBJECTS: We included 186 patients with musculoskeletal pain who were prescribed long-term opioid therapy. SETTING: VA Portland Health Care System outpatient clinic. METHODS: All patients had been screened with the 0-10 NRS during routine outpatient visits. They also completed research visits that assessed pain, mental health and HRQOL every 6 months for 2 years. Accounting for nonindependence of repeated measures data, we examined associations of NRS data obtained from the medical record with scores on standardized measures of pain and its related outcomes. RESULTS: NRS scores obtained in clinical practice were moderately associated with pain intensity scores (B's = 0.53-0.59) and modestly associated with pain disability scores (B's = 0.33-0.36) obtained by researchers. Associations between pain NRS scores and validated measures of depression, anxiety, and health related HRQOL were low (B's = 0.09-0.26, with the preponderance of B's < .20). CONCLUSIONS: Standardized assessments of pain during usual care are moderately associated with research-administered measures of pain intensity and would be improved from the inclusion of more robust measures of pain-related function, mental health, and HRQOL. Published by Oxford University Press on behalf of the American Academy of Pain Medicine. This work is written by US Government employees and is in the public domain in the US.
Authors: Benjamin J Morasco; Ning Smith; Steven K Dobscha; Richard A Deyo; Stephanie Hyde; Bobbi Jo H Yarborough Journal: Pain Date: 2020-06 Impact factor: 6.961
Authors: Steven K Dobscha; Travis I Lovejoy; Benjamin J Morasco; Anne E Kovas; Dawn M Peters; Kyle Hart; J Lucas Williams; Bentson H McFarland Journal: J Pain Date: 2016-04-04 Impact factor: 5.820
Authors: Steven K Dobscha; Benjamin J Morasco; Anne E Kovas; Dawn M Peters; Kyle Hart; Bentson H McFarland Journal: Pain Med Date: 2014-12-28 Impact factor: 3.750
Authors: Kurt Kroenke; Timothy E Stump; Jacob Kean; Tasneem L Talib; David A Haggstrom; Patrick O Monahan Journal: J Clin Epidemiol Date: 2019-07-19 Impact factor: 6.437
Authors: H Breivik; P C Borchgrevink; S M Allen; L A Rosseland; L Romundstad; E K Breivik Hals; G Kvarstein; A Stubhaug Journal: Br J Anaesth Date: 2008-05-16 Impact factor: 9.166
Authors: Aaron D Falchook; Gregg Tracton; Lori Stravers; Mary E Fleming; Anna C Snavely; Jeanne F Noe; David N Hayes; Juneko E Grilley-Olson; Jared M Weiss; Bryce B Reeve; Ethan M Basch; Bhishamjit S Chera Journal: Adv Radiat Oncol Date: 2016-02-18
Authors: Sterling McPherson; Crystal Lederhos Smith; Steven K Dobscha; Benjamin J Morasco; Michael I Demidenko; Thomas H A Meath; Travis I Lovejoy Journal: Pain Date: 2018-10 Impact factor: 7.926
Authors: Lauren Bifulco; Daren R Anderson; Mary L Blankson; Veena Channamsetty; Jacquelyn W Blaz; Tam T Nguyen-Louie; Sarah Hudson Scholle Journal: JAMA Netw Open Date: 2021-07-01