Developing a core outcome domain set to assessing effectiveness of interdisciplinary multimodal pain therapy: the VAPAIN consensus statement on core outcome domains

被引：80

作者：

Kaiser, Ulrike ^{[1
]}

Kopkow, Christian ^{[2
]}

Deckert, Stefanie ^{[3
]}

Neustadt, Katrin ^{[1
]}

Jacobi, Lena ^{[3
]}

Cameron, Paul ^{[4
]}

De Angelis, Valerio

Apfelbacher, Christian ^{[5
]}

Arnold, Bernhard ^{[6
]}

Birch, Judy ^{[7
]}

Bjarnegard, Anna ^{[8
]}

Christiansen, Sandra ^{[9
]}

Williams, Amanda C. de C. ^{[10
]}

Gossrau, Gudrun ^{[1
]}

Heinks, Andrea ^{[11
]}

Hueppe, Michael ^{[12
]}

Kiers, Henri ^{[13
]}

Kleinert, Ursula ^{[14
]}

Martelletti, Paolo ^{[15
]}

McCracken, Lance ^{[16
]}

de Meij, Nelleke ^{[17
]}

Nagel, Bernd ^{[18
]}

Nijs, Jo ^{[19
]}

Norda, Heike ^{[20
]}

Singh, Jasvinder A. ^{[21
]}

Spengler, Ellen

Terwee, Caroline B. ^{[22
]}

Tugwell, Peter ^{[23
]}

Vlaeyen, Johan W. S. ^{[24
]}

Wandrey, Heike

Neugebauer, Edmund ^{[25
]}

Sabatowski, Rainer ^{[1
]}

Schmitt, Jochen ^{[3
]}

机构：

[1] Tech Univ Dresden, Univ Hosp Carl Gustav Carus, Comprehens Pain Ctr, Fetscherstr 74, D-01307 Dresden, Germany

[2] Univ Appl Sci, Dept Appl Hlth Sci, Bochum, Germany

[3] Tech Univ Dresden, Hosp & Med Fac Carl Gustav Carus, Ctr Evidence Based Healthcare, Dresden, Germany

[4] Queen Margaret Hosp, Dunfermline, Fife, Scotland

[5] Univ Regensburg, Inst Epidemiol & Prevent Med, Med Sociol, Regensburg, Germany

[6] Amper Kliniken Dachau, Dept Pain Therapy, Dachau, Germany

[7] Pelv Pain Support Network, Poole, Dorset, England

[8] Swedish Assoc Physiotherapists, Stockholm, Sweden

[9] Univ Med Hosp Hamburg Eppendorf UKE, Ctr Anesthesiol & Intens Care Med, Dept Anesthesiol Pain Med & Pain Psychol, Hamburg, Germany

[10] UCL, Res Dept Clin Educ & Hlth Psychol, London, England

[11] German Federat Physiotherapy, Cologne, Germany

[12] Lubeck Univ, Med Sch, Dept Anesthesiol, Lubeck, Germany

[13] Univ Appl Sci Utrecht, Fac Hlth Care, Res Grp Lifestyle & Hlth, Utrecht, Netherlands

[14] German Pain League, Frankfurt, Germany

[15] Sapienza Univ Rome, Reg Referral Headache Ctr, St Andrea Hosp, Dept Clin & Mol Med, Rome, Italy

[16] Kings Coll London, Hlth Psychol Sect, Dept Psychol, London, England

[17] Maastricht UMC, Univ Pain Ctr Maastricht, Res & Qual Assessment, Anesthesiol & Pain Med, Maastricht, Netherlands

[18] DRK Pain Ctr Mainz, Day Care Unit, Mainz, Germany

[19] Vrije Univ Brussel, Fac Phys Educ & Physiotherapy, Dept Physiotherapy Human Physiol & Anat, Brussels, Belgium

[20] Patient Federat SchmerzLOS eV, Lubeck, Germany

[21] Univ Alabama Birmingham, Sch Publ Hlth, Div Epidemiol, Birmingham, AL 35294 USA

[22] Vrije Univ Amsterdam, Med Ctr, Amsterdam Publ Hlth Res Inst, Dept Epidemiol & Biostat, Amsterdam, Netherlands

[23] Fac Med, Dept Epidemiol & Community Med, Ottawa, ON, Canada

[24] Univ Leuven, Res Grp Hlth Psychol, Leuven, Belgium

[25] Neuruppin & Witten Herdecke Univ, Brandenburg Med Sch, Neuruppin, Germany

来源：

PAIN | 2018年 / 159卷 / 04期

关键词：

Chronic pain; Interdisciplinary multimodal pain therapy; Core outcome set; Consensus process; Outcome domains; CLINICAL-TRIALS; FRAMEWORKS; ROADMAP; PEOPLE; NEED;

