Discrete and Dynamic Postoperative Pain Catastrophizing Trajectories Across 6 Months: A Prospective Observational Study

Giordano, Nicholas A.; Kane, Alexandra; Jannace, Kalyn; Rojas, Winifred; Lindl, Mary Jo; Lujan, Eugenio; Gelfand, Harold J.; Kent, Michael L.; Highland, Krista B

doi:10.1016/j.apmr.2020.04.023

Cited by 12 publications

(14 citation statements)

References 39 publications

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Section: Introductionmentioning

confidence: 99%

“…5 The Defense and Veterans Pain Rating Scale (DVPRS), a graphic tool similar to the Visual Analog Scale, is a 0-to 10-point scale that has been validated in the military population as a measure of pain intensity, and has been adopted to track pain longitudinally in this cohort. 6,7 More recently, computerized adaptive testing-based tools, such as the Patient-Reported Outcomes Measurement Information System (PROMIS), have gained traction. 8,9 Employing item response theory to optimize questionnaire administration, the National Institutes of Health developed PROMIS to use an algorithm which bases question selection on a preceding answer.…”

Section: Introductionmentioning

confidence: 99%

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Concurrent Validity of PROMIS With DASH and DVPRS in Transhumeral Amputees

Sabharwal

Skolasky

Souza

et al. 2022

Hand (New York, N,Y.)

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Background: We sought to assess whether select domains of the Patient-Reported Outcomes Measurement Information System (PROMIS) significantly correlate with the Disabilities of the Arm, Shoulder, and Hand (DASH) score and the Defense and Veterans Pain Rating Scale (DVPRS) among transhumeral amputees. Methods: We prospectively administered DASH, DVPRS, and PROMIS (including Upper Extremity, Pain Interference, and Pain Behavior domains) testing to patients presenting for consideration of osseointegration after transhumeral amputation. Concurrent validity was assessed via Pearson correlation testing. Results: The mean DASH score of the cohort was 32.8. The mean DVPRS score was 1.8. The mean PROMIS scores were 33.8, 50.5, and 50.6 for Upper Extremity, Pain Interference, and Pain Behavior domains, respectively. Pearson testing demonstrated a significant, inverse correlation between DASH and PROMIS Upper Extremity scores ( r = −0.85, P = .002). There was also significant correlation between DVPRS and PROMIS Pain Interference scores ( r = 0.69, P = .03). The PROMIS Pain Behavior domain did not significantly correlate with either DASH or DVPRS. Conclusions: Patient-Reported Outcomes Measurement Information System Upper Extremity and Pain Interference scores demonstrated significant concurrent validity with traditional measures (DASH and DVPRS) of patient-reported outcome in our population of transhumeral amputees.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Concurrent Validity of PROMIS With DASH and DVPRS in Transhumeral Amputees

Sabharwal

Skolasky

Souza

et al. 2022

Hand (New York, N,Y.)

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“…Recently, in a mixed surgical cohort, multidimensional measures such as pain catastrophizing have also been described to have unique perioperative trajectories that influence acute and subacute pain intensity. 16 Thus, longitudinal monitoring of the biopsychosocial presentations of pain can inform the design of future-focused interventions capable of impacting membership within high- or low-risk pain intensity trajectories.…”

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confidence: 99%

Multidimensional Perioperative Recovery Trajectories in a Mixed Surgical Cohort: A Longitudinal Cluster Analysis Utilizing National Institutes of Health Patient-Reported Outcome Measurement Information System Measures

Kent

Giordano

Rojas

et al. 2021

Anesthesia &Amp; Analgesia

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BACKGROUND: Pain trajectories have been described in numerous surgical settings where preoperative characteristics have been used to predict trajectory membership. Suboptimal pain intensity trajectories have been linked to poor longitudinal outcomes. However, numerous biopsychosocial modulators of postoperative pain may also have distinct longitudinal trajectories that may inform additional targets to improve postoperative recovery. METHODS: Patients undergoing total joint arthroplasty, thoracic surgery, spine surgery, major abdominal surgery, or mastectomy completed Patient Reported Outcome Measurement Information System (PROMIS) measures and additional scales preoperatively and at 1 week, 2 weeks, 1 month, 3 months, and 6 months postoperatively. A k-means clustering for longitudinal data was utilized to explore and describe distinct pain impact (PROMIS Pain Interference and Physical Function) trajectories and associated changes in additional biopsychosocial measures. Follow-up analyses examined participant demographics and clinical characteristics associated with trajectory memberships.

