Comparison of numerical and verbal rating scales to measure pain exacerbations in patients with chronic cancer pain

Background Numerical rating scales (NRS), and verbal rating scales (VRS) showed to be reliable and valid tools for subjective cancer pain measurement, but no one of them consistently proved to be superior to the other. Aim of the present study is to compare NRS and VRS performance in assessing break...
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Autor*in:	Brunelli, Cinzia [verfasserIn] Zecca, Ernesto Martini, Cinzia Campa, Tiziana Fagnoni, Elena Bagnasco, Michela Lanata, Luigi Caraceni, Augusto

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2010

Schlagwörter:	Pain Intensity Numerical Rating Scale Advanced Cancer Patient Verbal Rating Scale Numerical Rating Scale Score

Anmerkung:	© Brunelli et al; licensee BioMed Central Ltd. 2010

Übergeordnetes Werk:	Enthalten in: Health and quality of life outcomes - London : BioMed Central, 2003, 8(2010), 1 vom: 22. Apr.
Übergeordnetes Werk:	volume:8 ; year:2010 ; number:1 ; day:22 ; month:04

Links:	Volltext

DOI / URN:	10.1186/1477-7525-8-42

Katalog-ID:	SPR028785479

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520			\|a Background Numerical rating scales (NRS), and verbal rating scales (VRS) showed to be reliable and valid tools for subjective cancer pain measurement, but no one of them consistently proved to be superior to the other. Aim of the present study is to compare NRS and VRS performance in assessing breakthrough or episodic pain (BP-EP) exacerbations. Methods In a cross sectional multicentre study carried out on a sample of 240 advanced cancer patients with pain, background pain and BP-EP intensity in the last 24 hours were measured using both a 6-point VRS and a 0-10 NRS. In order to evaluate the reproducibility of the two scales, a subsample of 60 patients was randomly selected and the questionnaire was administered for a second time three to four hours later. The proportion of "inconsistent" (background pain intensity higher than or equal to peak pain intensity) evaluations was calculated to compare the two scales capability in discriminating between background and peak pain intensity and Cohen's K was calculated to compare their reproducibility. Results NRS revealed higher discriminatory capability than VRS in distinguishing between background and peak pain intensity with a lower proportion of patients giving inconsistent evaluations (14% vs. 25%). NRS also showed higher reproducibility when measuring pain exacerbations (Cohen's K of 0.86 for NRS vs. 0.53 for VRS) while the reproducibility of the two scales in evaluating background pain was similar (Cohen's K of 0.80 vs. 0.77). Conclusions Our results suggest that, in the measurement of cancer pain exacerbations, patients use NRS more appropriately than VRS and as such NRS should be preferred to VRS in this patient's population.
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allfields	10.1186/1477-7525-8-42 doi (DE-627)SPR028785479 (SPR)1477-7525-8-42-e DE-627 ger DE-627 rakwb eng Brunelli, Cinzia verfasserin aut Comparison of numerical and verbal rating scales to measure pain exacerbations in patients with chronic cancer pain 2010 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Brunelli et al; licensee BioMed Central Ltd. 2010 Background Numerical rating scales (NRS), and verbal rating scales (VRS) showed to be reliable and valid tools for subjective cancer pain measurement, but no one of them consistently proved to be superior to the other. Aim of the present study is to compare NRS and VRS performance in assessing breakthrough or episodic pain (BP-EP) exacerbations. Methods In a cross sectional multicentre study carried out on a sample of 240 advanced cancer patients with pain, background pain and BP-EP intensity in the last 24 hours were measured using both a 6-point VRS and a 0-10 NRS. In order to evaluate the reproducibility of the two scales, a subsample of 60 patients was randomly selected and the questionnaire was administered for a second time three to four hours later. The proportion of "inconsistent" (background pain intensity higher than or equal to peak pain intensity) evaluations was calculated to compare the two scales capability in discriminating between background and peak pain intensity and Cohen's K was calculated to compare their reproducibility. Results NRS revealed higher discriminatory capability than VRS in distinguishing between background and peak