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Title
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Do pain measurement instruments detect the effect of pain-reducing interventions in neonates? A systematic review on responsiveness
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Author
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Abstract
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| The effectiveness of pain-reducing interventions in newborns can only be determined if pain measurement instruments are responsive; i.e. able to detect a decrease in pain intensity after the pain-reducing intervention. This review assesses the methodological quality of studies on this measurement property the responsiveness. We searched the literature published until January 2018 for validation studies of pain measurement instruments focusing on responsiveness to pain-reducing treatment in neonates. Methodological quality of the included studies was rated using the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) checklist. Nine studies were included involving 10 pain measurement instruments. These studies differed with respect to the population, setting and type of pain-reducing intervention. In all studies, pain scores were significantly lower after a pain-reducing intervention and the instrument used was therefore considered responsive. We rated four studies as having poor methodological quality, five as fair quality and none as good quality. In conclusion, the responsiveness was studied for only ten of the 43 existing pain measurement instruments for the use in neonates. As this is an important property of a pain instrument, more research on this topic is needed, with attention for blinding and formulating a specific hypothesis before start of data collection. Perspective This review focuses on the property of measurement instruments to detect changes in pain intensity after a pain-reducing intervention in neonates. We concluded that this property the responsiveness is under studied and that the methodological quality of the included studies was low. Future high-quality validation studies should focus on responsiveness. |
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Language
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English
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Source (journal)
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The journal of pain. - Glenview, Ill.
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Publication
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Edinburgh
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Churchill livingstone
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2019
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ISSN
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1526-5900
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DOI
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10.1016/J.JPAIN.2018.12.005
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Volume/pages
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20
:7
(2019)
, p. 760-770
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ISI
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000476691400003
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Pubmed ID
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30586622
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Full text (Publisher's DOI)
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Full text (open access)
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Full text (publisher's version - intranet only)
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