271 Preliminary Validation of the Omeract/Oarsi Pain Measure for Hip and Knee Osteoarthritis

Hawker, G.A.; Davis, Aileen M.; French, M.R.; Cibere, Jolanda; Jordan, Joanne M.; March, L.; Suarez‐Almazor, María E.; Katz, J.N.; Dieppe, Paul

doi:10.1016/s1063-4584(07)61903-7

Cited by 2 publications

(16 citation statements)

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“…Preoperative widespread hyperalgesia measured by handheld pressure algometry has been shown in KOA patients compared with healthy controls [4,8,9,13,17,18,30]. A recent study found that preoperative widespread hyperalgesia measured by pressure algometry did not, as a single parameter, predict postoperative pain after total knee replacement [48].…”

Section: Widespread Hyperalgesiamentioning

confidence: 99%

Preoperative pain mechanisms assessed by cuff algometry are associated with chronic postoperative pain relief after total knee replacement

Petersen

Graven‐Nielsen

Simonsen

et al. 2016

Pain

150

211

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Chronic postoperative pain after total knee replacement (TKR) in knee osteoarthritis (KOA) implies clinical challenges. Widespread hyperalgesia, facilitated temporal summation of pain (TSP), and impaired conditioned pain modulation (CPM) have been found in painful KOA. This exploratory study investigated postoperative pain relief 12 months after TKR in 4 subgroups of patients preoperatively profiled by mechanistic quantitative sensory testing. In 103 patients with KOA, pressure pain detection threshold (PDT) and tolerance thresholds (PTT) were assessed at the lower leg using cuff algometry. Temporal summation of pain was measured as an increase in pain intensity scores during 10 repeated (2 seconds intervals) painful cuff stimuli. Conditioned pain modulation was calculated as the relative increase in PDT during painful conditioning stimulation. The grand averages of TSP and CPM were calculated and values below or above were used for subgrouping: facilitated TSP/impaired CPM (group A, N = 16), facilitated TSP/normal CPM (group B, N = 15), normal TSP/impaired CPM (group C, N = 44), and normal TSP/normal CPM (group D, N = 28). Clinical VAS pain intensity scores were collected before and 12 months after TKR surgery and the pain relief calculated. Less pain relief was found in group A (52.0% ± 14.0% pain relief) than in group B (81.1% ± 3.5%, P = 0.023) and group C (79.6% ± 4.4%, P = 0.007), but not group D (69.4% ± 7.9%, P = 0.087). Low preoperative PDT was associated with a less postoperative pain relief (R = -0.222, P = 0.034), whereas TSP or CPM alone showed no associations with postoperative pain relief. This explorative study indicated that patients with osteoarthritis with facilitated TSP together with impaired CPM are more vulnerable to experience less pain relief after TKR.

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Section: Widespread Hyperalgesiamentioning

confidence: 99%

Preoperative pain mechanisms assessed by cuff algometry are associated with chronic postoperative pain relief after total knee replacement

Petersen

Graven‐Nielsen

Simonsen

et al. 2016

Pain

150

211

View full text Add to dashboard Cite

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“…The PraxArt project was a prospective cluster-randomized, open, three-armed intervention study that evaluated the impact of a comprehensive evidence based medical education intervention for 75 general practitioners on individual care and quality of life on patients suffering from osteoarthritis (65). Seven of the studies were crosssectional (8,13,35,(53)(54)(55)(56)(57)(58)61), two were longitudinal cohort studies (60,63), one was an observational study (59) and one was a case control study (62). There were two studies from the United Kingdom (54,60), and Canada (8,35), and one study from each from the United States (53), Belgium (55), Germany (56-58, 61), Netherlands (59), Finland (13), Norway (62) and Australia (63).…”

Section: Study Characteristicsmentioning

confidence: 99%

“…There were two studies from the United Kingdom (54,60), and Canada (8,35), and one study from each from the United States (53), Belgium (55), Germany (56-58, 61), Netherlands (59), Finland (13), Norway (62) and Australia (63). Most studies had modest sample sizes, ranging from 100 (35) (55). Two further studies had participants presenting to orthopaedic clinics (53,60) or a mix of community persons and those presenting to clinical practice (13,35).…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Multi-dimensional pain measures attempt to provide a more thorough assessment of the pain experience across these different perspectives (27,29,33,34). The only disease specific osteoarthritis specific multidimensional measure of pain in osteoarthritis is the measure of Intermittent and Constant Osteoarthritis Pain (ICOAP), which was recently developed by the OARSI/OMERACT Initiative (35). This scale has been found to be valid and reliable and is recommended for use alongside a measure of disability when assessing the health impacts of OA (30).…”

Section: Introductionmentioning

confidence: 99%

“…The full text of 51 publications were assessed and a further 37 publications were excluded as they did not meet inclusion criteria (study design; did not diagnose arthritis; did not include older people; did not use a measure of pain). A total of 14 publications met the inclusion criteria and were included in the review (8,13,35,(53)(54)(55)(56)(57)(58)(59)(60)(61)(62)(63). A flow chart of the screening and selection process, using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines is presented in Figure 1.…”

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confidence: 99%

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How is the experience of pain measured in older, community-dwelling people with osteoarthritis? A systematic review of the literature

et al. 2015

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The objective of the study was to perform a systematic review to identify and appraise outcome measures and measures of pain that are used to assess the experience of pain by older people with osteoarthritis, and to assess whether these measures are effective at capturing the multidimensional nature of the experience of this pain. A systematic review of five electronic databases from January 1996 to March 2013 was done. Inclusion criteria were cohort/observational and cross-sectional studies; specific diagnosis of OA; employed outcome measures of pain and/or health and/or quality of life which included questions about pain; and considered older adults. Articles were reviewed for methodological quality using the Effective Public Health Practice Project Quality Assessment Tool for Quantitative Studies. A total of 14 publications met the inclusion criteria, and 11 discrete studies were included in the review. The studies used 21 different outcome measures, utilizing 13 measures of pain. Sensory, affective and cognitive dimensions of pain were captured by the measures, albeit studies predominantly measured intensity or severity alone. Measures of pain used in epidemiological studies do not adequately capture the multidimensional nature of the experience of pain in osteoarthritis. There is a fraught complexity in the multidimensionality of the experience of pain in osteoarthritis, and studies exploring osteoarthritis pain in older people should attempt to capture this multidimensionality by employing multiple valid and reliable outcome measures that capture specific dimensions of the pain experience.

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271 Preliminary Validation of the Omeract/Oarsi Pain Measure for Hip and Knee Osteoarthritis

Cited by 2 publications

References 0 publications

Preoperative pain mechanisms assessed by cuff algometry are associated with chronic postoperative pain relief after total knee replacement

Preoperative pain mechanisms assessed by cuff algometry are associated with chronic postoperative pain relief after total knee replacement

How is the experience of pain measured in older, community-dwelling people with osteoarthritis? A systematic review of the literature

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