Erschienen in:
09.04.2018 | Editorial
Pain measurement in research and practice
verfasst von:
Kurt Kroenke, MD
Erschienen in:
Journal of General Internal Medicine
|
Sonderheft 1/2018
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Excerpt
Pain is among the most prevalent, persistent, and costly health conditions in clinical practice as well as the general population.
1 Moreover, musculoskeletal pain conditions account for four of the nine most disabling diseases.
2 Unlike medical disorders such as diabetes and hypertension which can be evaluated and monitored with tests or devices independent of the patient, pain is reliant on patient report to determine its severity as well as response to treatment. Patient-reported outcomes (PROs) are central to assessing symptoms, functional status, and other domains of health-related quality of life. Measurement-based care using PROs has proven an essential component of improving depression outcomes and has a similar salience for pain. Ideally, pain and other PRO measures used in research would not differ from those applied in patient care. After all, the metrics for A1C, blood pressure, and cholesterol are identical for investigators and clinicians, making the findings from clinical trials and other research easily interpretable and directly transferrable to clinical practice. …
