The Patient Acceptable Symptom State of Chronic Musculoskeletal Pain Measured on a Visual Analog Scale in Moroccan Patients

Wariaghli, Ghizlane; Allali, F.; Berrada, Kenza; Idrissi, Zineb; Hmamouchi, Ihsane; Abouqal, Rédouane; Hajjaj–Hassouni, N.

doi:10.1111/j.1526-4637.2012.01529.x

Cited by 9 publications

(5 citation statements)

References 20 publications

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“…Apart from the minimal clinically important difference, it is also important to consider the patient acceptable symptomatic state (PASS) which provides the basis for determining whether the treatment enabled patients to achieve a satisfactory state and which may be a clinically relevant treatment target. In our study, we found that in both groups the average pain, measured using the VAS was 5 below points since the first session, which fulfils the PASS values determined in populations with similar sociocultural characteristics, 36 despite the fact that this value was found to be unexpectedly high (50 mm) when compared with other populations.…”

Section: Discussionsupporting

confidence: 83%

Comparing two dry needling interventions for plantar heel pain: a randomised controlled trial

et al. 2020

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ObjectivesTo compare the effectiveness of dry needling (DN) versus percutaneous needle electrolysis (PNE) for improving the level of pain, function and quality of life (QoL) of patients suffering from plantar heel pain (PHP) provoked by myofascial trigger points.DesignA prospective, parallel-group, randomised controlled trial with blinded outcome assessment.SettingA single treatment facility in the State of Kuwait.Participants118 participants were screened for eligibility. Of these, 102 participants were enrolled (30 men (49.5±8.9 years) and 72 women (48.1±8.8 years)) and 68 of them completed the trial.InterventionsTwo parallel groups, one study arm received DN and a stretching protocol whereas the other arm received percutaneous needling electrolysis with a stretching protocol.Primary and secondary outcome measuresThe primary outcome measure was the Foot Pain domain of the Foot Health Status Questionnaire, with 13 questions related to foot health-related domains. Secondary outcome measures included the 0–10 numerical rating scale pain visual analogue scale (VAS) scores, performed before and after each treatment session. In addition, QoL was measured using the EuroQoL-5 dimensions. All measurements were taken at baseline, at 4, 8, 12, 26 and 52 weeks.ResultsFoot Pain domain improved at all time points for DN group (p<0.001; 29.7 (17.8 to 41.5)) and percutaneous needling electrolysis group (p<0.001; 32.7 (18.3 to 47.0)), without significant differences between groups. Pain VAS scores decreased at all time points for both DN (p<0.001; −2.6 (−4.0 to −1.2)) and percutaneous needling electrolysis group (p<0.001; −3.0 (−4.5 to −1.6)). QoL improved at 4 weeks for both DN (p<0.01; 0.15 (0.5 to 0.25)) and percutaneous needling electrolysis group (p<0.01; 0.09 (0.01 to 0.17)) and at 8 and 52 weeks for the PNE group (p<0.01; 0.10 (0.02 to 0.18)), with significant differences between groups for the QoL at 52 weeks (p<0.05; 0.10 (0.01 to 0.18)). There were two small haematomas in the PNE group and one in the DN group. No serious adverse events were reported.ConclusionsBoth PNE and DN were effective for PHP management, reducing mean and maximum pain since the first treatment session, with long lasting effects (52 weeks) and significant differences between groups in the case of QoL at 52 weeks in favour of the PNE group.Trial registration numberNCT03236779.

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Section: Discussionsupporting

confidence: 83%

Comparing two dry needling interventions for plantar heel pain: a randomised controlled trial

et al. 2020

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“…Patient expectations, adaptability, tolerability, education and economic factors may impact the response to these questions in different ways. Higher levels of education and higher socioeconomic status were found to be independently associated with the PASS response when the PASS response was compared to a visual analogue scale in patients with musculoskeletal pain [10]. Also, the cutoff threshold of the visual analogue scale for the PASS response has been variable in different populations even though the pain scores were similar in different diseases.…”

Section: Discussionmentioning

confidence: 99%

Comparison of the single simple question and the patient acceptable symptom state in myasthenia gravis

