The Visual Analogue Scale for Pain: A Comparison of Scores Reported to Residents Versus an Attending Foot and Ankle Surgeon
| Autor: | Patrick C. Hardigan, Steven M. Spinner, Calvin J. Rushing |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Visual analogue scale Prom Cohort Studies Patient referral Outcome Assessment Health Care Outpatients medicine Humans Orthopedics and Sports Medicine Podiatry Pain Measurement Retrospective Studies Foot business.industry Internship and Residency Retrospective cohort study Orthopedic Surgeons Evidence-based medicine medicine.anatomical_structure Physical therapy Surgery Level iii Ankle business Foot (unit) |
| Zdroj: | Foot & Ankle Specialist. 13:207-210 |
| ISSN: | 1938-7636 1938-6400 |
| DOI: | 10.1177/1938640019846971 |
| Popis: | Background. Recent studies have raised concerns regarding the usefulness of the visual analogue scale (VAS) as an effective outpatient patient-reported outcome measure (PROM), with disparate scores reported during the same encounter to a nurse versus physician. The purpose of present study was to assess the VAS reported by new patient referrals to 2 different physicians of varying training levels (resident, attending), during the same initial outpatient encounter. Methods. One hundred and one patients treated by a single foot and ankle surgeon were included in the retrospective cohort. Each patient was asked to rate their pain intensity by a resident, and then by the attending surgeon using a standard horizontal VAS 0 to 10, from “no pain” to the “worst pain.” Differences in reported scores were analyzed. Results. Overall, the mean VAS reported to the residents (4.97 ± 2.75) and the attending surgeon (5.02 ± 2.71) were not significantly different ( P = .61). On the 11-point scale, the mean difference accounted for only 0.05 points. Conclusion. Taken into consideration with previous studies, the data suggest collection personnel may influence the reported VAS, possibly owing to patients’ preferences and perception of their care. Although the exact reasons remain unclear, our findings lend credence to the previous concerns expressed regarding the subjective nature of the VAS. Levels of Evidence: Level III: Comparative study |
| Databáze: | OpenAIRE |
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