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Pogatzki-Zahn, EM; De, Lucia, S; Weinmann, C; Heitkamp, H; Hummelshoj, L; Liedgens, H; Meissner, W; Vincent, K; Vollert, J; Zahn, P; Kaiser, U; Rosenberger, DC, , IMI-PainCare, PROMPT, Consensus, Panel.
A core outcome set of measurement instruments for assessing effectiveness and efficacy of perioperative pain management: results of the international IMI-PainCare PROMPT Delphi consensus process.
Br J Anaesth. 2025; 134(5): 1460-1473. Doi: 10.1016/j.bja.2025.01.029 [OPEN ACCESS]
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Avian Alexander

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Abstract:

BACKGROUND: Effective perioperative pain management is crucial to prevent patient suffering, delayed recovery, chronic postsurgical pain, and long-term opioid use. However, the heterogeneous use of outcomes in studies complicates evidence synthesis and might not accurately reflect the experiences of individual patients. We initiated a consensus process to establish a core outcome set (COS) of patient-reported outcome measures (PROMs) in postoperative pain, building upon the earlier consensus on a COS of domains. METHODS: Potential PROMs were identified via systematic literature searches for the domains pain intensity (with subdomains at rest and during activity), physical function, self-efficacy, and adverse events, followed by appraisal of psychometric properties according to the COnsensus-based Standards for the selection of health Measurement INstruments methodology. Then, a consensus meeting was convened, followed by a Delphi process with an international, multiprofessional panel of stakeholders, including those with lived experience. A conclusive consensus meeting approved the final COS of PROMs. RESULTS: The final COS consists of one unidimensional numerical rating scale for assessing pain intensity on average, worst pain intensity, pain intensity at rest, and procedure-specific pain intensity during activity; one unidimensional scale for pain interfering with activities in bed; one procedure-specific scale for assessing physical function; the IMI-PainCare PROMPT adaptation of the Arthritis Self-Efficacy Scale for assessing self-efficacy; and the IMI-PainCare PROMPT adaptation of the Opioid-Related Symptom Distress Scale for assessing adverse events. CONCLUSIONS: Comprehensive use of a core outcome set will help harmonise outcome assessment, facilitate comparisons between studies, promote patient-centred research, and improve postoperative pain care.

Find related publications in this database (using NLM MeSH Indexing)

Humans - administration & dosage

Delphi Technique - administration & dosage

Pain Management - methods

Pain, Postoperative - therapy, diagnosis

Pain Measurement - methods

Consensus - administration & dosage

Patient Reported Outcome Measures - administration & dosage

Psychometrics - administration & dosage

Perioperative Care - methods

Find related publications in this database (Keywords)

consensus process

core outcome set

Delphi approach

patient-reported outcome measure

postoperative pain

psychometric properties

questionnaire

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