pain intensity with a lower proportion of patients giving inconsistent evaluations (14% vs. 25%). NRS also showed higher reproducibility when measuring pain exacerbations (Cohen's K of 0.86 for NRS vs. 0.53 for VRS) while the reproducibility of the two scales in evaluating background pain was similar (Cohen's K of 0.80 vs. 0.77). Conclusions Our results suggest that, in the measurement of cancer pain exacerbations, patients use NRS more appropriately than VRS and as such NRS should be preferred to VRS in this patient's population. Pain Intensity (dpeaa)DE-He213 Numerical Rating Scale (dpeaa)DE-He213 Advanced Cancer Patient (dpeaa)DE-He213 Verbal Rating Scale (dpeaa)DE-He213 Numerical Rating Scale Score (dpeaa)DE-He213 Zecca, Ernesto aut Martini, Cinzia aut Campa, Tiziana aut Fagnoni, Elena aut Bagnasco, Michela aut Lanata, Luigi aut Caraceni, Augusto aut Enthalten in Health and quality of life outcomes London : BioMed Central, 2003 8(2010), 1 vom: 22. Apr. (DE-627)360059651 (DE-600)2098765-1 1477-7525 nnns volume:8 year:2010 number:1 day:22 month:04 https://dx.doi.org/10.1186/1477-7525-8-42 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_375 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 8 2010 1 22 04
spelling	10.1186/1477-7525-8-42 doi (DE-627)SPR028785479 (SPR)1477-7525-8-42-e DE-627 ger DE-627 rakwb eng Brunelli, Cinzia verfasserin aut Comparison of numerical and verbal rating scales to measure pain exacerbations in patients with chronic cancer pain 2010 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Brunelli et al; licensee BioMed Central Ltd. 2010 Background Numerical rating scales (NRS), and verbal rating scales (VRS) showed to be reliable and valid tools for subjective cancer pain measurement, but no one of them consistently proved to be superior to the other. Aim of the present study is to compare NRS and VRS performance in assessing breakthrough or episodic pain (BP-EP) exacerbations. Methods In a cross sectional multicentre study carried out on a sample of 240 advanced cancer patients with pain, background pain and BP-EP intensity in the last 24 hours were measured using both a 6-point VRS and a 0-10 NRS. In order to evaluate the reproducibility of the two scales, a subsample of 60 patients was randomly selected and the questionnaire was administered for a second time three to four hours later. The proportion of "inconsistent" (background pain intensity higher than or equal to peak pain intensity) evaluations was calculated to compare the two scales capability in discriminating between background and peak pain intensity and Cohen's K was calculated to compare their reproducibility. Results NRS revealed higher discriminatory capability than VRS in distinguishing between background and peak pain intensity with a lower proportion of patients giving inconsistent evaluations (14% vs. 25%). NRS also showed higher reproducibility when measuring pain exacerbations (Cohen's K of 0.86 for NRS vs. 0.53 for VRS) while the reproducibility of the two scales in evaluating background pain was similar (Cohen's K of 0.80 vs. 0.77). Conclusions Our results suggest that, in the measurement of cancer pain exacerbations, patients use NRS more appropriately than VRS and as such NRS should be preferred to VRS in this patient's population. Pain Intensity (dpeaa)DE-He213 Numerical Rating Scale (dpeaa)DE-He213 Advanced Cancer Patient (dpeaa)DE-He213 Verbal Rating Scale (dpeaa)DE-He213 Numerical Rating Scale Score (dpeaa)DE-He213 Zecca, Ernesto aut Martini, Cinzia aut Campa, Tiziana aut Fagnoni, Elena aut Bagnasco, Michela aut Lanata, Luigi aut Caraceni, Augusto aut Enthalten in Health and quality of life outcomes London : BioMed Central, 2003 8(2010), 1 vom: 22. Apr. (DE-627)360059651 (DE-600)2098765-1 1477-7525 nnns volume:8 year:2010 number:1 day:22 month:04 https://dx.doi.org/10.1186/1477-7525-8-42 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_375 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 8 2010 1 22 04
