Expert Commentary

Pain Outcome Metrics

Pam Squire, MD, CCFP

Clinical Assistant Professor
University of British Columbia
Department of Family Practice
Lion's Gate Hospital
Vancouver, British Columbia
Establishing measurable goals for patients with chronic pain before initiating opioid therapy is essential for treatment success. The pain experience is inherently subjective and longitudinal assessment therefore demands some objective yardstick by which to measure response and to adjust treatment accordingly.

References

  1. Chou R, Fanciullo GJ, Fine PG, et al. Clinical guidelines for the use of chronic opioid therapy in chronic noncancer pain. 2009;10(2):113-30.
  2. Passik SD, Weinreb HJ. Managing chronic nonmalignant pain: overcoming obstacles to the use of opioids. Adv Ther. 2000;17(2):70-83.
  3. Filoramo MA. Improving goal setting and goal attainment in patients with chronic noncancer pain. Pain Manag Nurs. 2007;8(2):96-101.

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