Navigation Links
Rating your pain from 0 to 10 might not help your doctor
Date:9/17/2007

INDIANAPOLIS -The most commonly used measure for pain screening may only be modestly accurate, according to researchers from the Indiana University School of Medicine and the University of North Carolina. In a study that appears in the October issue of the Journal of General Internal Medicine, they evaluate the usefulness of a scale that asks patients in primary care to rate their current pain from 0 (no pain) to 10 (worst pain).

Universal pain screening is an increasingly common practice, largely because of the Joint Commission on Accreditation of Healthcare Organizations requirement that accredited hospitals and clinics routinely assess all patients for pain. JCAHO is the nations predominant standards-setting and accrediting body in health care.

Our study is the first to evaluate the accuracy of the widely-used numeric rating scale [NRS] as a screening test to identify primary care patients with clinically important pain. Accurate screening is important because pain symptoms, both serious and not so serious, are among the most common complaints in primary care, said Erin E. Krebs, M.D., M.P.H., assistant professor of medicine at the IU School of Medicine and a Regenstrief Institute research scientist. To be helpful, a screening test needs to provide accurate information that doctors can use to improve care. If a test isnt very accurate or useful, doctors learn to tune out the numbers.

The authors found that, while the NRS is easy to administer, it fails to identify about a third of patients with pain serious enough to impair day-to-day functioning. Most patients in this study had long-standing pain, and many had more than one pain problem. The authors did not evaluate the accuracy of pain ratings in settings where short-term pain is more common, such as after surgery. The researchers noted that because it focuses on current pain, the NRS may miss intermittent symptoms. They also reported that pain was not the preferred word for some patients. For example, one study participant indicated that he felt discomfort, but not pain.

Universal pain screening has become widespread despite a lack of research evaluating its accuracy and effectiveness. We know that pain is a serious problem in primary care, but pain screening may not be the best way to address this problem, said Dr. Krebs, who is also with the Center on Implementing Evidence-based Practice at the Roudebush Veterans Affairs Medical Center in Indianapolis.


'/>"/>

Contact: Cindy Fox Aisen
caisen@iupui.edu
317-274-7722
Indiana University
Source:Eurekalert

Related medicine news :

1. Blood Cells Capable of Regenerating Liver
2. Vibrating Insoles could Help Balance
3. Operating on a Beating Heart Yields Better Results For Blocked Heart Arteries
4. Therapeutic cloning by regenerating stem cells from heart muscles
5. Clowns farewell in operating room, easing anxiety in children
6. Doctors unhappy with insurer’s ratings proposa
7. Protein Linked To Accelerating Rheumatoid Arthritis
8. Sexual Harassment A Cause Of Deteriorating Health Among Female Flight Attendants.
9. Exposure to Grating, Noise, Music Can Cause Tumors Leading To Deafness
10. Mobile Operating Theater to Cut Waiting Times
11. Demountable Operating Theatre To Be Set Up At Bega Hospital
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:5/30/2016)... ... May 30, 2016 , ... Zane Benefits, the leader ... an original infographic, " Health Benefits Reimbursement Compliance Timeline ." , The ... complies with various federal regulations and reforms. , Navigating the new health reforms ...
(Date:5/29/2016)... (PRWEB) , ... May 29, 2016 , ... "With 30 ... let's the user control the style of their project," said Christina Austin - CEO ... 30 self-animating web-themed intros created exclusively for use in Final Cut Pro X. Pixel ...
(Date:5/28/2016)... ... , ... In a part of the city where’s it’s easy to spot the neon lights ... is hoping to attract diners with a taste for real food. , On May ... to Cornerstone Grill, an urban casual restaurant focusing on dishes made by hand with wholesome, ...
(Date:5/27/2016)... ... May 27, 2016 , ... An influential resource amongst nurses and professionals in ... lights on the variety of topics detailing why we appreciate nurses in so many ... career has gone from being in a major recession to one of the hottest ...
(Date:5/27/2016)... ... , ... Beleza Medspa has initiated a new program to assist ... first time that Coolsculpting is being used for for more than just cosmetic purposes. ... meet the prescribed body-fat standard, measured by the circumference-based tape method. The tape-test ...
Breaking Medicine News(10 mins):
(Date:5/27/2016)... -- Hutchison China MediTech (Chi-Med) (HCM) ... highly lucrative global oncology and immunology markets. HCM ... or best-in-class tyrosine kinase inhibitor (TKI) drugs, some ... HCM,s profitable Chinese healthcare business continues to benefit ... of the mid-to-late-stage pipeline during 2016-17 (including US ...
(Date:5/26/2016)... A key trend that will ... of new treatments. Cardax, a development stage life sciences ... therapy is expected to fulfil large unmet medical needs ... studies to develop new treatments for osteoarthritis. One such ... in osteoarthritis are being investigated, and early trials of ...
(Date:5/25/2016)... According to a new market ... 4D), by Therapeutic Area (Oncology, Cosmeceutical/Plastic Surgery), by Application ... Manufacturers, Hospitals/ Clinics) - Forecast to 2021", published by ... for the forecast period of 2016 to 2021. This ... 2021 from USD 117.3 Million in 2016, at a ...
Breaking Medicine Technology: