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. 2022 Jan 5;128(5):874–888. doi: 10.1016/j.bja.2021.11.032

Table 3.

Reliability of unidimensional pain assessment tools in surgical patients. ∗Average interclass correlation coefficient calculated for 7 days. No separate result for each scale. Results categorised in 20–44 yr (n=43), 45–59 yr (n=39), 60 yr without cognitive impairment (n=40), ≤60 yr with mild cognitive impairment (n=31). 95% confidence interval. FPS, faces pain scale; n, number of patients; NRS, numerical rating scale; PROM/s, patient-reported outcome measures; SD, standard deviation; VAS, visual analogue scale; VDS, verbal descriptor scale.

First author, year PROM/s Pain construct Reliability
Type n Time interval Interclass correlation coefficient
Li, 200747 VAS
NRS
VDS
FPS
Current, worst, least, average pain on 7 postoperative days Scale reliability 173 Every 24 h 0.66∗
0.76∗
0.72∗
0.72∗
Li, 200946 FPS
NRS
Iowa Pain Thermometer
Current pain and daily retrospective ratings of worst and least pain Scale reliability 180 Every 24 h 0.95 to 0.97
Zhou, 201156 VDS
NRS
FPS
Numeric Box-21 Scale
Coloured Analogue Scale
Recalled pain and postoperative pain Test–retest reliability 153 24 h 0.96, 0.88, 0.93, 0.84
0.94, 0.90, 0.91, 0.80
0.93, 0.91, 0.84, 0.80
0.92, 0.91, 0.78, 0.76
0.93, 0.90, 0.88, 0.77¶
Aziato, 201533 NRS
FPS
Colour Circle Pain Scale
No pain – worst possible pain
No pain – worst possible pain
No pain – unbearable
Inter-rater reliability 150 5–10 min 0.92
0.93
0.93
Myles, 201748 VAS Pain unchanged or almost the same Test–retest reliability 22 Not reported 0.79 (0.49–0.91)