Negative pain management index scores do not necessarily indicate inadequate pain management: a cross-sectional study
| Autor: | Motohiro Matoba, Naoki Sakakibara, Tetsusuke Yoshimoto, Itsuku Yamashita, Takahiro Higashi |
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| Rok vydání: | 2018 |
| Předmět: |
Male
Predictive validity medicine.medical_specialty Palliative care Cross-sectional study Quality indicator Pain medicine lcsh:Special situations and conditions Pain 03 medical and health sciences 0302 clinical medicine Japan Neoplasms Internal medicine medicine Humans Pain Management Prospective Studies 030212 general & internal medicine Cancer pain Aged Pain Measurement business.industry lcsh:RC952-1245 General Medicine Middle Aged Pain management Pain interference Cross-Sectional Studies 030220 oncology & carcinogenesis Cohort Pain management index (PMI) Female Observational study business Research Article |
| Zdroj: | BMC Palliative Care BMC Palliative Care, Vol 17, Iss 1, Pp 1-7 (2018) |
| ISSN: | 1472-684X |
| DOI: | 10.1186/s12904-018-0355-8 |
| Popis: | Background The Pain Management Index (PMI) is widely used in the assessment of pain management, and negative scores are traditionally considered to indicate inadequate pain management. However, it is not known whether negative PMI scores are always problematic. Methods In this prospective observational study, we examined the data of 1156 patients with cancer and pain who were hospitalized in a cancer care hospital in Japan from July 2012 to January 2015 and compared the proportion of patients with PI across various PMI scores in this cohort. We further evaluated the predictive validity of PMI scores for PI using different cutoffs. This study aimed to examine the association between PMI scores and the proportion of patients whose pain interferes with their daily lives (i.e., pain interference [PI]). Results We found that lower PMI scores were generally associated with a higher percentage of patients with PI. A smaller proportion of patients with PMI scores of − 1 (567/1550, 36.6%) reported PI compared with those with PMI scores of 0 (788/1505, 52.4%). The sensitivities of PMI scores < − 1 and |
| Databáze: | OpenAIRE |
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