Cutpoints for mild, moderate and severe pain in patients with osteoarthritis of the hip or knee ready for joint replacement surgery

Kapstad, Heidi; Hanestad, Berit Rokne; Langeland, Norvald; Rustøen, Tone; Stavem, Knut

doi:10.1186/1471-2474-9-55

Cited by 137 publications

(110 citation statements)

References 25 publications

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“…The patients with hip OA in this study were categorized as having mild to moderate hip pain on the WOMAC pain subscale (minimum-maximum, 5.2-59.4). 27 Despite the mild to moderate pain reported by the patients with hip OA, they had significantly lower scores on the physical functioning and role limitations physical subscales of the SF-36, compared to the matched control group.…”

Section: Discussionmentioning

confidence: 99%

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Functioning and Disability in Patients With Hip Osteoarthritis With Mild to Moderate Pain

Rydevik¹,

Fernandes²,

Nordsletten³

et al. 2010

J Orthop Sports Phys Ther

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Section: Discussionmentioning

confidence: 99%

“…To categorize the patient's pain level we used the WOMAC pain subscale (10 to 40, mild pain; greater than 40 to 60, moderate pain; greater than 60 to 100, severe pain). 27 Psychometric studies have shown moderate to high validity and…”

Section: Patients Tmentioning

confidence: 99%

Functioning and Disability in Patients With Hip Osteoarthritis With Mild to Moderate Pain

Rydevik¹,

Fernandes²,

Nordsletten³

et al. 2010

J Orthop Sports Phys Ther

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“…These items have substantial research support to validate their discriminatory and prognostic importance. (13,19,31,38,39,43,(47)(48)(49)53,54,(57)(58)(59)(60)(66)(67)(68)73,76,80,82,85,86,97,106,108,110,(112)(113)(114)(115)(116)122) This stratification of cLBP by impact would be appropriate whether or not there appears to be contributory degenerative pathoanatomy. Even when pathoanatomic conditions are thought to contribute to symptoms and dysfunction, they often coexist and overlap, and sometimes fail to respond to specific interventions.…”

Section: How Often Has Low-back Pain Been An Ongoing Problem For You mentioning

confidence: 99%

“…Classification and Prognosis: The Task Force did not undertake a systematic literature review, but considered previous work on back pain taxonomy, (4,6,15,24,33,34,44,52,56,74,79,83,101,104,105,117) prognostic classification, (13,19,31,38,39,43,48,49,53,54,(57)(58)(59)(60)(66)(67)(68)73,76,80,82,85,86,97,106,108,110,(112)(113)(114)(115)(116)122) pain and psychosocial measures, (12,31,...…”

Section: Review Of Existing Literature On Back Painmentioning

confidence: 99%

Report of the NIH Task Force on Research Standards for Chronic Low Back Pain

Deyo

Dworkin

Amtmann

et al. 2015

IJTMB

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Despite rapidly increasing intervention, functional disability due to chronic low back pain (cLBP) has increased in recent decades. We often cannot identify mechanisms to explain the major negative impact cLBP has on patients' lives. Such cLBP is often termed non-specific, and may be due to multiple biologic and behavioral etiologies. Researchers use varied inclusion criteria, definitions, baseline assessments, and outcome measures, which impede comparisons and consensus. The NIH Pain Consortium therefore charged a Research Task Force (RTF) to draft standards for research on cLBP. The resulting multidisciplinary panel recommended using 2 questions to define cLBP; classifying cLBP by its impact (defined by pain intensity, pain interference, and physical function); use of a minimal data set to describe research participants (drawing heavily on the PROMIS methodology); reporting "responder analyses" in addition to mean outcome scores; and suggestions for future research and dissemination. The Pain Consortium has approved the recommendations, which investigators should incorporate into NIH grant proposals. The RTF believes these recommendations will advance the field, help to resolve controversies, and facilitate future research addressing the genomic, neurologic, and other mechanistic substrates of chronic low back pain. We expect the RTF recommendations will become a dynamic document, and undergo continual improvement. Perspective: A Task Force was convened by the NIH Pain Consortium, with the goal of developing research standards for chronic low back pain.The results included recommendations for definitions, a minimal dataset, reporting outcomes, and future research. Greater consistency in reporting should facilitate comparisons among studies and the development of phenotypes.KEY WORDS: low back pain; chronic low back pain; research standards; minimum dataset; NIH Task Force introduCtion The Institute of Medicine recently estimated that chronic pain affects about 100 million adults in the United States, with an estimated annual cost of $635 billion, including direct medical expenditures and loss of work productivity. (3) Activity-limiting low back pain (LBP), in particular, has a world-wide lifetime prevalence of about 39% and a similar annual prevalence of 38%. (61) The majority of people having LBP experience recurrent episodes. (62) The use of all interventions for treating chronic LBP (cLBP) increased from 1995-2010, including surgery, pharmacological, and non-pharmacological approaches. Despite increased utilization, however, the prevalence of symptoms and expenditures has increased. 37,70,91

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“…Originally, the BPI was developed to evaluate cancer pain, but has been shown to be valid and reliable for chronic non-cancer pain. 66 For mild OA, the cut points were a score of 0-4, for moderate OA, the cut points were a score of > 4 to 7, and for severe OA, the cut points were > 7 to 10. 66 Prior to launch, the survey was pilot tested among staff and faculty at the University of Tennessee Health Science Center.…”

Section: Survey Instrumentationmentioning

confidence: 99%

Preferences and Willingness to Pay for Osteoarthritis Treatments among the Medicare Population

Hufstader¹

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Cutpoints for mild, moderate and severe pain in patients with osteoarthritis of the hip or knee ready for joint replacement surgery

Cited by 137 publications

References 25 publications

Functioning and Disability in Patients With Hip Osteoarthritis With Mild to Moderate Pain

Functioning and Disability in Patients With Hip Osteoarthritis With Mild to Moderate Pain

Report of the NIH Task Force on Research Standards for Chronic Low Back Pain

Preferences and Willingness to Pay for Osteoarthritis Treatments among the Medicare Population

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