Evidence map›Paper›PMID 36367118›Full record

ArticleClinical nursing research2023

Rating Dyspnea and Pain: "No" is Not Always "Zero".

Kathy M Baker, Alison M Phelan, Jennifer B Reilly, Robert W Lansing, Richard M Schwartzstein, Robert B Banzett

Open access · hybridAbstract read
In one paragraph

Article in Clinical nursing research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.1field-weighted citation impact, top 19% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Observational
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

6 authors at 2 institutions in 1 country.

Kathy M BakerBeth Israel Deaconess Medical Center, Boston, MA, USA.
Alison M PhelanBoston Children's Hospital, Boston MA, USA.
Jennifer B ReillyBeth Israel Deaconess Medical Center, Boston, MA, USA.
Robert W LansingBeth Israel Deaconess Medical Center, Boston, MA, USA.
Richard M SchwartzsteinBeth Israel Deaconess Medical Center, Boston, MA, USA.
Robert B BanzettBeth Israel Deaconess Medical Center, Boston, MA, USA.ORCID 0000-0002-3626-5735
Beth Israel Deaconess Medical Center · USBoston Children's Hospital · US

Funding

Quantifying a Vital Symptom: Large-scale Inpatient Dyspnea MeasurementR01NR010006 · NINR · BETH ISRAEL DEACONESS MEDICAL CENTER · PI BANZETT, ROBERT B · 2007 to 2017
$4.0M
NINR NIH HHS R01 NR010006
6 · The paper itself

Abstract

Nurses routinely assess pain in hospitalized patients; similar assessment of dyspnea is increasing. Most nurses start with a yes-no question when assessing pain or dyspnea; many record "no" as a zero rating, skipping the rating scale. We tested the hypothesis that recording "no" answers as "zero" fails to detect the symptoms that would have been detected with a rating scale. Nurses asked 60 patients yes-no questions about the presence of dyspnea and pain, then asked patients to rate the symptoms using a 0-10 scale. All "yes" answers were followed by a concordant rating (i.e., greater than zero). More than 25% of "no" answers were followed by a discordant rating (> zero). Documenting "no" as "zero" missed information potentially useful in care planning; patients who rate dyspnea above zero are at greater risk of adverse outcomes. This information can also provide opportunity to start a discussion with patients who may benefit from symptom management.

Indexed as

DyspneaPainHumansPain MeasurementPalliative Caredyspnea measurementpain measurementrating scalessymptom assessment

Identifiers

PMID36367118
PMCPMC10989776
OpenAlexW4308770149

What OpenQuestion holds

Textmetadata
LicenceTDM
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.