Psychometric properties and validation of the <scp>I</scp>talian version of the <scp>M</scp>ainz pain staging system as a tool for pain‐patients referral selection

Dekel, Boaz Gedaliahu Samolsky; Gori, Alberto; Vasarri, Alessio; Adversi, Marco; Nino, Gianfranco Di; Melotti, Rita Maria

doi:10.1111/jep.12185

Cited by 5 publications

(7 citation statements)

References 27 publications

(30 reference statements)

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“…These stages represent different phases in the chronification process: the higher the stage, the more extensive management interventions will be needed and the less likely a full recovery from CP will be achieved. Chronicity staging has been also suggested as a tool to refer patients with CP to appropriate specialists [23, 31]. Our results show that the PR tapentadol 12-week treatment had a positive effect on the patients’ chronicity stage, and thus it might have indirectly reduced both pain persistence, medications, and healthcare use.…”

Section: Discussionmentioning

confidence: 63%

“…At the follow-ups (10, 30, 60, and 90 days after V0, respectively) we collected information on the ongoing pain therapy, tapentadol dose variations, analgesic efficacy, tolerability, and patient satisfaction; the General Health Status and chronicity stage, by means of the 12-questions Health-Survey (SF-12) and the Italian Mainz Pain-Staging System (I-MPSS) questionnaires, were evaluated at V0 and V90, respectively. The SF-12 provides a multi-dimensional profile of health status and two summary scores assessing physical function and mental well-being; the I-MPSS, recently validated [23], is a measure of pain chronicity and classifies patients at three chronicity stages (I mild; II moderate; and III severe). The rationale for exploring the variables used in this study was that they all have strong relevance to the issue of long-term benefits of opioids in CP conditions both in terms of efficacy, tolerability, health status, and QoL.…”

Section: Methodsmentioning

confidence: 99%

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Lasting Prolonged-Release Tapentadol for Moderate/Severe Non-Cancer Musculoskeletal Chronic Pain

et al. 2015

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IntroductionDespite opioids’ recognized role in the treatment of moderate/severe musculoskeletal chronic pain, their long-term benefits need investigation. We explored the lasting analgesic efficacy, tolerability, influence on life quality, and chronicity stage of the novel prolonged release (PR) opioid, tapentadol, in 30 outpatients.MethodsWe evaluated patients’ pain intensity and relief (Numerical Rating Scale; NRS), adverse effects, sleep quality, treatment satisfaction, health status (12-questions Health-Survey; SF-12), chronicity stage (Italian Mainz Pain-Staging System; I-MPSS) at 10, 30, 60, and 90 days after tapentadol prescription.ResultsAt follow-ups, the investigated outcomes showed an overall statistically significant (Wilcoxon signed-rank test) improvement and remained stable over time, as did the health status and chronicity stage. Adverse effects were limited, transitory, and tolerable.ConclusionsTwelve weeks of PR tapentadol in outpatients with moderate/severe chronic musculoskeletal pain showed satisfactory analgesic efficacy and tolerability, and had a positive influence on life quality and chronicity stage. The results are robust enough to warrant a subsequent study with a larger sample and a longer observation period.

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Section: Discussionmentioning

confidence: 63%

Section: Methodsmentioning

confidence: 99%

Lasting Prolonged-Release Tapentadol for Moderate/Severe Non-Cancer Musculoskeletal Chronic Pain

et al. 2015

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“…These questionnaires have generally moderate to good psychometric properties. 26 , 27 Together, these findings are important in that future triage guidelines might consider designing a standard structured referral template that would contain key elements necessary to triage decision making. Though not directly assessed in this study, it will be important to identify clinical and administrative barriers to the implementation of such a structured referral template leading to decisions regarding patient triage.…”

Section: Discussionmentioning

confidence: 99%

Section: Team Cohesionmentioning

confidence: 99%

Triage processes at multidisciplinary chronic pain clinics: An international review of current procedures

