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 261,466 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Surveys for assessing outcomes of spine surgery are typically cumbersome and require statistical analyses, which make their use impractical in nonacademic settings. The objective of this study was to develop a short pain survey (SPS) to assess patient satisfaction following spinal surgery and to compare the results with those of the Brief Pain Inventory-Short Form (BPI-SF), which is widely used in academic settings. Patients (n = 101) completed the BPI-SF prior to spinal fusion. Six months after surgery, patients completed the BPI-SF and SPS. Marginal homogeneity tests and paired t tests of the BPI-SF indicated highly significant (p < .001) postoperative improvements. One-sample binomial tests and Blyth-Still-Casella 95% confidence intervals also indicated highly significant (p < .001) postoperative improvements with SPS. There was a highly significant congruence (p < .002) between the responses for the two surveys. It was concluded that the SPS can be easily used in nonacademic settings to assess patient satisfaction and clinical success following spine surgery.
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PMID:A short pain survey for postoperative assessment of spine patients in a nonacademic setting. 1569 Nov 80

This study identified discrete categories of pain severity in a sample of patients with painful diabetic peripheral neuropathy (DPN), through derivation of cut-points on a 0-10 scale of pain severity (Brief Pain Inventory-DPN, BPI-DPN). Subjects were participants in a burden of illness survey (N=255). Serlin and colleagues' method establishing cut-points for cancer pain was adapted, considering all possible cut-points between 4 and 8. Optimal cut-points were those that created three pain severity categories producing maximum between-category differences on the seven BPI-DPN Interference items, using MANOVA. Cut-points of 4 and 7 optimally classified the sample for both Worst Pain and Average Pain, creating categories of mild, 0-3; moderate, 4-6; severe, 7 and higher (Hotelling's T(2)=22.95 and 16.20 for Worst and Average Pain, P<0.0001). Mean BPI-DPN Interference was 2.1 (SD=2.1), 4.9 (SD=1.9) and 7.4 (SD=1.6) for the mild, moderate and severe pain categories. Patients in the three categories differed significantly on patient-rated outcomes (Medical Outcomes Study Short Form-12v2 Mental and Physical Component Summaries and EuroQOL utility score), and on DPN-related healthcare visits (P<0.001). The labels 'mild, moderate and severe' Worst and Average Pain corresponded with patients' ratings of their pain using a verbal rating scale. This research shows that three categories of DPN pain severity can be identified based on interference with daily function, and that these categories are associated with patient outcomes and medical utilization.
Pain 2005 May
PMID:Identification of cut-points for mild, moderate and severe pain due to diabetic peripheral neuropathy. 1583 67

The purpose of this study was to assess the relationship between pain and the desire for hastened death in terminally ill cancer patients. The participants were 120 terminally ill cancer patients under palliative treatment from June 2003 to November 2004. Patients completed a pain assessment tool, the Greek Brief Pain Inventory (G-BPI), and a self-report measure of the desire for hastened death, the Greek Schedule of Attitudes Toward Hastened Death (G-SAHD). Moderate but statistically significant associations were found between some of the severity and interference items of G-BPI and G-SAHD; more specifically, between G-SAHD and G-BPI3, "worst pain in the last 24 hours" (r = 0.279, P = .002); G-SAHD and G-BPI4, "least pain in the last 24 hours" (r = 0.253, P = .005); and G-SAHD and G-BPI5, "average pain in the last 24 hours" (r = 0.283, P = .002). A stronger association was revealed between G-SAHD and G-BPI8, "relief provided by pain treatment and medications in the last 24 hours" (r = -0.326, P = .000). Multiple regression analyses including the enter model and the forward model were conducted. According to the enter model, the strongest predictors of hastened death were items G-BPI6, "current pain"; G-BPI8, "relief provided by pain treatment and medications in the last 24 hours"; G-BPI9i, "interference of pain in general activity"; and G-BPI9iii, "interference of pain in walking." According to the forward model, significant predictors of the desire for death were items G-BPI5, "average pain in the last 24 hours"; G-BPI6, "current pain"; G-BPI9i, "interference of pain in general activity"; and G-BPI9ii, "interference of pain in mood," all of which were statistically significant (P = .000-.042). Pain appeared to have a statistically significant relationship with the desire for hastened death. Effective treatment by healthcare professionals should be provided to reduce pain and cancer-related symptoms as well as the desire for hastened death.
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PMID:Pain and desire for hastened death in terminally ill cancer patients. 1604 96

