Evidence map›Paper›PMID 29096611›Full record

SynthesisBMC geriatrics2017

Measurement properties, feasibility and clinical utility of the Doloplus-2 pain scale in older adults with cognitive impairment: a systematic review.

Hanne Marie Rostad, Inger Utne, Ellen Karine Grov, Martine Puts, Liv Halvorsrud

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in BMC geriatrics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
4.5field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 42 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Review
  5. Article
  6. Article
  7. Clinical Utility of the Behavioral Pain Assessment Tool in Patients Admitted in the Intensive Care Unit.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2020
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 2 countries.

Hanne Marie RostadDepartment of Nursing and Health Promotion, Faculty of Health Sciences, Oslo, Norway. hanne-marie.rostad@hioa.no.
Inger UtneDepartment of Nursing and Health Promotion, Faculty of Health Sciences, Oslo, Norway.
Ellen Karine GrovDepartment of Nursing and Health Promotion, Faculty of Health Sciences, Oslo, Norway.
Martine PutsLawrence S Bloomberg Faculty of Nursing, University of Toronto, Toronto, Canada.
Liv HalvorsrudDepartment of Nursing and Health Promotion, Faculty of Health Sciences, Oslo, Norway.
OsloMet – Oslo Metropolitan University · NONorwegian Directorate of Health · NOUniversity of Toronto · CA

Funding

CIHR
6 · The paper itself

Abstract

backgroundThe Doloplus-2 is a pain assessment scale for assessing pain in older adults with cognitive impairment. It is used in clinical practice and research. However, evidence for its measurement properties, feasibility and clinical utility remain incomplete. This systematic review synthesizes previous research on the measurement properties, feasibility and clinical utility of the scale.

methodWe conducted a systematic search in three databases (CINAHL, Medline and PsycINFO) for studies published in English, French, German, Dutch/Flemish or a Scandinavian language between 1990 and April 2017. We also reviewed the Doloplus-2 homepage and reference lists of included studies to supplement our search. Two reviewers independently reviewed titles and abstracts and performed the quality assessment and data abstraction.

resultsA total of 24 studies were included in this systematic review. The quality of the studies varied, but many lacked sufficient detail about the samples and response rates. The Doloplus-2 has been studied using diverse samples in a variety of settings; most study participants were in long-term care and in people with dementia. Sixteen studies addressed various aspects of the scale's feasibility and clinical utility, but their results are limited and inconsistent across settings and samples. Support for the scale's reliability, validity and responsiveness varied widely across the studies. Generally, the reliability coefficients reached acceptable benchmarks, but the evidence for different aspects of the scale's validity and responsiveness was incomplete.

conclusionAdditional high-quality studies are warranted to determine in which populations of older adults with cognitive impairment the Doloplus-2 is reliable, valid and feasible. The ability of the Doloplus-2 to meaningfully quantify pain, measure treatment response and improve patient outcomes also needs further investigation.

trial registrationPROSPERO reg. no.: CRD42016049697 registered 20. Oct. 2016.

Indexed as

AgedCognitive DysfunctionComorbidityFeasibility StudiesHumansLong-Term CarePainPain MeasurementReproducibility of ResultsCognitive impairmentDementiaDoloplus-2Older adultsPainSystematic review

Identifiers

PMID29096611
PMCPMC5667437
OpenAlexW2766464943

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.