Celebrating 50 Golden Years
of Hand Surgery in India

PAIN

Numerical Pain Rating Scale [NPRS]

The NPRS is a patient reported scale of their pain levels ranging from 0 to 10, with higher scores for worse pain. It can be used as a single point measure or as an average of scores over a time period. It is often confused with the VAS, which is strictly different in that the VAS requires to visually mark levels of pain (or any characteristic).

References:

Pain - clinical manual for nursing practice. McCaffery M, Beebe A. Nurs Stand. 1994 Dec 7;9(11):55. doi: 10.7748/ns.9.11.55.s69. PMID: 27527475

PROMIS Pain Intensity

The Patient Reported Outcomes Measurement Information System (PROMIS) is a comprehensive collection of resources for patient reported data collection. The Pain Intensity questionnaire consists of three questions with responses scored from 1 [no pain] to 5 [very severe], which are then totalled for the final score.
PROMIS questionnaires can also be administered online via the Computer Adaptive Test option. The scores can also be converted to standardised T-scores that can be compared to the general population.

Link:

PROMIS Pain Interference

The Patient Reported Outcomes Measurement Information System (PROMIS) is a comprehensive collection of resources for patient reported data collection. The Pain Interference question bank consists of a total of 55 questions, each scored from 1 to 5. However, the entire set of questions are not necessary for a meaningful score. More details on the link below. A Computer Adaptive Test [CAT] option is also available that automates the length of the test depending on the responses.

Link:

Intro to PROMIS