Developing a core outcome domain set to assessing effectiveness of interdisciplinary multimodal pain therapy: The VAPAIN consensus statement on core outcome domains

Research output: Contribution to journalResearch articleContributedpeer-review

Contributors

  • Ulrike Kaiser - , University Comprehensive Pain Centre, University Hospital Carl Gustav Carus Dresden (Author)
  • Christian Kopkow - , Bochum University of Applied Sciences (Author)
  • Stefanie Deckert - , Center for Evidence-Based Healthcare (Author)
  • Katrin Neustadt - , University Comprehensive Pain Centre, University Hospital Carl Gustav Carus Dresden (Author)
  • Lena Jacobi - , Medical Faculty Carl Gustav Carus (Author)
  • Paul Cameron - , NHS Fife (Author)
  • Valerio De Angelis - (Author)
  • Christian Apfelbacher - , University of Regensburg (Author)
  • Bernhard Arnold - , Helios Amper Hospital Dachau (Author)
  • Judy Birch - , Pelvic Pain Support Network (Author)
  • Anna Bjarnegård - , Swedish Association of Physiotherapists (Author)
  • Sandra Christiansen - , University of Hamburg (Author)
  • Amanda C De C Williams - , University College London (Author)
  • Gudrun Gossrau - , University Comprehensive Pain Centre, University Hospital Carl Gustav Carus Dresden (Author)
  • Andrea Heinks - , German Federation of Physiotherapy (Author)
  • Michael Hüppe - , University of Lübeck (Author)
  • Henri Kiers - , Utrecht University of Applied Sciences (Author)
  • Ursula Kleinert - , German Pain League (Author)
  • Paolo Martelletti - , Sant'Andrea Hospital (Author)
  • Lance McCracken - , King's College London (KCL) (Author)
  • Nelleke De Meij - , Maastricht University Medical Centre (UMC+) (Author)
  • Bernd Nagel - , DRK Schmerz-Zentrum (Author)
  • Jo Nijs - , Vrije Universiteit Brussel (Author)
  • Heike Norda - , Patient Federation SchmerzLOS E.V. (Author)
  • Jasvinder A. Singh - , University of Alabama at Birmingham (Author)
  • Ellen Spengler - (Author)
  • Caroline B. Terwee - , Vrije Universiteit Amsterdam (VU) (Author)
  • Peter Tugwell - , University of Ottawa (Author)
  • Johan W.S. Vlaeyen - , KU Leuven (Author)
  • Heike Wandrey - (Author)
  • Edmund Neugebauer - , Witten/Herdecke University (Author)
  • Rainer Sabatowski - , University Comprehensive Pain Centre, University Hospital Carl Gustav Carus Dresden (Author)
  • Jochen Schmitt - , Center for Evidence-Based Healthcare (Author)

Abstract

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.

Details

Original languageEnglish
Pages (from-to)673-683
Number of pages11
JournalPain
Volume159
Issue number4
Publication statusPublished - 1 Apr 2018
Peer-reviewedYes

External IDs

PubMed 29300277

Keywords

Keywords

  • Chronic pain, Consensus process, Core outcome set, Interdisciplinary multimodal pain therapy, Outcome domains