Computer Assessment and Diagnostic Classification of Chronic Pain Patients
Pain MedicinePublished 18 September 2007Open access
David Provenzano, Gilbert J. Fanciullo, Robert N. Jamison, Gregory J. McHugo, John C. Baird
Citations26
SJR quartileQ1
SJR score0.98
SNIP1.19
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TL;DR
Evaluating the feasibility of a computer assessment method to collect self-reports of pain that were then used in discriminant analyses to distinguish among chronic pain diagnoses found it feasible in the pain clinic.
Abstract
1) Computer assessment of a range of patient symptoms is feasible in the pain clinic. 2) Discriminant analysis based on pain drawings can distinguish among patient-reported diagnoses of back pain, headache, and neck pain. 3) Discriminant analysis based on three verbal descriptors can help to distinguish among diagnoses of fibromyalgia, neuralgia, and rheumatoid arthritis. 4) However, in general, most computerized descriptive information is not useful in distinguishing differences among pain patient diagnostic groups.
Keywords
Medicine
PainThe McGill Pain Questionnaire: Major properties and scoring methods
6,816 Citations1975Ronald Melzack
The data indicate that the McGill Pain Questionnaire provides quantitative information that can be treated statistically, and is sufficiently sensitive to detect differences among different methods to relieve pain.
Clinical Journal of PainDevelopment of a Neuropathic Pain Questionnaire
449 Citations2003Steven J. Krause, Misha-Miroslav Bačkonja
The development of an assessment instrument intended to measure neuropathic pain based on qualities of pain as they are inferred from pain descriptors is described, which has the ability to provide a quantitative measure for the descriptors important in the diagnosis and assessment of neuropathicPain.
PainA rating system for use with patient pain drawings
447 Citations1986Ronald B. Margolis, Raymond C. Tait +1 more
The body surface scores obtained were shown to correlate highly with the penalty point system developed by Ransford et al., suggesting that extent of pain may account for much of the variance in this system.
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The McGill Pain Questionnaire, which consists primarily of verbal descriptions of pain qualities, was administered to 95 patients suffering from one of eight known pain syndromes and appears to have potential value as a diagnostic technique.
PainAcute pain in an emergency clinic: Latency of onset and descriptor patterns related to different injuries
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PainAn emotional component analysis of chronic pain
232 Citations1990James B. Wade, Donald D. Price +3 more
Regression analyses indicate that anger is an important concomitant of the depression that pain patients experience and suggests that treatment techniques specifically targeting anger and frustration in these patients may prove efficacious.
PainStudy of verbal description in neuropathic pain
190 Citations1990F. Boureau, J.-F. Doubrère +1 more
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PubMedUse of the McGill Pain Questionnaire to measure pain: a meta-analysis.
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Nursing ResearchUse of the McGill Pain Questionnaire To Measure Pain
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PainA comparison of the McGill Pain Questionnaire in chronic and acute pain
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It is suggested that acute pain involves less differentiation of sensory, affective and evaluative language dimensions, compared with chronic pain patients, who utilized sensory subgroups more frequently.
PainApplicability of the McGill pain questionnaire to the differentiation of ‘toothache’ pain
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Acta Anaesthesiologica ScandinavicaPain measurement
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Advances in evaluation of supraspinal pain processing in humans have demonstrated pain‐related activation using both methods that assess synchronized neural activity and methods that infer this activity in the whole brain by local changes in regional cerebral blood flow.
OtolaryngologyCharacteristics of Sinus‐Related Pain
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This study determined possible distinctive features of facial pain when caused by chronic sinusitis and validated the pain characteristics previously described in the literature.
PainDiffusion of pain language with affective disturbance confounds differential diagnosis
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PainThe experience of headache — An assessment of the qualities of tension headache pain
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