RT Journal Article
T1 Outcome Assessment in Children and Adolescents With Chronic Pain: An International Clinical Practice Survey
A1 Miró, Jordi
A1 Sánchez-Rodríguez, Elisabet
A1 Jensen, Mark P.
A1 Liossi, Christina
A1 Lord, Susan M.
A1 Gobina, Inese
A1 Skidmore, Nathan
A1 O'Keeffe, Mary
A1 Walker, Susan M.
A1 de la Vega, Rocío
A1 Ingelmo, Pablo
A1 Koechlin, Helen
A1 Ståhl, Minna
A1 Stinson, Jennifer
A1 Wicksell, Rikard K.
A1 Finley, G. Allen
A1 Cebrecos, Jesús
A1 Goubert, Liesbet
A1 Reinoso-Barbero, Francisco
A1 Rosenberger, Daniela C.
A1 Pogatzki-Zahn, Esther M.
K1 Dolor crónico - Tratamiento
AB Background: Effective treatment of paediatric chronic pain requires a robust and comprehensive set of outcome assessment tools to evaluate treatment effectiveness. Although a core outcome set (COS) exists for clinical trials, its practicability and appropriateness for clinical practice is currently unknown. This cross-sectional study led by the IN-ChildPain group aimed to:(1) identify clinical outcome domains and measures used by clinicians treating children and adolescents with chronic pain, (2) determine which domains are considered mandatory in clinical routine and (3) compare prioritisation across disciplines and countries.Methods: An online survey, available in eight languages, was conducted eliciting data from clinicians who treat children and adolescents with chronic pain. Percentages of the most commonly used outcomes were calculated, and z-tests were performed to compare study variables based on participants' country income status and professional background.Results: A total of 193 clinicians from 42 countries participated. The most commonly assessed domains were pain intensity (84%), pain interference (80%) and physical functioning (79%), with higher assessment rates in high-income countries. Painintensity and interference were deemed mandatory by 93% of participants, followed by physical functioning (92%). However, only 53% reported using patient-reportedoutcome measures, with the 0–10 Numeric Rating Scale being the most common (94%). Assessment practices varied as a function of country income level and professional background.Conclusions: The findings highlight the need to develop and implement a COS tailored to the needs and resources of clinicians. Such standardisation would enhance consistency in assessment, enable cross-site benchmarking and promote equitable pain care globally.Significance: This study provides critical insights into how clinicians assess paediatric chronic pain, highlighting significant global disparities and professional differences in outcome domain prioritisation. By identifying commonly assessed domains, these findings emphasise the need for standardised measures and pave the way for developing a core outcome set tailored to clinical activities. Such an advance is essential for improving the consistency and quality of care for children and adolescents with chronic pain worldwide.
PB Wiley
YR 2026
FD 2026
LK https://hdl.handle.net/10630/44781
UL https://hdl.handle.net/10630/44781
LA eng
NO Miró, J., Sánchez-Rodríguez, E., Jensen, M. P., Liossi, C., Lord, S. M., Gobina, I., Skidmore, N., O'Keeffe, M., Walker, S. M., de la Vega, R., Ingelmo, P., Koechlin, H., Ståhl, M., Stinson, J., Wicksell, R. K., Finley, G. A., Cebrecos, J., Goubert, L., Reinoso-Barbero, F., Rosenberger, D. C., Pogatzki-Zahn, E. M. (2026). Outcome Assessment in Children and Adolescents WithChronic Pain: An International Clinical Practice Survey. European Journal of Pain, 30(1), e70216. doi: 10.1002/ejp.70216
NO the Network of European Funding for Neuroscience Research (ERA-NET Neuron Transnational Networking Groups on Chronic Pain 2022)
DS RIUMA. Repositorio Institucional de la Universidad de Málaga
RD 3 mar 2026