Negative pain management index scores do not necessarily indicate inadequate pain management: a cross-sectional study

BMC Palliative Care
Naoki SakakibaraMotohiro Matoba

Abstract

The Pain Management Index (PMI) is widely used in the assessment of pain management, and negative scores are traditionally considered to indicate inadequate pain management. However, it is not known whether negative PMI scores are always problematic. In this prospective observational study, we examined the data of 1156 patients with cancer and pain who were hospitalized in a cancer care hospital in Japan from July 2012 to January 2015 and compared the proportion of patients with PI across various PMI scores in this cohort. We further evaluated the predictive validity of PMI scores for PI using different cutoffs. This study aimed to examine the association between PMI scores and the proportion of patients whose pain interferes with their daily lives (i.e., pain interference [PI]). We found that lower PMI scores were generally associated with a higher percentage of patients with PI. A smaller proportion of patients with PMI scores of - 1 (567/1550, 36.6%) reported PI compared with those with PMI scores of 0 (788/1505, 52.4%). The sensitivities of PMI scores < - 1 and < 0 for predicting PI were 0.16 and 0.37 and the corresponding specificities were 0.95 and 0.71, respectively. These findings suggest that PMI scores are inversely a...Continue Reading

References

Mar 3, 1994·The New England Journal of Medicine·C S CleelandK J Pandya
Oct 6, 2007·Pain·Marieke H J van den Beuken-van EverdingenJacob Patijn
Jul 18, 2008·Annals of Oncology : Official Journal of the European Society for Medical Oncology·S DeandreaG Apolone
Apr 23, 2010·Journal of Palliative Medicine·Gunita MiteraRebecca Wong
Jul 28, 2013·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Sebastiano MercadanteAlessandra Casuccio
Nov 19, 2014·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Maria Teresa GrecoGiovanni Apolone
Apr 22, 2015·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Sebastiano Mercadante, Eduardo Bruera

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Citations

Jul 11, 2019·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Morten ThronæsTora Skeidsvoll Solheim
Dec 14, 2018·Cancers·Marieke H J van den Beuken-van EverdingenElbert A J Joosten
May 3, 2019·PloS One·Million Tesfaye EsheteDominik Irnich

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