D O I：

10.1097/j.pain.0000000000001129

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

Interdisciplinarymultimodal pain therapy (IMPT) is a biopsychosocial treatment approach for patientswith chronic pain that comprises at least psychological and physiotherapeutic interventions. Core outcome sets (COSs) are currently developed in different medical fields to standardize and improve the selection of outcome domains, and measurement instruments in clinical trials, to make trial results meaningful, to pool trial results, and to allow indirect comparison between interventions. The objective of this study was to develop aCOSof patient-relevant outcome domains for chronic pain in IMPT clinical trials. An international, multiprofessional panel (patient representatives [n=5], physicians specialized in pain medicine [n = 5], physiotherapists [n = 5], clinical psychologists [n = 5], and methodological researchers [n = 5]) was recruited for a 3-stage consensus study, which consisted of a mixed-method approach comprising an exploratory systematic review, a preparing online survey to identify important outcome domains, a face-to-face consensus meeting to agree on COS domains, and a second online survey (Delphi) establishing agreement on definitions for the domains included. The panel agreed on the following 8 domains to be included into the COS for IMPT: pain intensity, pain frequency, physical activity, emotional wellbeing, satisfaction with social roles and activities, productivity (paid and unpaid, at home and at work, inclusive presentism and absenteeism), health-related quality of life, and patient's perception of treatment goal achievement. The complexity of chronic pain in a biopsychosocial context is reflected in the current recommendation and includes physical, mental, and social outcomes. In a subsequent step, measurement instruments will be identified via systematic reviews.

引用

页码：673 / 683

页数：11

共 38 条

[11] The lived experience of cardiac disease [J].

Margolis, Stephen A. .

AUSTRALIAN JOURNAL OF GENERAL PRACTICE, 2022, 51 (09) :645-645

[12]

Feinberg SD., 2015, Treatment of Chronic Pain by Integrative Approaches, P169, DOI [10.1007/978-1-4939-1821-813, DOI 10.1007/978-1-4939-1821-813]

[13] SOME IMPLICATIONS OF LEARNING IN PROBLEMS OF CHRONIC PAIN [J].

FORDYCE, W ;

FOWLER, RS ;

LEHMANN, JF ;

DELATEUR, BJ .

JOURNAL OF CHRONIC DISEASES, 1968, 21 (03) :179-&

[14] Interdisciplinary Chronic Pain Management Past, Present, and Future [J].

Gatchel, Robert J. ;

McGeary, Donald D. ;

McGeary, Cindy A. ;

Lippe, Ben .

AMERICAN PSYCHOLOGIST, 2014, 69 (02) :119-130

[15] Can We Decide Which Outcomes Should Be Measured in Every Clinical Trial? A Scoping Review of the Existing Conceptual Frameworks and Processes to Develop Core Outcome Sets [J].

Idzerda, Leanne ;

Rader, Tamara ;

Tugwell, Peter ;

Boers, Maarten .

JOURNAL OF RHEUMATOLOGY, 2014, 41 (05) :986-993

[16] CONSENSUS METHODS FOR MEDICAL AND HEALTH-SERVICES RESEARCH [J].

JONES, J ;

HUNTER, D .

BRITISH MEDICAL JOURNAL, 1995, 311 (7001) :376-380

[17] Multimodal pain therapy in chronic noncancer pain-gold standard or need for further clarification? [J].

Kaiser, Ulrike ;

Treede, Rolf-Detlef ;

Sabatowski, Rainer .

PAIN, 2017, 158 (10) :1853-1859

[18] Core Outcome Sets and Multidimensional Assessment Tools for Harmonizing Outcome Measure in Chronic Pain and Back Pain [J].

Kaiser, Ulrike ;

Neustadt, Katrin ;

Kopkow, Christian ;

Schmitt, Jochen ;

Sabatowski, Rainer .

HEALTHCARE, 2016, 4 (03)

[19] Validation and application of a core set of patient-relevant outcome domains to assess the effectiveness of multimodal pain therapy (VAPAIN): a study protocol [J].

Kaiser, Ulrike ;

Kopkow, Christian ;

Deckert, Stefanie ;

Sabatowski, Rainer ;

Schmitt, Jochen .

BMJ OPEN, 2015, 5 (11)

[20] Multidisciplinary biopsychosocial rehabilitation for chronic low back pain [J].

Kamper, Steven J. ;

Apeldoorn, Andreas T. ;

Chiarotto, Alessandro ;

Smeets, Rob J. E. M. ;

Ostelo, Raymond W. J. G. ;

Guzman, Jaime ;

van Tulder, Maurits W. .

COCHRANE DATABASE OF SYSTEMATIC REVIEWS, 2014, (09)

← 1 2 3 4 →