Abstract
The subjectivity and the multidimensionality of pain raises several challenges in terms of its description, assessment and treatment. This study presents a Clinical Decision Support System for the pain condition based on the fusion of its different dimensions in order to produce an accurate and reliable assessment. The proposed system includes not only the value of the pain intensity but also several scores (e.g. regarding anxiety, or depression) obtained from the analysis of patients’ behaviour related with the posted messages on social networks, such as Facebook, or Twitter. This study aims to introduce the paradigm for the pain assessment based on patients’ behavioural scores to the detriment of it self-reporting of pain.
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References
Giordano, J., Abramson, K., Boswell, M.V.: Pain assessment: subjectivity, objectivity, and the use of neurotechnology. Pain Physician 13, 305–315 (2010)
Pombo, N., Garcia, N., Bousson, K., Spinsante, S., Chorbev, I.: Pain assessment—can it be done with a computerised system? A systematic review and meta-analysis. Int. J. Environ. Res. Public Health 13, 415 (2016). https://doi.org/10.3390/ijerph13040415
Ong, K.S., Seymour, R.A.: Pain measurement in humans. Surgeon 2, 15–27 (2004)
Melzack, R., Casey, K.L.: Sensory, motivational, and central control determinants of pain: a new conceptual model. In: The Skin Senses, pp. 423–443 (1968)
Fernandez, E., Turk, D.C.: Sensory and affective components of pain: separation and synthesis. Psychol. Bull. 112, 205–217 (1992)
Holroyd, K.A., Talbot, F., Holm, J.E., Pingel, J.D., Lake, A.E., Saper, J.R.: Assessing the dimensions of pain: a multitrait-multimethod evaluation of seven measures. Pain 67, 259–265 (1996)
Kornbluth, I.D., Freedman, M.K., Holding, M.Y., Overton, E.A., Saulino, M.F.: Interventions in chronic pain management. 4. Monitoring progress and compliance in chronic pain management. Arch. Phys. Med. Rehabil. 89, S51–S55 (2008)
Pombo, N., Araújo, P., Viana, J.: Knowledge discovery in clinical decision support systems for pain management: a systematic review. Artif. Intell. Med. 60, 1–11 (2014). https://doi.org/10.1016/j.artmed.2013.11.005
Pombo, N., Rebelo, P., Araújo, P., Viana, J.: Combining data imputation and statistics to design a clinical decision support system for post-operative pain monitoring. Procedia Comput. Sci. 64, 1018–1025 (2015). https://doi.org/10.1016/j.procs.2015.08.621
Nekolaichuk, C.L., Bruera, E., Spachynski, K., MacEachern, T., Hanson, J., Maguire, T.O.: A comparison of patient and proxy symptom assessments in advanced cancer patients. Palliat. Med. 13, 311–323 (1999). https://doi.org/10.1191/026921699675854885
Pautex, S., Berger, A., Chatelain, C., Herrmann, F., Zulian, G.B.: Symptom assessment in elderly cancer patients receiving palliative care. Crit. Rev. Oncol./Hematol. 47, 281–286 (2003)
Axén, I., Bodin, L., Bergström, G., Halasz, L., Lange, F., Lövgren, P., et al.: Clustering patients on the basis of their individual course of low back pain over a six month period. BMC Musculoskelet. Disord. 12, 99 (2011). https://doi.org/10.1186/1471-2474-12-99
Axén, I., Bodin, L., Bergström, G., Halasz, L., Lange, F., Lövgren, P.W., et al.: The use of weekly text messaging over 6 months was a feasible method for monitoring the clinical course of low back pain in patients seeking chiropractic care. J. Clin. Epidemiol. 65, 454–461 (2012). https://doi.org/10.1016/j.jclinepi.2011.07.012
Johnson, C.: Measuring pain. Visual analog scale versus numeric pain scale: what is the difference? J. Chiropr. Med. 4, 43–44 (2005). https://doi.org/10.1016/s0899-3467(07)60112-8
Ljótsson, B., Falk, L., Vesterlund, A.W., Hedman, E., Lindfors, P., Rück, C., et al.: Internet-delivered exposure and mindfulness based therapy for irritable bowel syndrome—a randomized controlled trial. Behav. Res. Ther. 48, 531–539 (2010). https://doi.org/10.1016/j.brat.2010.03.003
