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Graded chronic pain scale revised: mild, bothersome, and high-impact chronic pain.

Publication ,  Journal Article
Von Korff, M; DeBar, LL; Krebs, EE; Kerns, RD; Deyo, RA; Keefe, FJ
Published in: Pain
March 2020

Drawing on advances in chronic pain metrics, a simplified Graded Chronic Pain Scale-Revised was developed to differentiate mild, bothersome, and high-impact chronic pain. Graded Chronic Pain Scale-Revised was validated among adult enrollees of 2 health plans (N = 2021). In this population, the prevalence of chronic pain (pain present most or every day, prior 3 months) was 40.5%: 15.4% with mild chronic pain (lower pain intensity and interference); 10.1% bothersome chronic pain (moderate to severe pain intensity with lower interference with life activities); and 15.0% high-impact chronic pain (sustained pain-related activity limitations). Persons with mild chronic pain vs those without chronic pain showed small differences on 10 health status indicators (unfavorable health perceptions, activity limitations, and receiving long-term opioid therapy), with nonsignificant differences for 7 of 10 indicators. Persons with bothersome vs mild chronic pain differed significantly on 6 of 10 indicators (eg, negative pain coping beliefs, psychological distress, unfavorable health perceptions, and pain-related interference with overall activities). Persons with high-impact chronic pain differed significantly from those with mild chronic pain on all 10 indicators. Persons with high-impact chronic pain, relative to those with bothersome chronic pain, were more likely to have substantial activity limitations (significant differences for 4 of 5 disability indicators) and more often received long-term opioid therapy. Graded Chronic Pain Scale-Revised strongly predicted 5 activity-limitation indicators with area under receiver operating characteristic curve coefficients of 0.76 to 0.89. We conclude that the 5-item Graded Chronic Pain Scale-Revised and its scoring rules provide a brief, simple, and valid method for assessing chronic pain.

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Published In

Pain

DOI

EISSN

1872-6623

Publication Date

March 2020

Volume

161

Issue

3

Start / End Page

651 / 661

Location

United States

Related Subject Headings

  • Young Adult
  • Reproducibility of Results
  • Pain Measurement
  • Middle Aged
  • Male
  • Humans
  • Female
  • Chronic Pain
  • Anesthesiology
  • Aged
 

Citation

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Von Korff, M., DeBar, L. L., Krebs, E. E., Kerns, R. D., Deyo, R. A., & Keefe, F. J. (2020). Graded chronic pain scale revised: mild, bothersome, and high-impact chronic pain. Pain, 161(3), 651–661. https://doi.org/10.1097/j.pain.0000000000001758
Von Korff, Michael, Lynn L. DeBar, Erin E. Krebs, Robert D. Kerns, Richard A. Deyo, and Francis J. Keefe. “Graded chronic pain scale revised: mild, bothersome, and high-impact chronic pain.Pain 161, no. 3 (March 2020): 651–61. https://doi.org/10.1097/j.pain.0000000000001758.
Von Korff M, DeBar LL, Krebs EE, Kerns RD, Deyo RA, Keefe FJ. Graded chronic pain scale revised: mild, bothersome, and high-impact chronic pain. Pain. 2020 Mar;161(3):651–61.
Von Korff, Michael, et al. “Graded chronic pain scale revised: mild, bothersome, and high-impact chronic pain.Pain, vol. 161, no. 3, Mar. 2020, pp. 651–61. Pubmed, doi:10.1097/j.pain.0000000000001758.
Von Korff M, DeBar LL, Krebs EE, Kerns RD, Deyo RA, Keefe FJ. Graded chronic pain scale revised: mild, bothersome, and high-impact chronic pain. Pain. 2020 Mar;161(3):651–661.

Published In

Pain

DOI

EISSN

1872-6623

Publication Date

March 2020

Volume

161

Issue

3

Start / End Page

651 / 661

Location

United States

Related Subject Headings

  • Young Adult
  • Reproducibility of Results
  • Pain Measurement
  • Middle Aged
  • Male
  • Humans
  • Female
  • Chronic Pain
  • Anesthesiology
  • Aged