定义慢性疼痛影响水平:使用PROMIS®疼痛干扰得分的患者临床方法
Karon F Cook1, Dokyoung Sophia You2, Michael Von Korff3
1Feral Scholars, 257 County Road 4754, Broaddus, 7592, TX, USA.
Journal of patient-reported outcomes
|August 18, 2025
概括
这项研究建立了PROMIS疼痛干扰 (PI) 评分范围,用于慢性疼痛影响水平. 使用患者和临床医生的输入,PRO-Bookmarking技术定义了无,轻度,中度和高疼痛影响的门.
科学领域:
- 疼痛医学 医学 疼痛医学
- 心理测量 心理测量 心理测量
- 健康结果的健康结果.
背景情况:
- 慢性疼痛显著影响生活质量.
- 准确评估疼痛干扰对于有效管理至关重要.
- 现有的工具可能无法完全捕捉患者对疼痛影响的经验.
研究的目的:
- 建立PROMIS疼痛干扰 (PI) 评分范围,对应于没有,轻度,中度和高慢性疼痛影响.
- 通过PRO-Bookmarking技术与患者和临床医生的投入来验证这些范围.
- 为了比较PROMIS-PI分类与等级慢性疼痛量表-修订 (GCPS-R).
主要方法:
- 使用PRO-Bookmarking技术与慢性疼痛患者 (PLwCP) 和疼痛临床医生组成的小组合作.
- 开发了PROMIS-PI评分图表,以表示不同的疼痛干扰水平.
- 定义了值得分作为相邻标签得分的平均值,并将其应用于大型患者样本.
主要成果:
- 在没有/轻微 (47) 和中等/高 (69) 影响的门上达成共识.
- 患者和临床医生在轻度/中度值方面存在差异 (65对60).
- 与GCPS-R (58.2%) 相比,PRO-Bookmarking对较少的人 (23.8%) 进行了高影响的分类.
结论:
- 该PRO-Bookmarking方法有效地划定了PROMIS-PI慢性疼痛影响的得分值.
- 这种方法结合了PLwCP和临床医生的观点.
- 这些发现为使用PROMIS-PI评分对疼痛影响进行分类提供了经过验证的框架.
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