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|Issue 131||October 2017|
The report is a product of the VA/HSR&D Evidence Synthesis Program.
Rapid Evidence Review: Measures for Patients with Chronic Musculoskeletal Pain
Chronic musculoskeletal pain is a major source of disability and morbidity for Veterans in the U.S., affecting approximately 60% of Veterans with chronic health conditions in VA primary care. Management of chronic musculoskeletal pain remains challenging. Groups ranging from pain expert coalitions to the National Institutes of Health and the Institute of Medicine have recently called for more focused and strategic pain therapy research. As these organizations note, successful development and testing of interventions to improve chronic musculoskeletal pain depends on the use of valid, reliable, and responsive measures of pain and pain-related outcomes.
In 2016, HSR&D held a state-of-the-art (SOTA) conference on Non-pharmacological Approaches to Chronic Musculoskeletal Pain Management and convened a group of researchers to develop a short set of core outcome measures for prospective pain research. The SOTA group requested a rapid evidence review to describe and compare key psychometric qualities (including minimally important difference (MID), test-retest reliability, validity, and responsiveness) of commonly used pain measures, particularly those that might be suitable for clinical trials of non-pharmacological treatments of chronic musculoskeletal pain. These qualities would not be the only criteria for selecting core measures, but could serve as a basic requirement of measures considered candidates for wide implementation. The evidence review focused on English-language versions of 17 measures of pain intensity/severity and/or pain-related functional interference for persons with chronic musculoskeletal pain, identified by the review operational partners and the SOTA Planning Committee. Links to brief information on individual measures are provided, but are not definitive or complete sources.
Investigators with VA's Evidence-based Synthesis Program site located in Minneapolis, MN searched multiple data sources [MEDLINE, Google Scholar, the National Center for Biotechnology Information (NCBI), and PubMed] from 2000 through January 2017 for articles relevant to this evidence review. Of 1,635 abstracts identified as potentially relevant, 318 articles underwent full-text review, and 43 met inclusion criteria. Six of the 43 studies included Veteran populations. Eight studies provided MID estimates for 8 of the 17 measures.
Summary of Findings
Focusing on this review, a cyberseminar titled "Measures for Patients with Chronic Musculoskeletal Pain: A Rapid Evidence Review" will be held on December 5, 2017 from 11:00am to 12:00pm (EST). Register here.
Please feel free to forward this information to others!
ESP is currently soliciting review topics from the broader VA community. Nominations will be accepted electronically using the online Topic Submission Form. If your topic is selected for a synthesis, you will be contacted by an ESP Center to refine the questions and determine a timeline for the report.
This Management e-Brief is provided to inform you about recent HSR&D findings that may be of interest. The views expressed in this article are those of the authors and do not necessarily reflect the position or policy of the Department of Veterans Affairs. If you have any questions or comments about this Brief, please email CIDER. The Center for Information Dissemination and Education Resources (CIDER) is a VA HSR&D Resource Center charged with disseminating important HSR&D findings and information to policy makers, managers, clinicians, and researchers working to improve the health and care of Veterans.
This report is a product of VA/HSR&D's Quality Enhancement Research Initiative's (QUERI) Evidence-Based Synthesis Program (ESP), which was established to provide timely and accurate synthesis of targeted healthcare topics of particular importance to VA managers and policymakers – and to disseminate these reports throughout VA.
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