The Brief Pain Inventory short form (BPI-sf) is a validated, widely used, self-administered questionnaire developed to assess the severity of pain and the impact of pain on daily functions. A modified version was used daily in randomised control trials of patients with arthritis undergoing treatment with cyclooxygenase-2 specific inhibitors and non-steroidal anti-inflammatory drugs. Results indicate that the modified BPI-sf, much like the original scale, was internally reliable, consistent over time, and had good construct, as well as convergent and predictive validity in assessment of patients suffering from conditions of chronic pain. Each scale and individual pain intensity item refers to changes in osteoarthritis pain associated with medication use. The modified BPI-sf, like the parent scale, is a valid and reliable tool for situations in which pain is assessed daily and minimises the burden placed on patients to record information necessary for scientific investigations.
Eur J Pain 2006 May
PMID:Reliability and validity of a modified Brief Pain Inventory short form in patients with osteoarthritis. 1605 9

Although two of the most commonly used multidimensional pain scales are the McGill Pain Questionnaire-Short Form (MPQ-SF) and the Brief Pain Inventory-Short Form (BPI-SF), little psychometric analysis of these tools has been done among ethnic minority populations. This study evaluates and compares psychometric properties of these scales among 119 Asian American cancer patients. Cronbach's alphas of the MPQ-SF and BPI-SF are high (alpha = .85 to .97). Correlation coefficients of the item analyses are .12 to .88 for the MPQ-SF and .44 to .90 for the BPI-SF. Two factors are extracted for both instruments. Correlations between pain scores and the usage of pain medications are low for the MPQ-SF ( r = .23 to .33) and moderate for the BPI-SF (r = .40 to .42). Results indicate that among Asian Americans, both pain scales are internally consistent, some items in each are redundant, and the BPI-SF is more valid than the MPQ-SF.
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PMID:A comparison of two pain measures for Asian American cancer patients. 1760 53

Although two of the most commonly used multidimensional pain scales are the McGill Pain Questionnaire-Short Form (MPQ-SF) and the Brief Pain Inventory-Short Form (BPI-SF), there has been little psychometric analysis of these tools used among ethnic minority populations. The purpose of this study was to evaluate and compare psychometric properties of these two pain scales among 119 Asian American cancer patients. The Cronbach's alpha coefficients of the MPQ-SF and the BPI-SF were high (alpha = .85-.97). The correlation coefficients of the item analyses were .12 to .88 for the MPQ-SF and .44 to .90 for the BPI-SF. Two factors were extracted for both instruments. Correlations between pain scores and the usage of pain medications were low for the MPQ-SF (r = .23-.33) and moderate for the BPI-SF (r = .40-.42). The results of this study indicated that, among Asian Americans, both the pain scales were internally consistent; some items in each instrument were redundant; and the BPI-SF is more valid than the MPQ-SF.
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PMID:A comparison of two pain measures for Asian American cancer patients. 1763 Mar 88

To validate the Russian version of the Brief Pain Inventory (BPI-R) and to examine predictors of inadequate pain management, 221 Russian patients with advanced-stage hematological malignancies or solid tumors completed the BPI-R and a Russian-language Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36-R). Factor analysis of the BPI-R found two underlying constructs, pain severity and pain interference, with Cronbach alphas of 0.93 and 0.95, respectively. Concurrent validity was established by comparing BPI-R items with SF-36-R scales. The BPI-R detected significant differences in pain severity and interference levels by Eastern Cooperative Oncology Group (ECOG) performance status, supporting known-group validity. Determination of the Pain Management Index revealed that 68% of the patients were inadequately treated by World Health Organization standards. Having advanced-stage disease and not receiving chemotherapy predicted inadequate pain management in a multivariate logistic regression model. The Russian version of the BPI is psychometrically sound in its reliability and validity.
J Pain Symptom Manage 2008 Jan
PMID:Russian Brief Pain Inventory: validation and application in cancer pain. 1798 Sep 99

