ArticleMedical care2013
Agreement between electronic medical record-based and self-administered pain numeric rating scale: clinical and research implications.
Article in Medical care, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
39 citing papers in PubMed, 1 synthesis or guideline pooled it, 69 citations in OpenAlex.
- A multi-ancestry genetic study of pain intensity in 598,339 veterans.Nature medicine · 2024Pooled it
- Comparison of lidocaine viscous gargle and topical application on laryngeal mask airway in general anesthesia: A randomized clinical trial.Saudi medical journal · 2024Trial
- Automating Collection of Pain-Related Patient-Reported Outcomes to Enhance Clinical Care and Research.Journal of general internal medicine · 2018Trial
- Agreement Between Self-Reported and Proxy-Reported Pain in Veterans With Advanced Heart Failure.The American journal of hospice & palliative care · 2026Article
- Initiating Care for Low Back Pain in the Emergency Department of the Veterans Health Administration, Impact on the Location of Subsequent Visits.Journal of the American College of Emergency Physicians open · 2026Article
- Pain when it "counts": hurdle analysis of clinical pain ratings improves data model performance.Pain reports · 2025Article
- Opioid prescription patterns and pain severity among patients with opioid use disorder and other substance use disorders: a mixed methods study.Pain reports · 2025Article
- Pain, Substance Use Disorders, Mental Health, and Buprenorphine Treatment among Patients With and Without HIV.AIDS and behavior · 2024Article
- Letter to editor: Virtual reality as a promising method of pain relief in patients with venous leg ulcers.International wound journal · 2024Article
- Improving pain communication between limited English-speaking Hmong patients, medical interpreters, and health care providers in primary care: A pilot study.Research in nursing & health · 2024Article
- Association between early nonpharmacological management and follow-up for low back pain in the veterans health administration.North American Spine Society journal · 2023Article
- Differences in acute pain perception between patients and physicians in the emergency department.Heliyon · 2022Article
- Coronary Artery Disease Risk of Familial Hypercholesterolemia Genetic Variants Independent of Clinically Observed Longitudinal Cholesterol Exposure.Circulation. Genomic and precision medicine · 2022Article
- Association Between Pain Intensity and Discontinuing Opioid Therapy or Transitioning to Intermittent Opioid Therapy After Initial Long-Term Opioid Therapy: A Retrospective Cohort Study.The journal of pain · 2021Article
- Associations of Pain Numeric Rating Scale Scores Collected during Usual Care with Research Administered Patient Reported Pain Outcomes.Pain medicine (Malden, Mass.) · 2021Article
- Opioid and Nonpharmacologic Treatments Among Soldiers With Chronic Pain and Posttraumatic Stress Disorder.Psychiatric services (Washington, D.C.) · 2021Article
- Obstructive Sleep Apnea and Pain Intensity in Young Adults.Annals of the American Thoracic Society · 2020Article
- The Relationship Between Body Mass Index and Pain Intensity Among Veterans with Musculoskeletal Disorders: Findings from the MSD Cohort Study.Pain medicine (Malden, Mass.) · 2020Article
- Assessment of Primary Care Clinician Concordance With Guidelines for Use of Magnetic Resonance Imaging in Patients With Nonspecific Low Back Pain in the Veterans Affairs Health System.JAMA network open · 2020Article
- Identification of significant gene biomarkers of low back pain caused by changes in the osmotic pressure of nucleus pulposus cells.Scientific reports · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors at 5 institutions in 1 country.
Funding
Abstract
backgroundPain screening may improve the quality of care by identifying patients in need of further assessment and management. Many health care systems use the numeric rating scale (NRS) for pain screening, and record the score in the patients' electronic medical record (EMR).
objectiveDetermine the level of agreement between EMR and patient survey NRS, and whether discrepancies vary by demographic and clinical characteristics.
methodsWe linked survey data from a sample of veterans receiving care in 8 Veterans Affairs medical facilities, to EMR data including an NRS collected on the day of the survey to compare responses to the NRS question from these 2 sources. We assessed correlation, agreement on clinical cut-points (eg, severe), and, using the survey as the gold standard, whether patient characteristics were associated with a discrepancy on moderate-severe pain.
resultsA total of 1643 participants had a survey and EMR NRS score on the same day. The correlation was 0.56 (95% confidence interval, 0.52-0.59), but the mean EMR score was significantly lower than the survey score (1.72 vs. 2.79; P<0.0001). Agreement was moderate (κ=0.35). Characteristics associated with an increased odds of a discrepancy included: diabetes [adjusted odds ratio (AOR)=1.48], posttraumatic stress disorder (AOR=1.59), major depressive disorder (AOR=1.81), other race versus white (AOR=2.29), and facility in which care was received.
conclusionsThe underestimation of pain using EMR data, especially clinically actionable levels of pain, has important clinical and research implications. Improving the quality of pain care may require better screening.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.