Kaiser, Ulrike and Kopkow, Christian and Deckert, Stefanie and Neustadt, Katrin and Jacobi, Lena and Cameron, Paul and De Angelis, Valerio and Apfelbacher, Christian and Arnold, Bernhard and Birch, Judy and Bjarnegard, Anna and Christiansen, Sandra and Williams, Amanda C. de C. and Gossrau, Gudrun and Heinks, Andrea and Hueppe, Michael and Kiers, Henri and Kleinert, Ursula and Martelletti, Paolo and McCracken, Lance and de Meij, Nelleke and Nagel, Bernd and Nijs, Jo and Norda, Heike and Singh, Jasvinder A. and Spengler, Ellen and Terwee, Caroline B. and Tugwell, Peter and Vlaeyen, Johan W. S. and Wandrey, Heike and Neugebauer, Edmund and Sabatowski, Rainer and Schmitt, Jochen (2018) Developing a core outcome domain set to assessing effectiveness of interdisciplinary multimodal pain therapy: the VAPAIN consensus statement on core outcome domains. PAIN, 159 (4). pp. 673-683. ISSN 0304-3959, 1872-6623
Full text not available from this repository. (Request a copy)Abstract
Interdisciplinarymultimodal pain therapy (IMPT) is a biopsychosocial treatment approach for patientswith chronic pain that comprises at least psychological and physiotherapeutic interventions. Core outcome sets (COSs) are currently developed in different medical fields to standardize and improve the selection of outcome domains, and measurement instruments in clinical trials, to make trial results meaningful, to pool trial results, and to allow indirect comparison between interventions. The objective of this study was to develop aCOSof patient-relevant outcome domains for chronic pain in IMPT clinical trials. An international, multiprofessional panel (patient representatives [n=5], physicians specialized in pain medicine [n = 5], physiotherapists [n = 5], clinical psychologists [n = 5], and methodological researchers [n = 5]) was recruited for a 3-stage consensus study, which consisted of a mixed-method approach comprising an exploratory systematic review, a preparing online survey to identify important outcome domains, a face-to-face consensus meeting to agree on COS domains, and a second online survey (Delphi) establishing agreement on definitions for the domains included. The panel agreed on the following 8 domains to be included into the COS for IMPT: pain intensity, pain frequency, physical activity, emotional wellbeing, satisfaction with social roles and activities, productivity (paid and unpaid, at home and at work, inclusive presentism and absenteeism), health-related quality of life, and patient's perception of treatment goal achievement. The complexity of chronic pain in a biopsychosocial context is reflected in the current recommendation and includes physical, mental, and social outcomes. In a subsequent step, measurement instruments will be identified via systematic reviews.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | CLINICAL-TRIALS; FRAMEWORKS; ROADMAP; PEOPLE; NEED; Chronic pain; Interdisciplinary multimodal pain therapy; Core outcome set; Consensus process; Outcome domains |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Institut für Epidemiologie und Präventivmedizin |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 10 Mar 2020 13:58 |
| Last Modified: | 10 Mar 2020 13:58 |
| URI: | https://pred.uni-regensburg.de/id/eprint/14770 |
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