Menon

Barnett

Bril

2020

Euro J of Neurology

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Background and purpose: The single simple question (SSQ) is a simple and validated question asking what percentage of normal a patient feels with respect to their myasthenia gravis (MG), with 100% being normal. Patient acceptable symptom states (PASS) are based on a dichotomous 'Yes' or 'No' response, asking whether a patient is satisfied overall with their current status and thus measures holistic satisfaction with their MG state. Both are patientreported self-assessments but assess different dimensions of MG. The objective was to determine thresholds for the SSQ when patients with MG achieve an acceptable PASS status. Methods: A retrospective chart review was performed of consecutive MG patients attending a neuromuscular clinic, and SSQ and PASS responses, demographic, clinical and serological characteristics and disease severity by the MG impairment index were extracted. Results: One hundred and fifty-seven consecutive patients were identified: 43 (27.4%) patients responded 'No' to the PASS question. Between the PASS 'Yes'/'No' groups, only SSQ (87.5 AE 13.4 vs. 52.3 AE 23.3; P < 0.001) and MG impairment index scores (9.2 AE 10.3 vs. 29.6 AE 16; P < 0.001) were significantly different. The receiver operating characteristic curve for PASS and SSQ had an area under the curve of 0.92 AE 0.024 (confidence interval 0.872-0.965, P < 0.001). An SSQ score ≥72.5% had 84.2% sensitivity and 86% specificity to classify patients as PASS positive. Conclusion: The PASS and SSQ patient-reported outcomes are closely associated and a SSQ threshold ≥72.5% predicts an acceptable MG state. Other demographic and disease-related factors did not influence the PASS response in this study.

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“…This intensity is high compared with other studies but may be associated with the predominance of traumatic pain in our study where the pain is acute. The average was lower in chronic pain, being 44 + 23 mm for an average duration of 7.4 years [11]. In a decreasing frequency order, the five most prescribed analgesics in our study were: paracetamol in tablet form, paracetamol + codein in association in tablets and ketoprofen in its suppository, tablet or gel dosage forms.…”

Section: Discussionmentioning

confidence: 77%

Joint pain epidemiology and analgesic usage in Madagascar

Samison¹,

Randriatsarafara²,

Ralandison³

2017

Pan Afr Med J

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IntroductionTo describe the epidemiology of joint pains and document analgesics usage in an African context.MethodsPatients suffering from joint pain were recruited from nine sites located in Antananarivo, Madagascar, including 6 hospital services and 3 clinics. Doctors collected information on the etiology and characteristics of the patients’ pain. Analgesics prescribed by these doctors were also documented.ResultsIn total, 400 patients were enrolled in the study (52.5% women, mean age of 42.34 years ± 17.7 [4-86]). Pain of mechanical type was found in 260 participants, 65%; 95% CI [60.1% to 69.6%] and inflammatory type pains in 128 cases 32%; 95% CI [27.5% to 36.9%]. Mixed pains were found in 12 patients (3%). The median duration of pain prior to the consultation was 6.5 days. The average pain intensity was 57.9 ± 19.9 mm of a total of 100 mm maximum on a visual analogue scale, VAS. The etiologies of mechanical type pains were dominated by fracture, common low back pain and tendonitis. Arthrosis was the dominant cause of inflammatory type pain, followed by rheumatoid arthritis and gout. NSAIDs (74.5%) were the most frequently prescribed analgesics followed by paracetamol (49.5%), weak opioids (23%) and corticosteroids (12.25%). Two-thirds of medical prescriptions (65.3%) were of combined analgesics.ConclusionThese findings demonstrated that mechanical type pains were the main reason for consultations for joint pain in these situations in Antananarivo, Madagascar. The most frequently prescribed pain-relieving medications were NSAIDs, paracetamol, weak opioids and corticosteroids. This descriptive study may be a useful starting point for further epidemiological studies of pain in the African context.

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The Patient Acceptable Symptom State of Chronic Musculoskeletal Pain Measured on a Visual Analog Scale in Moroccan Patients

Cited by 9 publications

References 20 publications

Comparing two dry needling interventions for plantar heel pain: a randomised controlled trial

Comparing two dry needling interventions for plantar heel pain: a randomised controlled trial

Comparison of the single simple question and the patient acceptable symptom state in myasthenia gravis

Joint pain epidemiology and analgesic usage in Madagascar

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