Systematic review: instruments to assess abdominal pain in irritable bowel syndrome

Summary Background Consensus on standard methods to assess chronic abdominal pain in patients with irritable bowel syndrome (IBS) is currently lacking. Aim To systematically review the literature with respect to instruments of measurement of chronic abdominal pain in IBS patients. Methods Systematic...

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Veröffentlicht in:Alimentary pharmacology & therapeutics 2015-11, Vol.42 (9), p.1064-1081
Hauptverfasser: Mujagic, Z., Keszthelyi, D., Aziz, Q., Reinisch, W., Quetglas, E. G., De Leonardis, F., Segerdahl, M., Masclee, A. A. M.
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container_end_page 1081
container_issue 9
container_start_page 1064
container_title Alimentary pharmacology & therapeutics
container_volume 42
creator Mujagic, Z.
Keszthelyi, D.
Aziz, Q.
Reinisch, W.
Quetglas, E. G.
De Leonardis, F.
Segerdahl, M.
Masclee, A. A. M.
description Summary Background Consensus on standard methods to assess chronic abdominal pain in patients with irritable bowel syndrome (IBS) is currently lacking. Aim To systematically review the literature with respect to instruments of measurement of chronic abdominal pain in IBS patients. Methods Systematic literature search was performed in PubMed/Medline databases for studies using pain measurement instruments in patients with IBS. Results One hundred and ten publications were reviewed. A multitude of different instruments is currently used to assess chronic abdominal pain in IBS patients. The single‐item methods, e.g. the validated 10‐point numeric rating scale (NRS), and questionnaires assessing gastrointestinal symptoms severity, focus mostly on the assessment of only the intensity of abdominal pain. Of these questionnaires, the validated IBS‐Symptom Severity Scale includes the broadest measurement of pain‐related aspects. General pain questionnaires and electronic momentary symptom assessment tools have been used to study abdominal pain in IBS patients, but have not yet been validated for this purpose. The evidence for the use of provocation tests, e.g. the rectal barostat with balloon distention, for measurement of abdominal pain in IBS is weak, due to the poor correlation between visceral pain thresholds assessed by provocation tests and abdominal pain as assessed by retrospective questionnaires. Conclusions The multitude of different instruments to measure chronic abdominal pain in IBS makes it difficult to compare endpoints of published studies. There is need for validated instruments to assess chronic abdominal pain in IBS patients, that overcome the limitations of the currently available methods.
doi_str_mv 10.1111/apt.13378
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G. ; De Leonardis, F. ; Segerdahl, M. ; Masclee, A. A. M.</creator><creatorcontrib>Mujagic, Z. ; Keszthelyi, D. ; Aziz, Q. ; Reinisch, W. ; Quetglas, E. G. ; De Leonardis, F. ; Segerdahl, M. ; Masclee, A. A. M.</creatorcontrib><description>Summary Background Consensus on standard methods to assess chronic abdominal pain in patients with irritable bowel syndrome (IBS) is currently lacking. Aim To systematically review the literature with respect to instruments of measurement of chronic abdominal pain in IBS patients. Methods Systematic literature search was performed in PubMed/Medline databases for studies using pain measurement instruments in patients with IBS. Results One hundred and ten publications were reviewed. A multitude of different instruments is currently used to assess chronic abdominal pain in IBS patients. The single‐item methods, e.g. the validated 10‐point numeric rating scale (NRS), and questionnaires assessing gastrointestinal symptoms severity, focus mostly on the assessment of only the intensity of abdominal pain. Of these questionnaires, the validated IBS‐Symptom Severity Scale includes the broadest measurement of pain‐related aspects. General pain questionnaires and electronic momentary symptom assessment tools have been used to study abdominal pain in IBS patients, but have not yet been validated for this purpose. The evidence for the use of provocation tests, e.g. the rectal barostat with balloon distention, for measurement of abdominal pain in IBS is weak, due to the poor correlation between visceral pain thresholds assessed by provocation tests and abdominal pain as assessed by retrospective questionnaires. Conclusions The multitude of different instruments to measure chronic abdominal pain in IBS makes it difficult to compare endpoints of published studies. There is need for validated instruments to assess chronic abdominal pain in IBS patients, that overcome the limitations of the currently available methods.