TY - JOUR
T1 - Focused Evidence Review
T2 - Psychometric Properties of Patient-Reported Outcome Measures for Chronic Musculoskeletal Pain
AU - Goldsmith, Elizabeth S.
AU - Taylor, Brent C
AU - Greer, Nancy
AU - Nelson, Maureen M
AU - MacDonald, Roderick
AU - Mckenzie, Lauren
AU - Rosebush, Christina E.
AU - Wilt, Timothy J
N1 - Funding Information:
Funders This work is based on a review supported by the Department of Veterans Affairs, Veterans Health Administration, Office of Research and Development, Quality Enhancement Research Initiative.
Publisher Copyright:
© 2018, Society of General Internal Medicine (outside the USA).
PY - 2018/5/1
Y1 - 2018/5/1
N2 - Background: Developing successful interventions for chronic musculoskeletal pain requires valid, responsive, and reliable outcome measures. The Minneapolis VA Evidence-based Synthesis Program completed a focused evidence review on key psychometric properties of 17 self-report measures of pain severity and pain-related functional impairment suitable for clinical research on chronic musculoskeletal pain. Methods: Pain experts of the VA Pain Measurement Outcomes Workgroup identified 17 pain measures to undergo systematic review. In addition to a MEDLINE search on these 17 measures (1/2000–1/2017), we hand-searched (without publication date limits) the reference lists of all included studies, prior systematic reviews, and—when available—Web sites dedicated to each measure (PROSPERO registration CRD42017056610). Our primary outcome was the measure’s minimal important difference (MID). Secondary outcomes included responsiveness, validity, and test-retest reliability. Outcomes were synthesized through evidence mapping and qualitative comparison. Results: Of 1635 abstracts identified, 331 articles underwent full-text review, and 43 met inclusion criteria. Five measures (Oswestry Disability Index (ODI), Roland-Morris Disability Questionnaire (RMDQ), SF-36 Bodily Pain Scale (SF-36 BPS), Numeric Rating Scale (NRS), and Visual Analog Scale (VAS)) had data reported on MID, responsiveness, validity, and test-retest reliability. Seven measures had data reported on three of the four psychometric outcomes. Eight measures had reported MIDs, though estimation methods differed substantially and often were not clinically anchored. Conclusions: In this focused evidence review, the most evidence on key psychometric properties in chronic musculoskeletal pain populations was found for the ODI, RMDQ, SF-36 BPS, NRS, and VAS. Key limitations in the field include substantial variation in methods of estimating psychometric properties, defining chronic musculoskeletal pain, and reporting patient demographics. Trial Registration: Registered in the PROSPERO database: CRD42017056610.
AB - Background: Developing successful interventions for chronic musculoskeletal pain requires valid, responsive, and reliable outcome measures. The Minneapolis VA Evidence-based Synthesis Program completed a focused evidence review on key psychometric properties of 17 self-report measures of pain severity and pain-related functional impairment suitable for clinical research on chronic musculoskeletal pain. Methods: Pain experts of the VA Pain Measurement Outcomes Workgroup identified 17 pain measures to undergo systematic review. In addition to a MEDLINE search on these 17 measures (1/2000–1/2017), we hand-searched (without publication date limits) the reference lists of all included studies, prior systematic reviews, and—when available—Web sites dedicated to each measure (PROSPERO registration CRD42017056610). Our primary outcome was the measure’s minimal important difference (MID). Secondary outcomes included responsiveness, validity, and test-retest reliability. Outcomes were synthesized through evidence mapping and qualitative comparison. Results: Of 1635 abstracts identified, 331 articles underwent full-text review, and 43 met inclusion criteria. Five measures (Oswestry Disability Index (ODI), Roland-Morris Disability Questionnaire (RMDQ), SF-36 Bodily Pain Scale (SF-36 BPS), Numeric Rating Scale (NRS), and Visual Analog Scale (VAS)) had data reported on MID, responsiveness, validity, and test-retest reliability. Seven measures had data reported on three of the four psychometric outcomes. Eight measures had reported MIDs, though estimation methods differed substantially and often were not clinically anchored. Conclusions: In this focused evidence review, the most evidence on key psychometric properties in chronic musculoskeletal pain populations was found for the ODI, RMDQ, SF-36 BPS, NRS, and VAS. Key limitations in the field include substantial variation in methods of estimating psychometric properties, defining chronic musculoskeletal pain, and reporting patient demographics. Trial Registration: Registered in the PROSPERO database: CRD42017056610.
KW - chronic pain
KW - measurement
KW - pain
KW - psychometrics
KW - systematic review
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U2 - 10.1007/s11606-018-4327-8
DO - 10.1007/s11606-018-4327-8
M3 - Review article
C2 - 29633142
AN - SCOPUS:85045085122
SN - 0884-8734
VL - 33
SP - 61
EP - 70
JO - Journal of general internal medicine
JF - Journal of general internal medicine
ER -