Tools for Assessing Longitudinal Progress in Pain Management
Resources for providers to assess patient’s progress in pain management over time.
Tools for Longitudinal Assessment
- Use the PEG scale and this checklist for prescribing opioids for chronic pain lasting for three months or longer, with 30% improvement from baseline being clinically meaningful change in PEG score.
- Please note: A 30% improvement may not be meaningful for all patients, providers should determine improvement thresholds depending on the individual.
- Read more about the PEG: Development and Initial Validation of the PEG, a Three-item Scale Assessing Pain Intensity and Interference
- The PADT is administered by a clinician and includes sections to assess pain-related outcomes in four areas: analgesia, activities of daily living, adverse events (i.e., side effects), and aberrant drug-related behavior.
- Read more about the PADT: A New Tool to Assess and Document Pain Outcomes in Chronic Pain Patients Receiving Opioid Therapy
Please note: Preparation of this manuscript and development of the tool were supported by an educational grant from Janssen Pharmaceutica Products, LP, Titusville, New Jersey. Dr. Passik has served as a consultant and a member of the speakers’ bureau for Janssen. Dr. Kirsh has also served on the speakers’ bureau of Janssen, and Drs. Katz and Kleinman have served as consultants to Janssen. There is nothing in this tool that promotes Janssen products.
- The Global Pain Scale is a brief screening tool to continually evaluate acute or chronic pain over time. The tool assessing changes in pain using a numeric rating scale, how pain has affected a patient’s emotional well-being and activities of daily living, and clinical outcomes
- Read more about the Global Pain Scale: Reliability and Validity of the Global Pain Scale with Chronic Pain Sufferers
- A comprehensive guideline for the prescription of opioids for chronic non-cancer pain from the American Society of Interventional Pain Physicians (ASIPP); a 90 page review of the literature with multiple tables and graphics / flow charts.