</description><identifier>ISSN: 0269-2813</identifier><identifier>EISSN: 1365-2036</identifier><identifier>DOI: 10.1111/apt.13378</identifier><identifier>PMID: 26290286</identifier><language>eng</language><publisher>England</publisher><subject>Abdominal Pain - diagnosis ; Abdominal Pain - psychology ; Adult ; Aged ; Aged, 80 and over ; Databases, Factual ; Humans ; Irritable Bowel Syndrome ; Middle Aged ; Pain Measurement - methods ; Surveys and Questionnaires ; Visceral Pain</subject><ispartof>Alimentary pharmacology &amp; therapeutics, 2015-11, Vol.42 (9), p.1064-1081</ispartof><rights>2015 John Wiley &amp; Sons Ltd</rights><rights>2015 John Wiley &amp; Sons Ltd.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4248-ab5321fe0d64fa1754771c37d6ef9ba7236d9ea31366de0a760e92068b4353f43</citedby><cites>FETCH-LOGICAL-c4248-ab5321fe0d64fa1754771c37d6ef9ba7236d9ea31366de0a760e92068b4353f43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fapt.13378$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fapt.13378$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>230,314,776,780,881,1411,1427,27901,27902,45550,45551,46384,46808</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26290286$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttp://kipublications.ki.se/Default.aspx?queryparsed=id:132128679$$DView record from Swedish Publication Index$$Hfree_for_read</backlink></links><search><creatorcontrib>Mujagic, Z.</creatorcontrib><creatorcontrib>Keszthelyi, D.</creatorcontrib><creatorcontrib>Aziz, Q.</creatorcontrib><creatorcontrib>Reinisch, W.</creatorcontrib><creatorcontrib>Quetglas, E. G.</creatorcontrib><creatorcontrib>De Leonardis, F.</creatorcontrib><creatorcontrib>Segerdahl, M.</creatorcontrib><creatorcontrib>Masclee, A. A. M.</creatorcontrib><title>Systematic review: instruments to assess abdominal pain in irritable bowel syndrome</title><title>Alimentary pharmacology &amp; therapeutics</title><addtitle>Aliment Pharmacol Ther</addtitle><description>Summary Background Consensus on standard methods to assess chronic abdominal pain in patients with irritable bowel syndrome (IBS) is currently lacking. Aim To systematically review the literature with respect to instruments of measurement of chronic abdominal pain in IBS patients. Methods Systematic literature search was performed in PubMed/Medline databases for studies using pain measurement instruments in patients with IBS. Results One hundred and ten publications were reviewed. A multitude of different instruments is currently used to assess chronic abdominal pain in IBS patients. The single‐item methods, e.g. the validated 10‐point numeric rating scale (NRS), and questionnaires assessing gastrointestinal symptoms severity, focus mostly on the assessment of only the intensity of abdominal pain. Of these questionnaires, the validated IBS‐Symptom Severity Scale includes the broadest measurement of pain‐related aspects. General pain questionnaires and electronic momentary symptom assessment tools have been used to study abdominal pain in IBS patients, but have not yet been validated for this purpose. The evidence for the use of provocation tests, e.g. the rectal barostat with balloon distention, for measurement of abdominal pain in IBS is weak, due to the poor correlation between visceral pain thresholds assessed by provocation tests and abdominal pain as assessed by retrospective questionnaires. Conclusions The multitude of different instruments to measure chronic abdominal pain in IBS makes it difficult to compare endpoints of published studies. There is need for validated instruments to assess chronic abdominal pain in IBS patients, that overcome the limitations of the currently available methods.</description><subject>Abdominal Pain - diagnosis</subject><subject>Abdominal Pain - psychology</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Databases, Factual</subject><subject>Humans</subject><subject>Irritable Bowel Syndrome</subject><subject>Middle Aged</subject><subject>Pain Measurement - methods</subject><subject>Surveys and Questionnaires</subject><subject>Visceral Pain</subject><issn>0269-2813</issn><issn>1365-2036</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kEtLxDAQx4Mo7vo4-AUkRz3UzaNNWm-y-IIFBfUc0nYK0b7MtC777Y123ZvDwAzDjx_Mn5Azzq54qIXthysupU73yJxLlUSCSbVP5kyoLBIplzNyhPjOGFOaiUMyE0pkTKRqTl5eNjhAYwdXUA9fDtbX1LU4-LGBdkA6dNQiAiK1edk1rrU17a1r6U977wab10Dzbg01xU1b-q6BE3JQ2RrhdDuPydvd7evyIVo93T8ub1ZREYs4jWyeSMErYKWKK8t1EmvNC6lLBVWWWy2kKjOwMnykSmBWKwaZYCrNY5nIKpbHJJq8uIZ-zE3vXWP9xnTWme3pI2xgVCaDOvAXE9_77nMEHEzjsIC6ti10IxqueZqxhGcsoJcTWvgO0UO1k3NmfjI3IXPzm3lgz7faMW-g3JF_IQdgMQFrV8Pmf5O5eX6dlN_Q_4wW</recordid><startdate>201511</startdate><enddate>201511</enddate><creator>Mujagic, Z.