Izbicki et al developed a score for evaluating the pain experienced by a patient with chronic pancreatitis. This can be used to monitor the patient over time. The authors are from the University of Hamburg in Germany.
Patient selection: chronic pancreatitis
Parameters:
(1) frequency of pain attacks
(2) visual analogue scale (VAS)
(3) analgesic requirements to control pain
(4) disease-related disability (inability to work) in past year
|
Parameter |
Finding |
Points |
|
pain attack frequency |
daily |
100 |
|
|
several times per week |
75 |
|
|
several times per month |
50 |
|
|
several times per year |
25 |
|
|
none |
0 |
|
VAS |
0 = none, 100 = worse imaginable |
<VAS> |
|
analgesic requirements |
morphine |
100 |
|
|
buprenorphine |
80 |
|
|
pethidine |
20 |
|
|
tramadol |
15 |
|
|
metamizol |
3 |
|
|
aspirin |
1 |
|
inability to work |
permanent |
100 |
|
|
31 to 365 days (<= 1 year) |
75 |
|
|
8 to 30 days (<=1 month) |
50 |
|
|
1 to 7 days (<= 1 week) |
25 |
|
|
0 days |
0 |
total score =
= SUM(points for all 4 parameters) / 100
Interpretation:
• minimum score: 0
• maximum score: 100
• The higher the score the more severe the pain.
Purpose: To evaluate a patient with pain associated with chronic pancreatitis using the pain score of Izbicki et al.
Specialty: Sports Medicine & Rehabilitation
Objective: severity, prognosis, stage
ICD-10: K86.0, K86.1,
