Table 1. Questionnaires of the DOLORisk protocol.
| Category | Questionnaire | Core | Extended | Reference |
|---|---|---|---|---|
| Demographics | Age, gender, years in education,
working status, weight, height |
X | X | |
|
Characterisation of
pain |
Presence and duration of pain | X | X | |
| Family history | Family history of chronic pain | X | ||
| Pain medication | Currently taking pain medication | X | X | |
| Brief Pain Inventory – Usefulness of
medication |
X | Cleeland and Ryan 15 | ||
| Adherence to medication | X | |||
| Pain severity | Chronic Pain Grade | X | X | Von Korff, et al. 16 |
| Brief Pain Inventory – Pain Severity | X | Cleeland and Ryan 15 | ||
| Pain quality | DN4 Questionnaire | X | X | Bouhassira, et al. 9 |
| DN4 Examination | X | |||
| Neuropathic Pain Symptom Inventory | X | Bouhassira, et al. 17 | ||
| PainDETECT | X | Freynhagen, et al. 10 | ||
| Pain location | List of locations | X | X | |
| Body map | X | |||
| Pain interference | PROMIS Pain Interference | X | Cella, et al. 19 | |
| Pain catastrophizing | Pain Catastrophizing Scale | X | X | Sullivan, et al. 20 |
|
Health status and
quality of life |
EQ-5D-5L | X | X | Herdman, et al. 21 |
| PROMIS Depression | 4a | 8a | Cella, et al. 19 | |
| PROMIS Anxiety | 4a | 8a | ||
| PROMIS Sleep Disturbance | 4a | 8a | ||
| PROMIS Fatigue | X | |||
| Trauma | X | X | ||
|
Disease specific
(diabetic neuropathy) |
Michigan Neuropathy Screening
Instrument |
X | Feldman, et al. 18 | |
| Personality | Ten Item Personality Inventory | X | X | Gosling, et al. 22 |
| International Personality Item Pool
(Emotional Stability) |
X | Goldberg 23 | ||
| Lifestyle | Smoking | X | X | Campbell, et al. 24 |
| Alcohol | X | X | ||
| International Physical Activity
Questionnaire |
X | Craig, et al. 25 |