</creator><creator>Keszthelyi, D.</creator><creator>Aziz, Q.</creator><creator>Reinisch, W.</creator><creator>Quetglas, E. G.</creator><creator>De Leonardis, F.</creator><creator>Segerdahl, M.</creator><creator>Masclee, A. A. M.</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>ADTPV</scope><scope>AOWAS</scope></search><sort><creationdate>201511</creationdate><title>Systematic review: instruments to assess abdominal pain in irritable bowel syndrome</title><author>Mujagic, Z. ; Keszthelyi, D. ; Aziz, Q. ; Reinisch, W. ; Quetglas, E. G. ; De Leonardis, F. ; Segerdahl, M. ; Masclee, A. A. 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G.</creatorcontrib><creatorcontrib>De Leonardis, F.</creatorcontrib><creatorcontrib>Segerdahl, M.</creatorcontrib><creatorcontrib>Masclee, A. A. M.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>SwePub</collection><collection>SwePub Articles</collection><jtitle>Alimentary pharmacology &amp; therapeutics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mujagic, Z.</au><au>Keszthelyi, D.</au><au>Aziz, Q.</au><au>Reinisch, W.</au><au>Quetglas, E. G.</au><au>De Leonardis, F.</au><au>Segerdahl, M.</au><au>Masclee, A. A. M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Systematic review: instruments to assess abdominal pain in irritable bowel syndrome</atitle><jtitle>Alimentary pharmacology &amp; therapeutics</jtitle><addtitle>Aliment Pharmacol Ther</addtitle><date>2015-11</date><risdate>2015</risdate><volume>42</volume><issue>9</issue><spage>1064</spage><epage>1081</epage><pages>1064-1081</pages><issn>0269-2813</issn><eissn>1365-2036</eissn><abstract>Summary Background Consensus on standard methods to assess chronic abdominal pain in patients with irritable bowel syndrome (IBS) is currently lacking. Aim To systematically review the literature with respect to instruments of measurement of chronic abdominal pain in IBS patients. Methods Systematic literature search was performed in PubMed/Medline databases for studies using pain measurement instruments in patients with IBS. Results One hundred and ten publications were reviewed. A multitude of different instruments is currently used to assess chronic abdominal pain in IBS patients. The single‐item methods, e.g. the validated 10‐point numeric rating scale (NRS), and questionnaires assessing gastrointestinal symptoms severity, focus mostly on the assessment of only the intensity of abdominal pain. Of these questionnaires, the validated IBS‐Symptom Severity Scale includes the broadest measurement of pain‐related aspects. General pain questionnaires and electronic momentary symptom assessment tools have been used to study abdominal pain in IBS patients, but have not yet been validated for this purpose. The evidence for the use of provocation tests, e.g. the rectal barostat with balloon distention, for measurement of abdominal pain in IBS is weak, due to the poor correlation between visceral pain thresholds assessed by provocation tests and abdominal pain as assessed by retrospective questionnaires. Conclusions The multitude of different instruments to measure chronic abdominal pain in IBS makes it difficult to compare endpoints of published studies. There is need for validated instruments to assess chronic abdominal pain in IBS patients, that overcome the limitations of the currently available methods.</abstract><cop>England</cop><pmid>26290286</pmid><doi>10.1111/apt.13378</doi><tpages>18</tpages><oa>free_for_read</oa></addata></record>
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source Wiley Free Content; MEDLINE; Wiley Online Library Journals Frontfile Complete; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals
subjects Abdominal Pain - diagnosis
Abdominal Pain - psychology
Adult
Aged
Aged, 80 and over
Databases, Factual
Humans
Irritable Bowel Syndrome
Middle Aged
Pain Measurement - methods
Surveys and Questionnaires
Visceral Pain
title Systematic review: instruments to assess abdominal pain in irritable bowel syndrome
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