Pain measurement tools and methods in clinical research in palliative care: Recommendations of an Expert Working Group of the European Association of Palliative Care

Augusto Caraceni, Nathan Cherny, Robin Fainsinger, Stein Kaasa, Philippe Poulain, Lukas Radbruch, Franco De Conno

Research output: Contribution to journalArticle

Abstract

An Expert Working Group was convened under the auspices of the Steering Committee of the Research Network of the European Association of Palliative Care to review the status of the use of pain measurement tools (PMTs) in palliative care research conducted in a multilingual-multicenter setting. Based on a literature review and on the experts' opinion, the present work recommends that standardized methods should be applied for the use of PMTs in research in palliative care. Visual analogue scales, numerical rating scales, and verbal rating scales are considered valid to assess pain intensity in clinical trials and in other types of studies. Among the multidimensional questionnaires designed to assess pain, the McGill Pain Questionnaire and Brief Pain Inventory are valid in many multilingual versions. Specific recommendations for PMT use and administration, depending on the study type and aim, are reviewed. Special population requirements specific of clinical situations encountered in palliative care (elderly, terminal, cognitively impaired patients, pediatric patients) are also considered.

Original languageEnglish
Pages (from-to)239-255
Number of pages17
JournalJournal of Pain and Symptom Management
Volume23
Issue number3
DOIs
Publication statusPublished - 2002

Keywords

  • Clinical trials
  • Pain
  • Pain measurement
  • Palliative care

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine
  • Clinical Neurology
  • Neurology
  • Nursing(all)

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