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Pain intensity predicts satisfaction with pain level in sickle cell disease

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source: The journal of Pain

year: 2013

authors: M. Ezenwa, M. Suarez, Z. Zhao, Y. Yao, Z. Wang, R. Molokie, D. Wilkie


Patient satisfaction is an important variable for ascertaining the outcome of any treatment, yet published studies reporting patient satisfaction with pain level among patients with sickle cell disease (SCD) are lacking. This cross-sectional study was conducted to determine predictors of satisfaction with pain level among patients with SCD (N=218) who were African American (n=213, 97.7%), female (n=133, 61%), and mean age 33.7±11.3. Patients completed PAINReportIt® questions regarding: (a) satisfaction with pain level, (b) worst toothache ever, (c) usual outcome of pain treatment, and (d) pain intensity items (worst, least, current) combined as average pain intensity, and other study measures.

We analyzed data using regression analysis. The mean scores were 4.48±2.86 for average pain intensity and 7.13±3.20 for worst toothache ever. Pain treatment was poor 5.5%, some 47.7%, and good 46.8%. Of the sample, 48.6% were satisfied with their pain level, 41.7% were not satisfied, and 9.6% were not sure if they were satisfied. Regression results showed significant association between satisfaction with pain level, and average pain intensity (z=-6.386, p<.000, 95% CI=[-0.57, -0.30], OR=[4.4, 16.5]), usual outcome of pain treatment (z=-2.732, p<.006, 95% CI=[-1.53, -0.25], OR=[1.3, 4.6]), and worst toothache ever (z=2.178, p<.03, 95% CI=[0.01, 0.22], OR=[1.1, 3.0]). Among the three predictors, pain intensity was the strongest predictor of satisfaction with pain level and the effect was clinically important as indicated by the confidence intervals. Efforts to reduce pain intensity could lead to higher satisfaction with pain level in patients with SCD and function as an indication of optimal pain treatment in this vulnerable population.

organization: University of Illinois at Chicago, Chicago

DOI: 10.1016/j.jpain.2013.01.707

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