Measurement of Pain

Huskisson, E.C.

doi:10.1016/s0140-6736(74)90884-8

Cited by 3,776 publications

(2,013 citation statements)

References 18 publications

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“…Patients completed a set of standardized and validated questionnaires that included a VAS score for back pain intensity [7] and the Oswestry Disability Index (ODI) [18]. We used a 100-point VAS, where 1 = least pain and 100 = worst pain.…”

Section: Clinical Evaluationmentioning

confidence: 99%

Indirect Decompression of Lumbar Stenosis With Transpsoas Interbody Cages and Percutaneous Posterior Instrumentation

Castellvi

Nienke

Marulanda

et al. 2014

Clinical Orthopaedics &Amp; Related Research

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Background The minimally invasive lateral transpsoas retroperitoneal approach to address lumbar stenosis offers advantages to traditional approaches, including sparing of the AP annulus and longitudinal ligament and less risk to the peritoneal contents and retroperitoneal vascular structures. Few studies have presented longitudinal measures of radiographic indirect decompression and relief of pain and restoration of function using the lateral approach to spine fusion. Question/purposes We determined (1) whether radiographic measures suggestive of decompression were achieved after surgery and maintained 1 year after surgery, (2) whether the intervention resulted in sustained improvements in patient-reported outcomes scores 1 year after surgery, and (3) the frequency of pseudarthrosis on CT scans at 1 year after surgery in patients with moderate or severe lumbar stenosis treated with the approach. Methods Between 2008 and 2012, 158 patients were surgically treated to alleviate symptoms associated with degenerative lumbar stenosis, of whom 60 (38%) were treated with lateral lumbar interbody fusion. Of these 60 patients, 36 (60%) received CT scans preoperatively and at 1-year postoperatively and were available for radiographic analysis. Of the 60 treated patients, 16 (27%) were lost to followup before 12 months, leaving the records of 44 patients available for review of patient-reported improvements in pain and return to function. Radiographic increases in disc height, foraminal area, and canal area were measured by one observer on CT scans postoperatively and at 1 year and compared to preoperative values. Patient-reported scores, including VAS pain score and Oswestry Disability Index (ODI), were collected preoperatively and at 3 and 12 months postoperatively.

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Section: Clinical Evaluationmentioning

confidence: 99%

Indirect Decompression of Lumbar Stenosis With Transpsoas Interbody Cages and Percutaneous Posterior Instrumentation

Castellvi

Nienke

Marulanda

et al. 2014

Clinical Orthopaedics &Amp; Related Research

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“…The Oswestry Disability Index (ODI) version 2.0 [13,14] was used to measure functional disability where lower scores on the 0-100 scale reflect less low back pain disability. A 0-100 mm visual analogue scale (VAS) representing no pain to unbearable pain was used to record patients' selfrated average back pain and leg pain intensity during the previous 7 days [17,30]. The European Quality of Life Questionnaire (EQ-5D) [12] was used to measure HRQOL where a 0-100 scale from worst to best possible health state was calculated by using UK index tariffs [7].…”

Section: Evaluation Of Outcomementioning

confidence: 99%

Leg pain and psychological variables predict outcome 2–3 years after lumbar fusion surgery

2011

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Prediction studies testing a thorough range of psychological variables in addition to demographic, workrelated and clinical variables are lacking in lumbar fusion surgery research. This prospective cohort study aimed at examining predictions of functional disability, back pain and health-related quality of life (HRQOL) 2-3 years after lumbar fusion by regressing nonlinear relations in a multivariate predictive model of pre-surgical variables. Before and 2-3 years after lumbar fusion surgery, patients completed measures investigating demographics, work-related variables, clinical variables, functional self-efficacy, outcome expectancy, fear of movement/(re)injury, mental health and pain coping. Categorical regression with optimal scaling transformation, elastic net regularization and bootstrapping were used to investigate predictor variables and address predictive model validity. The most parsimonious and stable subset of pre-surgical predictor variables explained 41.6, 36.0 and 25.6% of the variance in functional disability, back pain intensity and HRQOL 2-3 years after lumbar fusion. Pre-surgical control over pain significantly predicted functional disability and HRQOL. Pre-surgical catastrophizing and leg pain intensity significantly predicted functional disability and back pain while the pre-surgical straight leg raise significantly predicted back pain. Postoperative psychomotor therapy also significantly predicted functional disability while pre-surgical outcome expectations significantly predicted HRQOL. For the median dichotomised classification of functional disability, back pain intensity and HRQOL levels 2-3 years post-surgery, the discriminative ability of the prediction models was of good quality. The results demonstrate the importance of pre-surgical psychological factors, leg pain intensity, straight leg raise and postoperative psychomotor therapy in the predictions of functional disability, back pain and HRQOL-related outcomes.

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“…Postoperative antibiotic therapy was adjusted according to the results of the antibiogram. Postoperative pain was evaluated as follows: (1) parenteral diclofenac requirements were recorded after the patient was instructed to ask for pain relief liberally; (2) a visual analog scale [8] from 0 (no pain) to 10 (worst pain imaginable) was completed by each patient 24 h after surgery and at least 2 h after any eventual diclofenac assumption regarding either abdominal or shoulder pain. An abdominal ultrasonography was routinely performed on the first postoperative day with the goal to detect any fluid collection.…”

Section: Postoperative Monitoringmentioning

confidence: 99%

Drain After Laparoscopic Cholecystectomy for Acute Calculous Cholecystitis. A Pilot Randomized Study

Lucarelli

Picchio²,

Martellucci

et al. 2012

Indian J Surg

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Drainage after laparoscopic cholecystectomy (LC) for acute calculous cholecystitis (ACC) is used without evidence of its efficacy. The present pilot study was designed to address this issue. After laparoscopic gallbladder removal, 15 patients were randomized to have a drain positioned in the subhepatic space (group A) and 15 patients to have a sham drain (group B). The primary outcome measure was the presence of subhepatic fluid collection at abdominal ultrasonography, performed 24 h after surgery. Secondary outcome measures included postoperative abdominal and shoulder tip pain, use of analgesics, and morbidity. Abdominal ultrasonography did not show any subhepatic fluid collection in eight patients (53.3 %) in group A and in five patients (33.3 %) in group B (P00.462). If present, median (range) subhepatic collection was 50 mL (20-100 mL) in group A and 80 mL (30-120 mL) in group B (P00.573). No significant differences in the severity of abdominal and shoulder pain and use of parenteral ketorolac were found in either group. Two biliary leaks and one subhepatic fluid collection occurred postoperatively. The present study was unable to prove that the drain was useful in LC for ACC, performed in a selected group of patients.

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Measurement of Pain

Cited by 3,776 publications

References 18 publications

Indirect Decompression of Lumbar Stenosis With Transpsoas Interbody Cages and Percutaneous Posterior Instrumentation

Indirect Decompression of Lumbar Stenosis With Transpsoas Interbody Cages and Percutaneous Posterior Instrumentation

Leg pain and psychological variables predict outcome 2–3 years after lumbar fusion surgery

Drain After Laparoscopic Cholecystectomy for Acute Calculous Cholecystitis. A Pilot Randomized Study

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