Developing consensus on core outcome sets of domains for acute, the transition from acute to chronic, recurrent/episodic, and chronic pain: results of the INTEGRATE-pain Delphi process
Background - Pain is the leading cause of disability worldwide among adults and effective treatment options remain elusive. Data harmonization efforts, such as through core outcome sets (COS), could improve care by highlighting cross-cutting pain mechanisms and treatments. Existing pain-related COS...
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| Main Authors: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
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| Format: | Article (Journal) |
| Language: | English |
| Published: |
December 2023
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| In: |
EClinicalMedicine
Year: 2023, Volume: 66, Pages: 1-14 |
| ISSN: | 2589-5370 |
| DOI: | 10.1016/j.eclinm.2023.102340 |
| Online Access: | Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1016/j.eclinm.2023.102340 Verlag, lizenzpflichtig, Volltext: https://www.sciencedirect.com/science/article/pii/S2589537023005175 
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| Author Notes: | Giulia Bova, Anthony Domenichiello, Janelle E. Letzen, Daniela C. Rosenberger, Andrew Siddons, Ulrike Kaiser, Adam Anicich, Ralf Baron, Judy Birch, Didier Bouhassira, George Casey, Katie Golden, Smriti Iyengar, Barbara I. Karp, Hiltrud Liedgens, Winfried Meissner, Kate Nicholson, Leah Pogorzala, Deirdre Ryan, Rolf-Detlef Treede, Peter Tugwell, Dennis C. Turk, Katy Vincent, Jan Vollert, Paula R. Williamson, Sarah A. Woller, Ruth Zaslansky, Laura D. Wandner, and Esther M. Pogatzki-Zahn |
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| 245 | 1 | 0 | |a Developing consensus on core outcome sets of domains for acute, the transition from acute to chronic, recurrent/episodic, and chronic pain |b results of the INTEGRATE-pain Delphi process |c Giulia Bova, Anthony Domenichiello, Janelle E. Letzen, Daniela C. Rosenberger, Andrew Siddons, Ulrike Kaiser, Adam Anicich, Ralf Baron, Judy Birch, Didier Bouhassira, George Casey, Katie Golden, Smriti Iyengar, Barbara I. Karp, Hiltrud Liedgens, Winfried Meissner, Kate Nicholson, Leah Pogorzala, Deirdre Ryan, Rolf-Detlef Treede, Peter Tugwell, Dennis C. Turk, Katy Vincent, Jan Vollert, Paula R. Williamson, Sarah A. Woller, Ruth Zaslansky, Laura D. Wandner, and Esther M. Pogatzki-Zahn |
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| 520 | |a Background - Pain is the leading cause of disability worldwide among adults and effective treatment options remain elusive. Data harmonization efforts, such as through core outcome sets (COS), could improve care by highlighting cross-cutting pain mechanisms and treatments. Existing pain-related COS often focus on specific conditions, which can hamper data harmonization across various pain states. - Methods - Our objective was to develop four overarching COS of domains/subdomains (i.e., what to measure) that transcend pain conditions within different pain categories. We hosted a meeting to assess the need for these four COS in pain research and clinical practice. Potential COS domains/subdomains were identified via a systematic literature review (SLR), meeting attendees, and Delphi participants. We conducted an online, three step Delphi process to reach a consensus on domains to be included in the four final COS. Survey respondents were identified from the SLR and pain-related social networks, including multidisciplinary health care professionals, researchers, and people with lived experience (PWLE) of pain. Advisory boards consisting of COS experts and PWLE provided advice throughout the process. - Findings - Domains in final COS were generally related to aspects of pain, quality of life, and physical function/activity limitations, with some differences among pain categories. This effort was the first to generate four separate, overarching COS to encourage international data harmonization within and across different pain categories. - Interpretation - The adoption of the COS in research and clinical practice will facilitate comparisons and data integration around the world and across pain studies to optimize resources, expedite therapeutic discovery, and improve pain care. - Funding - Innovative Medicines Initiative 2 Join Undertaking; European Union Horizon 2020 research innovation program, European Federation of Pharmaceutical Industries and Associations (EFPIA) provided funding for IMI-PainCare. RDT acknowledges grants from Esteve and TEVA. | ||
| 650 | 4 | |a Acute pain | |
| 650 | 4 | |a Chronic pain | |
| 650 | 4 | |a Core outcome sets | |
| 650 | 4 | |a Delphi method | |
| 650 | 4 | |a Recurrent/episodic pain | |
| 650 | 4 | |a Transition from acute to chronic pain | |
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