Professionals underestimate patients’ pain : comprehensive review
| Autor: | R A Moore, Kate Seers, Sheena Derry, Tim Seers |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Blinding business.industry Health Personnel Pain Severity of Illness Index Clinical Practice Clinical trial 03 medical and health sciences 0302 clinical medicine Anesthesiology and Pain Medicine Neurology Pain assessment Pain severity Health care Physical therapy Medicine Severe pain Humans 030212 general & internal medicine Neurology (clinical) business 030217 neurology & neurosurgery Pain Measurement RC |
| ISSN: | 0304-3959 |
| Popis: | Pain assessment by patient is the rule in clinical trials, but may not be in clinical practice. We examined studies comparing patient and professional assessment of pain in clinical practice using published studies (1990-2016; ≥20 patients), in English, comparing pain assessment within 24 hours by patient and healthcare professional. A difference of at least 10% of the maximum score was considered significant. We judged quality on sampling method, blinding, and study size.\ud \ud Eighty studies (20,496 patients) provided data from a range of settings and locations; most (51%) used unbiased sampling, and most (68%) were blind or probably blind. Nine studies with ≥500 patients involved 58% of patients; 60 with 500 patients), 91% of mid-sized studies (200-400), and 78% of small studies (200 patients) consistently reported underestimation (10/11; 91%). The extent of underestimation tended to increase with pain severity. \ud \ud Professionals consistently tend to underestimate pain as compared to assessment by the patient. This tendency is more pronounced with more severe pain, and the extent of underestimation can be large. It is likely that this contributes to under-treatment of pain.\ud |
| Databáze: | OpenAIRE |
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