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Development and longitudinal validation of the overall benefit of analgesia score: a simple multi-dimensional quality assessment instrument.

Publication ,  Journal Article
Lehmann, N; Joshi, GP; Dirkmann, D; Weiss, M; Gulur, P; Peters, J; Eikermann, M
Published in: Br J Anaesth
October 2010

BACKGROUND: The goal of this study was to develop and validate the overall benefit of analgesic score (OBAS), which assesses pain intensity and the opioid-related adverse effects. METHODS: The score was developed and validated in four trials (n=1470 patients). Data from randomized trial I were used to develop the OBAS (factor analysis). Data from randomized trial II were used to compare the resolution of rofecoxib's analgesic effects between OBAS and pain scores. Randomized trial III (spine surgery) was conducted to evaluate prospectively the reliability of the OBAS and to compare its resolution of analgesic treatment with the opioid-related symptom distress scale (OR-SDS) and the modified brief pain inventory short form (m-BPI-sf). Trial IV was conducted to evaluate in patients with a moderate-to-high level of postoperative pain (after major abdominal surgery) the relation of OBAS and pain scores for patients' satisfaction with analgesic therapy. RESULTS: The seven-item OBAS yielded a higher resolution of analgesic treatment effects than pain scores, the OR-SDS and m-BPI-sf. The OBAS has a fair inter-rater reliability (concordance correlation of 0.71 c) and is more sensitive (P=0.03) in indicating the delivery of opioid boluses than the dedicated OR-SDS. The OBAS, but not pain scores at rest or pain scores during movement, explained significant variance in patients' satisfaction with postoperative pain therapy. CONCLUSIONS: The OBAS is a simple, multi-dimensional quality assessment instrument to measure patients' benefit from postoperative pain therapy. Opioid symptom distress, pain relief, and patients' satisfaction are combined in a reliable and valid tool.

Duke Scholars

Published In

Br J Anaesth

DOI

EISSN

1471-6771

Publication Date

October 2010

Volume

105

Issue

4

Start / End Page

511 / 518

Location

England

Related Subject Headings

  • Young Adult
  • Quality Assurance, Health Care
  • Patient Satisfaction
  • Pain, Postoperative
  • Pain Measurement
  • Middle Aged
  • Humans
  • Epidemiologic Methods
  • Diskectomy
  • Cyclooxygenase 2 Inhibitors
 

Citation

APA
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MLA
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Lehmann, N., Joshi, G. P., Dirkmann, D., Weiss, M., Gulur, P., Peters, J., & Eikermann, M. (2010). Development and longitudinal validation of the overall benefit of analgesia score: a simple multi-dimensional quality assessment instrument. Br J Anaesth, 105(4), 511–518. https://doi.org/10.1093/bja/aeq186
Lehmann, N., G. P. Joshi, D. Dirkmann, M. Weiss, P. Gulur, J. Peters, and M. Eikermann. “Development and longitudinal validation of the overall benefit of analgesia score: a simple multi-dimensional quality assessment instrument.Br J Anaesth 105, no. 4 (October 2010): 511–18. https://doi.org/10.1093/bja/aeq186.
Lehmann N, Joshi GP, Dirkmann D, Weiss M, Gulur P, Peters J, et al. Development and longitudinal validation of the overall benefit of analgesia score: a simple multi-dimensional quality assessment instrument. Br J Anaesth. 2010 Oct;105(4):511–8.
Lehmann, N., et al. “Development and longitudinal validation of the overall benefit of analgesia score: a simple multi-dimensional quality assessment instrument.Br J Anaesth, vol. 105, no. 4, Oct. 2010, pp. 511–18. Pubmed, doi:10.1093/bja/aeq186.
Lehmann N, Joshi GP, Dirkmann D, Weiss M, Gulur P, Peters J, Eikermann M. Development and longitudinal validation of the overall benefit of analgesia score: a simple multi-dimensional quality assessment instrument. Br J Anaesth. 2010 Oct;105(4):511–518.
Journal cover image

Published In

Br J Anaesth

DOI

EISSN

1471-6771

Publication Date

October 2010

Volume

105

Issue

4

Start / End Page

511 / 518

Location

England

Related Subject Headings

  • Young Adult
  • Quality Assurance, Health Care
  • Patient Satisfaction
  • Pain, Postoperative
  • Pain Measurement
  • Middle Aged
  • Humans
  • Epidemiologic Methods
  • Diskectomy
  • Cyclooxygenase 2 Inhibitors