2.50
Hdl Handle:
http://hdl.handle.net/10755/163705
Category:
Abstract
Type:
Presentation
Title:
Validation of the treatment outcomes pain survey (TOPS) in an outpatient clinic
Author(s):
Polomano, Rosemary; Schuler, H. Gregg; Orkin, Fredrick K.
Author Details:
Rosemary Polomano, Pennsylvania State University, Milton S. Hershey Medical Center, Hershey, Pennsylvania, USA, email: rpolomano@psu.edu; H. Gregg Schuler; Fredrick K. Orkin
Abstract:
Purpose: This ongoing investigation was designed to benchmark results from the Treatment Outcomes Pain Survey (TOPS) with new referrals to our Pain Management Clinic. Specific Aims: To validate the TOPS using the results from our patient population, we compared our data to outcomes from a multi-center study coordinated by New England Medical Center investigators who developed the instrument. Methods: Once informed consent was obtained, the TOPS was administered to 66 new referrals to our Pain Management Clinic over a nine-month period. Additional data were collected on demographic information presence of neuropathic pain, cancer-related pain, analgesics and other pain characteristics. Results and Conclusions: The mean scores for 3 of 8 SF-36 domains, part of the TOPS, were within the 95% confidence intervals for chronic pain patients. Average scores and standard deviations for these domains were compared. The mean score for only one of the 8 TOPS scales fell within the 95% confidence intervals. Generally, deviations above or below the intervals were small. Neuropathic pain was associated with poorer perceptions of physical and mental health. Using multiple regression analyses, the presence of neuropathic pain explained 24.5% (p< 0.05) of variance in the Physical component Summary and 28% (p< 0.05) of the variance in the Mental Health component summary. Our sample showed a remarkable similarity to norms established on a cohort of chronic pain patients (Rogers, 2000). We were able to demonstrate that this instrument can detect differences in outcomes by pain types. Implications: Dissemination of the results from multiple centers will validate the psychometric properties and clinical utility of this instrument in elucidating the impact of chronic pain on physical and psychosocial well-being. The TOPS has the potential to become the gold standard for measuring the impact of pain treatments on functional, symptom, emotional and social outcomes.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2002
Conference Name:
14th Annual Scientific Sessions
Conference Host:
Eastern Nursing Research Society
Conference Location:
University Park, Pennsylvania, USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleValidation of the treatment outcomes pain survey (TOPS) in an outpatient clinicen_GB
dc.contributor.authorPolomano, Rosemaryen_US
dc.contributor.authorSchuler, H. Greggen_US
dc.contributor.authorOrkin, Fredrick K.en_US
dc.author.detailsRosemary Polomano, Pennsylvania State University, Milton S. Hershey Medical Center, Hershey, Pennsylvania, USA, email: rpolomano@psu.edu; H. Gregg Schuler; Fredrick K. Orkinen_US
dc.identifier.urihttp://hdl.handle.net/10755/163705-
dc.description.abstractPurpose: This ongoing investigation was designed to benchmark results from the Treatment Outcomes Pain Survey (TOPS) with new referrals to our Pain Management Clinic. Specific Aims: To validate the TOPS using the results from our patient population, we compared our data to outcomes from a multi-center study coordinated by New England Medical Center investigators who developed the instrument. Methods: Once informed consent was obtained, the TOPS was administered to 66 new referrals to our Pain Management Clinic over a nine-month period. Additional data were collected on demographic information presence of neuropathic pain, cancer-related pain, analgesics and other pain characteristics. Results and Conclusions: The mean scores for 3 of 8 SF-36 domains, part of the TOPS, were within the 95% confidence intervals for chronic pain patients. Average scores and standard deviations for these domains were compared. The mean score for only one of the 8 TOPS scales fell within the 95% confidence intervals. Generally, deviations above or below the intervals were small. Neuropathic pain was associated with poorer perceptions of physical and mental health. Using multiple regression analyses, the presence of neuropathic pain explained 24.5% (p< 0.05) of variance in the Physical component Summary and 28% (p< 0.05) of the variance in the Mental Health component summary. Our sample showed a remarkable similarity to norms established on a cohort of chronic pain patients (Rogers, 2000). We were able to demonstrate that this instrument can detect differences in outcomes by pain types. Implications: Dissemination of the results from multiple centers will validate the psychometric properties and clinical utility of this instrument in elucidating the impact of chronic pain on physical and psychosocial well-being. The TOPS has the potential to become the gold standard for measuring the impact of pain treatments on functional, symptom, emotional and social outcomes.en_GB
dc.date.available2011-10-27T11:12:22Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:12:22Z-
dc.conference.date2002en_US
dc.conference.name14th Annual Scientific Sessionsen_US
dc.conference.hostEastern Nursing Research Societyen_US
dc.conference.locationUniversity Park, Pennsylvania, USAen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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