allfields_unstemmed	10.1186/1477-7525-8-42 doi (DE-627)SPR028785479 (SPR)1477-7525-8-42-e DE-627 ger DE-627 rakwb eng Brunelli, Cinzia verfasserin aut Comparison of numerical and verbal rating scales to measure pain exacerbations in patients with chronic cancer pain 2010 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Brunelli et al; licensee BioMed Central Ltd. 2010 Background Numerical rating scales (NRS), and verbal rating scales (VRS) showed to be reliable and valid tools for subjective cancer pain measurement, but no one of them consistently proved to be superior to the other. Aim of the present study is to compare NRS and VRS performance in assessing breakthrough or episodic pain (BP-EP) exacerbations. Methods In a cross sectional multicentre study carried out on a sample of 240 advanced cancer patients with pain, background pain and BP-EP intensity in the last 24 hours were measured using both a 6-point VRS and a 0-10 NRS. In order to evaluate the reproducibility of the two scales, a subsample of 60 patients was randomly selected and the questionnaire was administered for a second time three to four hours later. The proportion of "inconsistent" (background pain intensity higher than or equal to peak pain intensity) evaluations was calculated to compare the two scales capability in discriminating between background and peak pain intensity and Cohen's K was calculated to compare their reproducibility. Results NRS revealed higher discriminatory capability than VRS in distinguishing between background and peak pain intensity with a lower proportion of patients giving inconsistent evaluations (14% vs. 25%). NRS also showed higher reproducibility when measuring pain exacerbations (Cohen's K of 0.86 for NRS vs. 0.53 for VRS) while the reproducibility of the two scales in evaluating background pain was similar (Cohen's K of 0.80 vs. 0.77). Conclusions Our results suggest that, in the measurement of cancer pain exacerbations, patients use NRS more appropriately than VRS and as such NRS should be preferred to VRS in this patient's population. Pain Intensity (dpeaa)DE-He213 Numerical Rating Scale (dpeaa)DE-He213 Advanced Cancer Patient (dpeaa)DE-He213 Verbal Rating Scale (dpeaa)DE-He213 Numerical Rating Scale Score (dpeaa)DE-He213 Zecca, Ernesto aut Martini, Cinzia aut Campa, Tiziana aut Fagnoni, Elena aut Bagnasco, Michela aut Lanata, Luigi aut Caraceni, Augusto aut Enthalten in Health and quality of life outcomes London : BioMed Central, 2003 8(2010), 1 vom: 22. Apr. (DE-627)360059651 (DE-600)2098765-1 1477-7525 nnns volume:8 year:2010 number:1 day:22 month:04 https://dx.doi.org/10.1186/1477-7525-8-42 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_375 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 8 2010 1 22 04
allfieldsGer	10.1186/1477-7525-8-42 doi (DE-627)SPR028785479 (SPR)1477-7525-8-42-e DE-627 ger DE-627 rakwb eng Brunelli, Cinzia verfasserin aut Comparison of numerical and verbal rating scales to measure pain exacerbations in patients with chronic cancer pain 2010 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Brunelli et al; licensee BioMed Central Ltd. 2010 Background Numerical rating scales (NRS), and verbal rating scales (VRS) showed to be reliable and valid tools for subjective cancer pain measurement, but no one of them consistently proved to be superior to the other. Aim of the present study is to compare NRS and VRS performance in assessing breakthrough or episodic pain (BP-EP) exacerbations. Methods In a cross sectional multicentre study carried out on a sample of 240 advanced cancer patients with pain, background pain and BP-EP intensity in the last 24 hours were measured using both a 6-point VRS and a 0-10 NRS. In order to evaluate the reproducibility of the two scales, a subsample of 60 patients was randomly selected and the questionnaire was administered for a second time three to four hours later. The proportion of "inconsistent" (background pain intensity higher than or equal to peak pain intensity) evaluations was calculated to compare the two scales capability in discriminating between background and peak pain intensity and Cohen's K was calculated to compare their reproducibility. Results NRS revealed higher discriminatory capability than VRS in distinguishing between background and peak pain intensity with a lower proportion of patients giving inconsistent evaluations (14% vs. 25%). NRS also showed higher reproducibility when measuring pain exacerbations (Cohen's K of 0.86 for NRS vs. 0.53 for VRS) while the reproducibility of the two scales in evaluating background pain was similar (Cohen's K of 0.80 vs. 0.77). Conclusions Our results suggest that, in the measurement of cancer pain exacerbations, patients use NRS more appropriately than VRS and as such NRS should be preferred to VRS in this patient's population. Pain Intensity (dpeaa)DE-He213 Numerical Rating Scale (dpeaa)DE-He213 Advanced Cancer Patient (dpeaa)DE-He213 Verbal Rating Scale (dpeaa)DE-He213 Numerical Rating Scale Score (dpeaa)DE-He213 Zecca, Ernesto aut Martini, Cinzia aut Campa, Tiziana aut Fagnoni, Elena aut Bagnasco, Michela aut Lanata, Luigi aut Caraceni, Augusto aut Enthalten in Health and quality of life outcomes London : BioMed Central, 2003 8(2010), 1 vom: 22. Apr. (DE-627)360059651 (DE-600)2098765-1 1477-7525 nnns volume:8 year:2010 number:1 day:22 month:04 https://dx.doi.org/10.1186/1477-7525-8-42 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_375 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 8 2010 1 22 04
