A core outcome set of measurement instruments for assessing effectiveness and efficacy of perioperative pain management: results of the international IMI-PainCare PROMPT Delphi consensus process.

Pogatzki-Zahn, Esther M;De Lucia, Sarah;Weinmann, Claudia;Heitkamp, Hauke;Lavand'homme, Patricia;et.al.
(2025) British Journal of Anaesthesia — Vol. 134, n° 5, p. 1460-1473 (2025)

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Authors
  • Pogatzki-Zahn, Esther M
    Author
  • De Lucia, Sarah
    Author
  • Weinmann, Claudia
    Author
  • Heitkamp, Hauke
    Author
  • Lavand'homme, PatriciaUCLouvain
    Collaborator
  • et. al.
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Abstract
(en) BACKGROUND: Effective perioperative pain management is crucial to prevent patient suffering, delayed recovery, chronic postsurgical pain, and long-term opioid use. However, the heterogeneous use of outcomes in studies complicates evidence synthesis and might not accurately reflect the experiences of individual patients. We initiated a consensus process to establish a core outcome set (COS) of patient-reported outcome measures (PROMs) in postoperative pain, building upon the earlier consensus on a COS of domains. METHODS: Potential PROMs were identified via systematic literature searches for the domains pain intensity (with subdomains at rest and during activity), physical function, self-efficacy, and adverse events, followed by appraisal of psychometric properties according to the COnsensus-based Standards for the selection of health Measurement INstruments methodology. Then, a consensus meeting was convened, followed by a Delphi process with an international, multiprofessional panel of stakeholders, including those with lived experience. A conclusive consensus meeting approved the final COS of PROMs. RESULTS: The final COS consists of one unidimensional numerical rating scale for assessing pain intensity on average, worst pain intensity, pain intensity at rest, and procedure-specific pain intensity during activity; one unidimensional scale for pain interfering with activities in bed; one procedure-specific scale for assessing physical function; the IMI-PainCare PROMPT adaptation of the Arthritis Self-Efficacy Scale for assessing self-efficacy; and the IMI-PainCare PROMPT adaptation of the Opioid-Related Symptom Distress Scale for assessing adverse events. CONCLUSIONS: Comprehensive use of a core outcome set will help harmonise outcome assessment, facilitate comparisons between studies, promote patient-centred research, and improve postoperative pain care.
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Pogatzki-Zahn, E. M., De Lucia, S., Weinmann, C., Heitkamp, H., Hummelshoj, L., Liedgens, H., Meissner, W., Vincent, K., Vollert, J., Zahn, P., Kaiser, U., Rosenberger, D. C., & et al. (2025). A core outcome set of measurement instruments for assessing effectiveness and efficacy of perioperative pain management: results of the international IMI-PainCare PROMPT Delphi consensus process. British Journal of Anaesthesia, 134(5), 1460-1473. https://doi.org/10.1016/j.bja.2025.01.029 (Original work published 2025)