Despite the continued evolution of pain management techniques and an increased awareness of the importance of effective pain management, pain continues to be poorly managed. Following an earlier organization-wide pain collaborative, nursing leaders representing acute and palliative pain services together conducted a pain prevalence study. The purpose of this cross-sectional study was to evaluate the prevalence of pain and the level of interference that pain has on patient activities at a large teaching hospital. Two valid pain measurement tools, the short form of the Brief Pain Inventory (SF-BPI) and the short form of the McGill Pain Questionnaire (SF-MPQ), were chosen to be self-administered. The study revealed a pain prevalence of 71% in a mix of 114 medical and surgical adult inpatients. The SF-BPI results indicated that 31.5% of patients reported pain of moderate to severe intensity and that 11.4% of patients reported pain of severe intensity. The Nursing Advisory Council has committed to supporting an annual prevalence study as part of a corporate goal to monitor pain management across the institution. Forthcoming research will focus on including cognitively impaired patients and conducting thorough chart audits of all patients enrolled in the study. This project provided an opportunity for advanced practice nurses who share a common interest in pain, to collaborate in seeking improvements in pain management for hospitalized patients.
Pain Manag Nurs 2008 Sep
PMID:Pain prevalence study in a large Canadian teaching hospital. 1870 81

The purpose of this study is to develop the GPM-K and test the validity and reliability of it. GPM-K is a multidimensional pain assessment instrument for older adults. One hundred twenty-one community-dwelling old adults aged 65 and older who expressed chronic pain were included. They completed GPM-K. The Korean version of the Brief Pain Inventory (BPI-K), Korean Mini-Mental State Examination (K-MMSE), Geriatric Depression Scale Short Form Korean version (GDSSF-K), Pain Management Index (PMI), and Elderly Life Stress Index (ELSI) were used to further validate the GPM-K. A standardized Cronbach's alpha was 0.92, and average inter-item correlation was 0.32. Of those, who repeated the GPM-K within 2-4 weeks (n=32), Pearson's r correlation of test-retest reliability was statistically significant (r=0.640). Correlation coefficient was highly significant between the GPM-K and mean pain severity of the BPI-K (r=0.726, p<0.001), and between the GPM-K and mean pain interference of the BPI-K (r=0.698, p<0.001), as well. The GPM-K was correlated with the GDSSF-K (r=0.256), the ELSI (r=0.312) and the PMI (r=-0.509). The GPM-K is a valid and useful instrument to assess pain and its related factors for the Korean older adults.
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PMID:Development of a pain assessment tool for the older adults in Korea: the validity and reliability of a Korean version of the geriatric pain measure (GPM-K). 1878 37

A randomized control group design with 106 community-dwelling older adults was used to test how completing the Brief Pain Inventory Short Form (BPI-SF) affected the osteoarthritis pain information reported by older adults responding to an open-ended pain question. The treatment group responded to the BPI-SF and then to the open-ended pain question. The control group responded first to the open-ended pain question, and then to the BPI-SF. Audiotaped responses to the open-ended pain question were content analyzed using 16 a priori criteria of pain information based on the American Pain Society guidelines for the management of arthritis pain. Total pain information was summed and compared between the treatment and control group. The control group reported significantly greater functional pain interference on the BPI-SF; therefore, functional pain interference was used as a covariate. Comparison of the two groups on the amount of pain information in response to the open-ended question revealed no significant group difference. Responding to the BPI-SF did not assist older adults to describe additional pain information when responding to an open-ended pain question, but responding to an open-ended pain question did significantly increase the amount of functional pain interference reported on the BPI-SF. Practitioners and researchers should be aware of the potential difference in BPI-SF functional pain interference response depending on whether pain is discussed before or after administering the BPI-SF. Discussing pain before completing the BPI-SF might prompt older adults to think more about how pain interferes with their daily life.
Pain Manag Nurs 2008 Dec
PMID:Older adult pain communication and the Brief Pain Inventory Short Form. 1904 13


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