allfieldsSound	10.1186/1477-7525-8-42 doi (DE-627)SPR028785479 (SPR)1477-7525-8-42-e DE-627 ger DE-627 rakwb eng Brunelli, Cinzia verfasserin aut Comparison of numerical and verbal rating scales to measure pain exacerbations in patients with chronic cancer pain 2010 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Brunelli et al; licensee BioMed Central Ltd. 2010 Background Numerical rating scales (NRS), and verbal rating scales (VRS) showed to be reliable and valid tools for subjective cancer pain measurement, but no one of them consistently proved to be superior to the other. Aim of the present study is to compare NRS and VRS performance in assessing breakthrough or episodic pain (BP-EP) exacerbations. Methods In a cross sectional multicentre study carried out on a sample of 240 advanced cancer patients with pain, background pain and BP-EP intensity in the last 24 hours were measured using both a 6-point VRS and a 0-10 NRS. In order to evaluate the reproducibility of the two scales, a subsample of 60 patients was randomly selected and the questionnaire was administered for a second time three to four hours later. The proportion of "inconsistent" (background pain intensity higher than or equal to peak pain intensity) evaluations was calculated to compare the two scales capability in discriminating between background and peak pain intensity and Cohen's K was calculated to compare their reproducibility. Results NRS revealed higher discriminatory capability than VRS in distinguishing between background and peak pain intensity with a lower proportion of patients giving inconsistent evaluations (14% vs. 25%). NRS also showed higher reproducibility when measuring pain exacerbations (Cohen's K of 0.86 for NRS vs. 0.53 for VRS) while the reproducibility of the two scales in evaluating background pain was similar (Cohen's K of 0.80 vs. 0.77). Conclusions Our results suggest that, in the measurement of cancer pain exacerbations, patients use NRS more appropriately than VRS and as such NRS should be preferred to VRS in this patient's population. Pain Intensity (dpeaa)DE-He213 Numerical Rating Scale (dpeaa)DE-He213 Advanced Cancer Patient (dpeaa)DE-He213 Verbal Rating Scale (dpeaa)DE-He213 Numerical Rating Scale Score (dpeaa)DE-He213 Zecca, Ernesto aut Martini, Cinzia aut Campa, Tiziana aut Fagnoni, Elena aut Bagnasco, Michela aut Lanata, Luigi aut Caraceni, Augusto aut Enthalten in Health and quality of life outcomes London : BioMed Central, 2003 8(2010), 1 vom: 22. Apr. (DE-627)360059651 (DE-600)2098765-1 1477-7525 nnns volume:8 year:2010 number:1 day:22 month:04 https://dx.doi.org/10.1186/1477-7525-8-42 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_375 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 8 2010 1 22 04
language	English
source	Enthalten in Health and quality of life outcomes 8(2010), 1 vom: 22. Apr. volume:8 year:2010 number:1 day:22 month:04
sourceStr	Enthalten in Health and quality of life outcomes 8(2010), 1 vom: 22. Apr. volume:8 year:2010 number:1 day:22 month:04
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	Pain Intensity Numerical Rating Scale Advanced Cancer Patient Verbal Rating Scale Numerical Rating Scale Score
isfreeaccess_bool	true
container_title	Health and quality of life outcomes
authorswithroles_txt_mv	Brunelli, Cinzia @@aut@@ Zecca, Ernesto @@aut@@ Martini, Cinzia @@aut@@ Campa, Tiziana @@aut@@ Fagnoni, Elena @@aut@@ Bagnasco, Michela @@aut@@ Lanata, Luigi @@aut@@ Caraceni, Augusto @@aut@@
publishDateDaySort_date	2010-04-22T00:00:00Z
hierarchy_top_id	360059651
id	SPR028785479
language_de	englisch