Pagé

Ziemiański

Shir

2017

Canadian Journal of Pain

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Background: Multidisciplinary pain clinics are considered the gold standard for the treatment of chronic pain, yet access to such clinics is difficult and patients' conditions deteriorate while waiting. Instituting a triage process is one way of reducing wait time for some patients and ensuring optimal access given the limited resources available. Surprisingly, there are no established guidelines on how to optimally triage chronic pain patients at tertiary multidisciplinary pain clinics. Aims: The goal of this study was to gather information regarding existing triage systems in multidisciplinary chronic pain clinics worldwide as an initial step toward establishing a definitive evidence-based set of triage guidelines. Methods: A total of 66 multidisciplinary pain clinics worldwide completed an online survey detailing current triage practices at their clinic. The survey was distributed via international and national pain associations. Results: Results showed that the vast majority of multidisciplinary pain clinics (94%) use a triage system, yet many difficulties with these systems have been identified (time requirement, administrative burden, lack of control over scheduling, missing high-priority patients, and prioritizing low-priority patients). The level of satisfaction was noted to be higher in those clinics using a structured triage template. Conclusions: This study identified a need for the elaboration of best practice clinical guidelines for triage processes at tertiary pain clinics. The use of a structured referral template could become a central element to such guidelines. RÉSUMÉContexte : Les cliniques multidisciplinaires de la douleur sont considérées comme l'exemple idéal pour le traitement de la douleur chronique. L'accès à ces cliniques est toutefois difficile, de sorte que l'état de santé des patients se détériore pendant la période d'attente. L'instauration d'un processus de triage est l'une des façons de réduire le temps d'attente pour certains patients et d'assurer un accès optimal aux ressources limitées qui sont disponibles. Objectifs : Le but de cette étude était de recueillir de l'information concernant les systèmes de triage existants dans les cliniques multidisciplinaires de la douleur à travers le monde, comme première étape vers l'établissement de lignes directrices définitives fondées sur des données probantes. Méthodes : Au total, 66 cliniques multidisciplinaires de la douleur à travers le monde ont répondu à un sondage en ligne portant sur les pratiques de triage dans leur clinique. Le sondage a été distribué par l'entremise d'associations nationales et internationales de la douleur. Résultats : Les résultats ont démontré que la vaste majorité des cliniques multidisciplinaires de la douleur (94 %) utilisent un système de triage. Toutefois, de nombreuses difficultés ont été recensées en lien avec ces systèmes (temps nécessaire, fardeau administratif, manque de contrôle sur la prise de rendez-vous, difficulté à identifier certains patients prioritaires et priorisation des patients non prio...

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“…Several relevant pain-related outcomes were assessed, but due to the already large number of questionnaires, a specific acceptance-based questionnaire, eg, the CPAQ,19 could not be included and should be used in a further validation study. Further, chronicity was defined as persisting pain for more than 3 months and does not account for other potentially relevant outcomes related to pain duration, such as treatments received or health care system utilization 47. A closer examination of chronicity could give more insight into temporal dynamics of coping strategies as measured by the PaSol.…”

Section: Discussionmentioning

confidence: 99%

Cross-cultural adaptation of the German Pain Solutions Questionnaire: an instrument to measure assimilative and accommodative coping in response to chronic pain

Sielski¹,

Glombiewski²,

Rief³

et al. 2017

JPR

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According to the dual process model of coping, assimilative or accommodative strategies can be applied to deal with aversive life situations. In people with chronic pain, the tenacious focus on achieving analgesia is often referred to as assimilative coping and associated with more disability and catastrophic thinking. In contrast, accommodative coping (accepting one’s pain and setting new goals) appears to have beneficial effects. To assess how people with chronic pain use these different coping strategies, questionnaires measuring these concepts are needed. Following international guidelines, a German version of the Pain Solutions Questionnaire (PaSol) was prepared. A sample of 165 participants with chronic low back pain (CLBP; 60% women; age 53 ± 8.4 years) filled in the questionnaire and measures for pain-related disability, affective distress, catastrophic thinking, and attention to pain. Item analyses, an exploratory factor analysis, and correlations with pain-related measures were calculated. In addition, data from 98 participants who received psychological treatment were examined to investigate the PaSol’s sensitivity to change. The exploratory factor analysis reproduced the original questionnaire’s four-factor structure. Internal consistencies for the subscales ranged from Cronbach’s α=0.72 to α =0.84. Mean item difficulties for the subscales ranged from pi=0.62 to pi=0.79. The highest correlations were found for Meaningfulness with catastrophic thinking (r=−0.58) and affective distress (r=−0.36). The PaSol subscale Meaningfulness predicted pain-related disability; the subscales Meaningfulness and Solving Pain predicted affective distress. Furthermore, the PaSol was found to be sensitive to detect changes over time. The German version of the PaSol is a reliable and valid instrument in the measurement of assimilative and accommodative coping strategies in people suffering from CLBP. It may provide a useful tool when examining temporal dynamics of the changing coping strategies in the transition from acute to chronic pain as well as during pain treatments.

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Psychometric properties and validation of the Italian version of the Mainz pain staging system as a tool for pain‐patients referral selection

Cited by 5 publications

References 27 publications

Lasting Prolonged-Release Tapentadol for Moderate/Severe Non-Cancer Musculoskeletal Chronic Pain

Lasting Prolonged-Release Tapentadol for Moderate/Severe Non-Cancer Musculoskeletal Chronic Pain

Triage processes at multidisciplinary chronic pain clinics: An international review of current procedures

Cross-cultural adaptation of the German Pain Solutions Questionnaire: an instrument to measure assimilative and accommodative coping in response to chronic pain

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