Concordance of Pain Detection in Patients by Doloplus® and Algoplus® Behavioural Scales

Summary

The pain of the elderly is often trivialized and ignored in spite of its high frequency: the chronic pain affects 50 % of the elderly living at home, 49 to 83 % of those living in institution and 80 % of this population at the end of life.

The evaluation of pain appeals to the same strategy as to the younger subject but with some specificities, related more to the pathologies associated with the ageing than to the real age. For that purpose, the investigators have self-assessment scales as the Numeric Pain Rating Scale which is adapted to estimate acute and chronic pains, but this scale presents a bias because, some patients do not express spontaneously their pain.

So behavioural scales were elaborated to solve the difficulties of detection and to care the pain of the elderly. The Algoplus® scale (5 items which takes less than one minute to be completed) whose objective is the observation of behavioural changes caused by the acute pain in elderly having communication disorders. The Doloplus® scale (30 items which allow in few minutes a good evaluation of pain) whose objective is the observation of behavioural changes caused by the chronic pain in elderly having communication impairments.

In practice, because of its popularity, the Algoplus® scale is widely used out of the specificity in which it has been validated. Practitioners, worried about this misuse, suggested to Doloplus® group, to test the concordance between the two behavioural scales in order to develop recommendations more targeted. The risk is that the use of the Algoplus® scale may underestimate pain that would have been detected by Doloplus® scale, and lead to under-treatment or non-treatment of pain in elderly having communication disorders.

This study aims to establish the concordance between these two scales to generate advices and recommendations to assess efficiently the pain in this vulnerable population.

The main objective of this study is to assess whether the use of Algoplus® scale is in good concordance with Doloplus® scale.

The secondary objective of this study is to assess the concordance with different levels of Algoplus® pain scale: (0-1), (2-3), (4-5).

Conditions

• Pain in Elderly Patients Having Communication Disorders.

Interventions

OTHER

numeric pain rating scale

Sponsors & Collaborators

• Dr. Gisèle PICKERING (MCU, PH) Center of clinical pharmacology/CIC Inserm-1405 - Main investigator - Coordinating center

  collaborator UNKNOWN

• Ms Joëlle DEVOT - Collaborator

  collaborator UNKNOWN

• Dr Patrice RAT - Investigator

  collaborator UNKNOWN

• Dr Chandra COLOM - Investigator

  collaborator UNKNOWN

• Mr Dieudonné ENDOUGOU - Collaborator

  collaborator UNKNOWN

• Dr Cyril GUILLAUME - Investigator

  collaborator UNKNOWN

• Ms Nathalie ROUX - Collaborator

  collaborator UNKNOWN

• Dr Yves PASSADORI - Investigator

  collaborator UNKNOWN

• Ms Nathalie DANNENBERGER - Collaborator

  collaborator UNKNOWN

• Dr Micheline MICHEL - Investigator

  collaborator UNKNOWN

• Dr Sylvie CHAPIRO- Investigator

  collaborator UNKNOWN

• Dr Jean-François VILLARD - Investigator

  collaborator UNKNOWN

• Dr Bernard WARY- Investigator

  collaborator UNKNOWN

• Dr Anne-Cécile BOURJAL - Investigator

  collaborator UNKNOWN

• Dr Catherine BLUNTZ - Investigator

  collaborator UNKNOWN

• Dr Françoise CAPRIZ - Investigator

  collaborator UNKNOWN

• Dr Marie FLOCCIA - Investigator

  collaborator UNKNOWN

• Dr Jérôme BOHATIER - Investigator

  collaborator UNKNOWN

• Ms Linh NGUYEN PHUONG - Collaborator

  collaborator UNKNOWN

• University Hospital, Clermont-Ferrand

  lead OTHER

Principal Investigators

• Gisèle PICKERING · University Hospital, Clermont-Ferrand

Eligibility

Min Age

65 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2014-01-31

Primary Completion

2014-07-31

Completion

2014-09-30

Countries

• France

Study Locations