Assessing individual outcomes during outpatient multidisciplinary chronic pain treatment by means of an augmented SF-36

Citation
Wh. Rogers et al., Assessing individual outcomes during outpatient multidisciplinary chronic pain treatment by means of an augmented SF-36, PAIN MED, 1(1), 2000, pp. 44-54
Citations number
49
Categorie Soggetti
General & Internal Medicine
Journal title
PAIN MEDICINE
ISSN journal
15262375 → ACNP
Volume
1
Issue
1
Year of publication
2000
Pages
44 - 54
Database
ISI
SICI code
1526-2375(200003)1:1<44:AIODOM>2.0.ZU;2-#
Abstract
Objective. To meet the growing demand for objective outcomes measurement du ring treatment of chronic pain, we developed an instrument to track outcome s of individual patients. Method. In a 2-phase study, existing and novel outcomes instruments were ap plied in an interdisciplinary pain management program. In the initial phase , 408 patients were administered the Short Form 36-item questionnaire and d uring phase 2, 437 patients (87 of whom were followed) were given an expand ed(191-item) questionnaire. Results. When applied to individual patients, the Short Form 26-item questi onnaire lacked measurement reliability for assessment of treatment outcomes and sensitivity to upper extremity or facial pathology, and failed to sepa rate limitations of work versus everyday activity. A novel group of scales derived from responses to 61 questions, including the Short Form 36-item qu estionnaire, proved sufficiently reliable for routine follow-up of individu al chronic pain patients. Conclusions. This new Treatment Outcomes in Pain Survey allows assessment o f individual patient outcomes, and aggregate or individual clinician perfor mance, during interdisciplinary treatment of chronic pain.