Labus, J.S., Bolus, R., Chang, L., Wiklund, I., Naesdal, J., Mayer, E.A., et al.: The Visceral Sensitivity Index: development and validation of a gastrointestinal symptom-specific anxiety scale. Aliment. Pharmacol. Ther. 20, 89–97 (2004). https://doi.org/10.1111/j.1365-2036.2004.02007.x
Svanborg, P., Asberg, M.: A new self-rating scale for depression and anxiety states based on the Comprehensive Psychopathological Rating Scale. Acta Psychiatr. Scand. 89, 21–28 (1994)
Sheehan, K.H., Sheehan, D.V.: Assessing treatment effects in clinical trials with the discan metric of the Sheehan Disability Scale. Int. Clin. Psychopharmacol. 23, 70–83 (2008)
Marceau, L.D., Link, C.L., Smith, L.D., Carolan, S.J., Jamison, R.N.: In-clinic use of electronic pain diaries: barriers of implementation among pain physicians. J. Pain Symptom Manage. 40, 391–404 (2010). https://doi.org/10.1016/j.jpainsymman.2009.12.021
Cleeland, C.S., Ryan, K.M.: Pain assessment: global use of the Brief Pain Inventory. Ann. Acad. Med. Singapore 23, 129–138 (1994)
Crombez, G., Bijttebier, P., Eccleston, C., Mascagni, T., Mertens, G., Goubert, L., et al.: The child version of the pain catastrophizing scale (PCS-C): a preliminary validation. Pain 104, 639–646 (2003). https://doi.org/10.1016/S0304-3959(03)00121-0
Radloff, L.S.: The CES-D Scale. Appl. Psychol. Meas. 1, 385–401 (1977). https://doi.org/10.1177/014662167700100306
Fairbank, J.C., Pynsent, P.B.: The Oswestry Disability Index. Spine 25, 2940–2952 (2000)
Pombo, N., Araújo, P., Viana, J., da Costa, M.D.: Evaluation of a ubiquitous and interoperable computerised system for remote monitoring of ambulatory post-operative pain: a randomised controlled trial. Technol. Health Care 22, 63–75 (2014). https://doi.org/10.3233/THC-130774
Ruehlman, L.S., Karoly, P., Enders, C.: A randomized controlled evaluation of an online chronic pain self management program. Pain 153, 319–330 (2012). https://doi.org/10.1016/j.pain.2011.10.025
Crawford, J.R., Henry, J.D.: The Depression Anxiety Stress Scales (DASS): normative data and latent structure in a large non-clinical sample. Br. J. Clin. Psychol. 42, 111–131 (2003)
Ruehlman, L.S., Karoly, P., Newton, C., Aiken, L.S.: The development and preliminary validation of the profile of chronic pain: extended assessment battery. Pain 118, 380–389 (2005). https://doi.org/10.1016/j.pain.2005.09.001
Ruehlman, L.S., Karoly, P., Newton, C., Aiken, L.S.: The development and preliminary validation of a brief measure of chronic pain impact for use in the general population. Pain 113, 82–90 (2005). https://doi.org/10.1016/j.pain.2004.09.037
Dudani, S.A.: The distance-weighted k-nearest-neighbor rule. IEEE Trans. Syst. Man Cybern. SMC-6, 325–327 (1976). https://doi.org/10.1109/tsmc.1976.5408784
Larrañaga, P., Moral, S.: Probabilistic graphical models in artificial intelligence. Appl. Soft Comput. 11, 1511–1528 (2011). https://doi.org/10.1016/j.asoc.2008.01.003
Acknowledgements
This work was supported by FCT project UID/EEA/50008/2013 (Este trabalho foi suportado pelo projecto FCT UID/EEA/50008/2013).
This article is based upon work from COST Action IC1303—AAPELE—Architectures, Algorithms and Protocols for Enhanced Living Environments and COST Action CA16226—SHELD-ON—Indoor living space improvement: Smart Habitat for the Elderly, supported by COST (European Cooperation in Science and Technology). More information in www.cost.eu.
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Pombo, N., Garcia, N.M. (2020). Towards Pain-Fingerprinting: A Ubiquitous and Interoperable Clinical Decision Support System for Pain Assessment. In: Badnjevic, A., Škrbić, R., Gurbeta Pokvić, L. (eds) CMBEBIH 2019. CMBEBIH 2019. IFMBE Proceedings, vol 73. Springer, Cham. https://doi.org/10.1007/978-3-030-17971-7_68
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