Chronic pain and the development of a symptom checklist: a pilot study.

摘要: Background There is currently no instrument to systematically assess the range of symptoms/problems and their bothersomeness in patients with chronic non-cancer pain (CNPN). Systematic assessment prioritizing may target treatments improve outcomes. Methods The authors developed a checklist symptoms problems, Copenhagen Symptom Checklist (CSC), presented clinically by patients. Fifty-three items representing biological, psychological social areas were selected. Symptom/problem severity was rated on 5-point scale anchored at 0 = ‘not all’ 4 = ‘severe’. Patients ranked five most bothersome could add open-ended items. completed CSC after first visit multidisciplinary centre. Results One hundred twelve consecutive CSC. Eighty-nine percent scored as rather severe or very (score = 3 plus score = 4), followed reduction physical activity (67%), fatigue (66%) sleep disturbance (53%). Pain fatigue, but not activity, given highest priority. Cognitive problems important third Depressive symptoms, cognitive worry explained 17.5% total variance. filled without loss information, minority prioritized more than three used free text alternative. Conclusions Patients burdensome also highly ranked. positive idea symptom reporting; however, 53-item number this version larger be necessary.