Developing a core outcome domain set to assessing effectiveness of interdisciplinary multimodal pain therapy - the VAPAIN consensus statement on core outcome domains
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Developing a core outcome domain set to assessing effectiveness of interdisciplinary multimodal pain therapy - the VAPAIN consensus statement on core outcome domains. / Kaiser, Ulrike; Kopkow, Christian; Deckert, Stefanie; Neustadt, Katrin; Jacobi, Lena; Cameron, Paul; De Angelis, Valerio; Apfelbacher, Christian; Arnold, Bernhard; Birch, Judy; Bjarnegård, Anna; Christiansen, Sandra; C de C Williams, Amanda; Gossrau, Gudrun; Heinks, Andrea; Hüppe, Michael; Kiers, Henri; Kleinert, Ursula; Martelletti, Paolo; McCracken, Lance; de Meij, Nelleke; Nagel, Bernd; Nijs, Jo; Norda, Heike; Singh, Jasvinder A; Spengler, Ellen; Terwee, Caroline B; Tugwell, Peter; Vlaeyen, Johan W S; Wandrey, Heike; Neugebauer, Edmund; Sabatowski, Rainer; Schmitt, Jochen.
In: PAIN, Vol. 159, No. 4, 04.2018, p. 673-683.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Developing a core outcome domain set to assessing effectiveness of interdisciplinary multimodal pain therapy - the VAPAIN consensus statement on core outcome domains
AU - Kaiser, Ulrike
AU - Kopkow, Christian
AU - Deckert, Stefanie
AU - Neustadt, Katrin
AU - Jacobi, Lena
AU - Cameron, Paul
AU - De Angelis, Valerio
AU - Apfelbacher, Christian
AU - Arnold, Bernhard
AU - Birch, Judy
AU - Bjarnegård, Anna
AU - Christiansen, Sandra
AU - C de C Williams, Amanda
AU - Gossrau, Gudrun
AU - Heinks, Andrea
AU - Hüppe, Michael
AU - Kiers, Henri
AU - Kleinert, Ursula
AU - Martelletti, Paolo
AU - McCracken, Lance
AU - de Meij, Nelleke
AU - Nagel, Bernd
AU - Nijs, Jo
AU - Norda, Heike
AU - Singh, Jasvinder A
AU - Spengler, Ellen
AU - Terwee, Caroline B
AU - Tugwell, Peter
AU - Vlaeyen, Johan W S
AU - Wandrey, Heike
AU - Neugebauer, Edmund
AU - Sabatowski, Rainer
AU - Schmitt, Jochen
PY - 2018/4
Y1 - 2018/4
N2 - Interdisciplinary multimodal pain therapy (IMPT) is a biopsychosocial treatment approach for patients with 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 a COS of 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.
AB - Interdisciplinary multimodal pain therapy (IMPT) is a biopsychosocial treatment approach for patients with 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 a COS of 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.
KW - Journal Article
U2 - 10.1097/j.pain.0000000000001129
DO - 10.1097/j.pain.0000000000001129
M3 - SCORING: Journal article
C2 - 29300277
VL - 159
SP - 673
EP - 683
JO - PAIN
JF - PAIN
SN - 0304-3959
IS - 4
ER -