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“…We have previously used cluster or trajectory analyses which are helpful in examining naturally formed groups within the sample and which characteristics are associated to each. 2 , 22 Giordano et al 18 observed in adults 4 different pain catastrophizing trajectories over the perioperative period: stable, remitting, worsening and unremitting. In their adult sample, both the stable and the worsening groups were comprised of low pain catastrophizers before surgery.…”

Section: Discussionmentioning

confidence: 99%

“…However, a previous study examining the relationship between parent and child pain catastrophizing before and following surgery observed that pain catastrophizing may not remain stable over time. 17 Furthermore, Giordano et al 18 assessed pain catastrophizing, using the trait version of the questionnaire, up to 6 months postoperatively in an adult patient sample and observed that pain catastrophizing changed over the perioperative period, and that initial catastrophizing levels did not necessarily inform the trajectory of pain catastrophizing or association to pain intensity throughout the perioperative period. Moreover, when an adapted state pain catastrophizing questionnaire reflecting thoughts about a specific pain was compared with a trait pain catastrophizing questionnaire, it was observed that state pain catastrophizing scores had stronger associations with acute pain intensity and state anxiety.…”

mentioning

confidence: 99%

Pain Catastrophizing Throughout the Perioperative Period in Adolescents With Idiopathic Scoliosis

Chabot¹,

Sweatman

Ocay

et al. 2021

The Clinical Journal of Pain

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Objectives: Pain catastrophizing in children and adolescents has been associated to unfavorable postsurgical outcomes. However, pain catastrophizing is rarely measured throughout the perioperative period. Using a prospective longitudinal approach, the present study aimed to identify how pain catastrophizing changes over the perioperative period in pediatric surgical patients with adolescent idiopathic scoliosis. Materials and Methods: Adolescent patients undergoing spinal fusion surgery completed the Pain Catastrophizing Scale for Children and additional questionnaires to assess pain intensity, state and trait anxiety, and kinesiophobia before surgery, and 1, 2, 5 days, 6 weeks, and 6 months after surgery. Results: Patients who had higher levels of pain catastrophizing before surgery were more likely to be anxious, avoid activity that may cause pain, report higher pain intensity before surgery and anticipate more pain after surgery. Low pain catastrophizers increased into a moderate level of pain catastrophizing before decreasing after discharge from the hospital. Meanwhile, moderate and high pain catastrophizers both decreased into lower and moderate levels of catastrophizing, respectively, after discharge from the hospital. Discussion: These findings demonstrate that pain catastrophizing in adolescents changes over the perioperative period. Observing changes in pain catastrophizing throughout the perioperative period may help in recognizing when patients are most vulnerable during this time. Decreasing pain catastrophizing before surgery or in the acute postoperative period through therapies that target pain catastrophizing may help reduce the patient’s likelihood of experiencing unfavorable postoperative outcomes.

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Discrete and Dynamic Postoperative Pain Catastrophizing Trajectories Across 6 Months: A Prospective Observational Study

Cited by 12 publications

References 39 publications

Concurrent Validity of PROMIS With DASH and DVPRS in Transhumeral Amputees

Concurrent Validity of PROMIS With DASH and DVPRS in Transhumeral Amputees

Multidimensional Perioperative Recovery Trajectories in a Mixed Surgical Cohort: A Longitudinal Cluster Analysis Utilizing National Institutes of Health Patient-Reported Outcome Measurement Information System Measures

Pain Catastrophizing Throughout the Perioperative Period in Adolescents With Idiopathic Scoliosis

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