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Aim of the present study is to compare NRS and VRS performance in assessing breakthrough or episodic pain (BP-EP) exacerbations. Methods In a cross sectional multicentre study carried out on a sample of 240 advanced cancer patients with pain, background pain and BP-EP intensity in the last 24 hours were measured using both a 6-point VRS and a 0-10 NRS. In order to evaluate the reproducibility of the two scales, a subsample of 60 patients was randomly selected and the questionnaire was administered for a second time three to four hours later. The proportion of "inconsistent" (background pain intensity higher than or equal to peak pain intensity) evaluations was calculated to compare the two scales capability in discriminating between background and peak pain intensity and Cohen's K was calculated to compare their reproducibility. Results NRS revealed higher discriminatory capability than VRS in distinguishing between background and peak pain intensity with a lower proportion of patients giving inconsistent evaluations (14% vs. 25%). NRS also showed higher reproducibility when measuring pain exacerbations (Cohen's K of 0.86 for NRS vs. 0.53 for VRS) while the reproducibility of the two scales in evaluating background pain was similar (Cohen's K of 0.80 vs. 0.77). 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author	Brunelli, Cinzia
spellingShingle	Brunelli, Cinzia misc Pain Intensity misc Numerical Rating Scale misc Advanced Cancer Patient misc Verbal Rating Scale misc Numerical Rating Scale Score Comparison of numerical and verbal rating scales to measure pain exacerbations in patients with chronic cancer pain
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topic_title	Comparison of numerical and verbal rating scales to measure pain exacerbations in patients with chronic cancer pain Pain Intensity (dpeaa)DE-He213 Numerical Rating Scale (dpeaa)DE-He213 Advanced Cancer Patient (dpeaa)DE-He213 Verbal Rating Scale (dpeaa)DE-He213 Numerical Rating Scale Score (dpeaa)DE-He213
topic	misc Pain Intensity misc Numerical Rating Scale misc Advanced Cancer Patient misc Verbal Rating Scale misc Numerical Rating Scale Score
topic_unstemmed	misc Pain Intensity misc Numerical Rating Scale misc Advanced Cancer Patient misc Verbal Rating Scale misc Numerical Rating Scale Score
topic_browse	misc Pain Intensity misc Numerical Rating Scale misc Advanced Cancer Patient misc Verbal Rating Scale misc Numerical Rating Scale Score
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title	Comparison of numerical and verbal rating scales to measure pain exacerbations in patients with chronic cancer pain
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title_full	Comparison of numerical and verbal rating scales to measure pain exacerbations in patients with chronic cancer pain
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author_browse	Brunelli, Cinzia Zecca, Ernesto Martini, Cinzia Campa, Tiziana Fagnoni, Elena Bagnasco, Michela Lanata, Luigi Caraceni, Augusto
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title_sort	comparison of numerical and verbal rating scales to measure pain exacerbations in patients with chronic cancer pain
title_auth	Comparison of numerical and verbal rating scales to measure pain exacerbations in patients with chronic cancer pain
abstract	Background Numerical rating scales (NRS), and verbal rating scales (VRS) showed to be reliable and valid tools for subjective cancer pain measurement, but no one of them consistently proved to be superior to the other. Aim of the present study is to compare NRS and VRS performance in assessing breakthrough or episodic pain (BP-EP) exacerbations. Methods In a cross sectional multicentre study carried out on a sample of 240 advanced cancer patients with pain, background pain and BP-EP intensity in the last 24 hours were measured using both a 6-point VRS and a 0-10 NRS. In order to evaluate the reproducibility of the two scales, a subsample of 60 patients was randomly selected and the questionnaire was administered for a second time three to four hours later. The proportion of "inconsistent" (background pain intensity higher than or equal to peak pain intensity) evaluations was calculated to compare the two scales capability in discriminating between background and peak pain intensity and Cohen's K was calculated to compare their reproducibility. Results NRS revealed higher discriminatory capability than VRS in distinguishing between background and peak pain intensity with a lower proportion of patients giving inconsistent evaluations (14% vs. 25%). NRS also showed higher reproducibility when measuring pain exacerbations (Cohen's K of 0.86 for NRS vs. 0.53 for VRS) while the reproducibility of the two scales in evaluating background pain was similar (Cohen's K of 0.80 vs. 0.77). Conclusions Our results suggest that, in the measurement of cancer pain exacerbations, patients use NRS more appropriately than VRS and as such NRS should be preferred to VRS in this patient's population. © Brunelli et al; licensee BioMed Central Ltd. 2010
