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Establishing Clinical Cut-points on the Pediatric PROMIS-Pain Interference Scale in Youth With Abdominal Pain.
Gamwell, Kaitlyn L; Mara, Constance A; Hommel, Kevin A; Kashikar-Zuck, Susmita; Cunningham, Natoshia R.
Afiliación
  • Gamwell KL; Department of Pediatrics, University of South Carolina School of Medicine Greenville.
  • Mara CA; Department of Pediatric Pain Medicine, Prisma Health Children's Hospital, Greenville, SC.
  • Hommel KA; Department of Pediatrics,College of Medicine, University of Cincinnati.
  • Kashikar-Zuck S; Division of Behavioral Medicine and Clinical Psychology, Department of Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, OH.
  • Cunningham NR; Department of Pediatrics,College of Medicine, University of Cincinnati.
Clin J Pain ; 38(3): 173-181, 2021 12 17.
Article en En | MEDLINE | ID: mdl-34928870
OBJECTIVE: Abdominal pain is a common presenting complaint in youth seeking medical care and can be debilitating. Therefore, it is important to understand the impact of pain on functioning using a clinically sensitive approach. The National Institutes of Health has established a common core of psychometrically precise measures through the Patient-Reported Outcomes Measurement Information System (PROMIS) initiative. The Pediatric PROMIS-Pain Interference (PPPI) scale was developed to measure pain-related interference, drawing from existing legacy measures. However, its clinical validity has not been thoroughly established in clinical populations. The current study sought to develop clinical cut-points and investigate the validity of the PPPI in a large sample (N=5281) of youth presenting to gastroenterological care with abdominal pain symptoms. MATERIALS AND METHODS: Convergent validity of the PPPI was investigated. Quartile and tertile groupings of the PPPI were calculated and compared with cut-points derived from healthy populations and mixed convenience samples on clinical outcomes via multivariate analyses of variance. RESULTS: There was good evidence of convergent validity. The tertile solution was superior in classifying different levels of pain-related outcomes as compared with other cut-points. The tertile solution suggested the following PPPI groupings: minimal (≤51), moderate (52 to 59), and severe (≥60). DISCUSSION: Results suggest the PPPI is a valid measure with clinically meaningful cut-points to assess pain-related interference in youth with abdominal pain.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Estado de Salud / Medición de Resultados Informados por el Paciente Tipo de estudio: Diagnostic_studies Aspecto: Determinantes_sociais_saude / Patient_preference Límite: Adolescent / Child / Humans Idioma: En Revista: Clin J Pain Asunto de la revista: NEUROLOGIA / PSICOFISIOLOGIA Año: 2021 Tipo del documento: Article Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Estado de Salud / Medición de Resultados Informados por el Paciente Tipo de estudio: Diagnostic_studies Aspecto: Determinantes_sociais_saude / Patient_preference Límite: Adolescent / Child / Humans Idioma: En Revista: Clin J Pain Asunto de la revista: NEUROLOGIA / PSICOFISIOLOGIA Año: 2021 Tipo del documento: Article Pais de publicación: Estados Unidos