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Using pain quality assessment measures for selecting analgesic agents.
1Department of Rehabilitation Medicine, University of Washington School of Medicine, and Multidisciplinary Pain Center, University of Washington Medical Center, Seattle 98195-6490, USA. mjensen@u.washington.edu
The Clinical Journal of Pain
|December 14, 2005
Summary
Assessing specific pain qualities, not just intensity, can aid in diagnosing neuropathic pain and improving clinical trial outcomes. This review examines available pain quality measures for future use.
Area of Science:
- Pain Management
- Neuropathic Pain Research
- Clinical Trial Methodology
Background:
- Pain is recognized as multidimensional, yet global pain intensity is the primary outcome in pain treatment trials.
- Specific pain qualities differentiate neuropathic from nociceptive pain, suggesting diagnostic utility.
- Emerging evidence indicates pain quality assessment can enhance clinical trial outcome measurement.
Purpose of the Study:
- To review available pain quality measures for clinical use.
- To discuss the diagnostic and outcome assessment potential of pain quality measures.
- To explore future applications of these assessment tools in pain research.
Main Methods:
- Literature review of existing pain quality assessment tools.
- Analysis of the strengths and weaknesses of each measure.
- Discussion of preliminary evidence for diagnostic and outcome utility.
Main Results:
- Several pain quality measures are available, each with distinct advantages and limitations.
- Pain quality characteristics are associated with specific pain types (neuropathic vs. nociceptive).
- Preliminary data support the use of pain quality measures in clinical trials.
Conclusions:
- Pain quality assessment offers valuable insights beyond simple pain intensity.
- These measures can aid in differential diagnosis of pain types.
- Further research and application of pain quality measures are recommended for improved pain management and clinical trials.