abstractGer	Background Numerical rating scales (NRS), and verbal rating scales (VRS) showed to be reliable and valid tools for subjective cancer pain measurement, but no one of them consistently proved to be superior to the other. Aim of the present study is to compare NRS and VRS performance in assessing breakthrough or episodic pain (BP-EP) exacerbations. Methods In a cross sectional multicentre study carried out on a sample of 240 advanced cancer patients with pain, background pain and BP-EP intensity in the last 24 hours were measured using both a 6-point VRS and a 0-10 NRS. In order to evaluate the reproducibility of the two scales, a subsample of 60 patients was randomly selected and the questionnaire was administered for a second time three to four hours later. The proportion of "inconsistent" (background pain intensity higher than or equal to peak pain intensity) evaluations was calculated to compare the two scales capability in discriminating between background and peak pain intensity and Cohen's K was calculated to compare their reproducibility. Results NRS revealed higher discriminatory capability than VRS in distinguishing between background and peak pain intensity with a lower proportion of patients giving inconsistent evaluations (14% vs. 25%). NRS also showed higher reproducibility when measuring pain exacerbations (Cohen's K of 0.86 for NRS vs. 0.53 for VRS) while the reproducibility of the two scales in evaluating background pain was similar (Cohen's K of 0.80 vs. 0.77). Conclusions Our results suggest that, in the measurement of cancer pain exacerbations, patients use NRS more appropriately than VRS and as such NRS should be preferred to VRS in this patient's population. © Brunelli et al; licensee BioMed Central Ltd. 2010
abstract_unstemmed	Background Numerical rating scales (NRS), and verbal rating scales (VRS) showed to be reliable and valid tools for subjective cancer pain measurement, but no one of them consistently proved to be superior to the other. Aim of the present study is to compare NRS and VRS performance in assessing breakthrough or episodic pain (BP-EP) exacerbations. Methods In a cross sectional multicentre study carried out on a sample of 240 advanced cancer patients with pain, background pain and BP-EP intensity in the last 24 hours were measured using both a 6-point VRS and a 0-10 NRS. In order to evaluate the reproducibility of the two scales, a subsample of 60 patients was randomly selected and the questionnaire was administered for a second time three to four hours later. The proportion of "inconsistent" (background pain intensity higher than or equal to peak pain intensity) evaluations was calculated to compare the two scales capability in discriminating between background and peak pain intensity and Cohen's K was calculated to compare their reproducibility. Results NRS revealed higher discriminatory capability than VRS in distinguishing between background and peak pain intensity with a lower proportion of patients giving inconsistent evaluations (14% vs. 25%). NRS also showed higher reproducibility when measuring pain exacerbations (Cohen's K of 0.86 for NRS vs. 0.53 for VRS) while the reproducibility of the two scales in evaluating background pain was similar (Cohen's K of 0.80 vs. 0.77). Conclusions Our results suggest that, in the measurement of cancer pain exacerbations, patients use NRS more appropriately than VRS and as such NRS should be preferred to VRS in this patient's population. © Brunelli et al; licensee BioMed Central Ltd. 2010
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title_short	Comparison of numerical and verbal rating scales to measure pain exacerbations in patients with chronic cancer pain
url	https://dx.doi.org/10.1186/1477-7525-8-42
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author2	Zecca, Ernesto Martini, Cinzia Campa, Tiziana Fagnoni, Elena Bagnasco, Michela Lanata, Luigi Caraceni, Augusto
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up_date	2024-07-03T21:42:04.129Z
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Comparison of numerical and verbal rating scales to measure pain exacerbations in patients with chronic cancer pain

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