TY - JOUR
T1 - Associations of Pain Numeric Rating Scale Scores Collected during Usual Care with Research Administered Patient Reported Pain Outcomes
AU - Nugent, Shannon M.
AU - Lovejoy, Travis I.
AU - Shull, Sarah
AU - Dobscha, Steven K.
AU - Morasco, Benjamin J.
N1 - Publisher Copyright:
© 2020 Published by Oxford University Press on behalf of the American Academy of Pain Medicine.
PY - 2021/10/1
Y1 - 2021/10/1
N2 - 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.
AB - 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.
KW - Electronic-Health Record Data
KW - Numeric Pain Rating Scale
KW - Pain Intensity
KW - Pain-Related Outcomes
UR - http://www.scopus.com/inward/record.url?scp=85111349669&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85111349669&partnerID=8YFLogxK
U2 - 10.1093/pm/pnab110
DO - 10.1093/pm/pnab110
M3 - Article
C2 - 33749760
AN - SCOPUS:85111349669
SN - 1526-2375
VL - 22
SP - 2235
EP - 2241
JO - Pain Medicine (United States)
JF - Pain Medicine (United States)
IS - 10
ER -