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本文引用的文献

1
Patterns of pain and interference in patients with painful bone metastases: a brief pain inventory validation study.骨转移癌疼痛患者的疼痛模式和干扰：简要疼痛库存验证研究。
J Pain Symptom Manage. 2010 Feb;39(2):230-40. doi: 10.1016/j.jpainsymman.2009.07.006.
2
Bisphosphonates in oncology: evidence for the prevention of skeletal events in patients with bone metastases.肿瘤学中的双膦酸盐：预防骨转移患者骨骼事件的证据。
Drug Des Devel Ther. 2009 Sep 21;3:27-40.
3
The management of painful bone metastases with biphosphonates and palliative radiotherapy: a retrospective evaluation of 372 cases.双膦酸盐和姑息性放疗治疗疼痛性骨转移：372例回顾性评估
J BUON. 2009 Apr-Jun;14(2):245-9.
4
Validation of the Turkish version of the Brief Pain Inventory in surgery patients.《简明疼痛量表》土耳其语版本在外科手术患者中的效度验证
Pain Manag Nurs. 2009 Jun;10(2):107-113.e2. doi: 10.1016/j.pmn.2008.08.002.
5
Therapeutic guidelines for the treatment of bone metastasis: a report from the American College of Radiology Appropriateness Criteria Expert Panel on Radiation Oncology.骨转移治疗指南：美国放射学会放射肿瘤学适宜性标准专家小组报告
J Palliat Med. 2009 May;12(5):417-26. doi: 10.1089/jpm.2009.9633.
6
Validation of the Thai Version of Brief Pain Inventory (BPI-T) in cancer patients.泰国版简明疼痛问卷（BPI-T）在癌症患者中的效度验证。
J Med Assoc Thai. 2009 Jan;92(1):34-40.
7
Stereotactic body radiotherapy is effective salvage therapy for patients with prior radiation of spinal metastases.立体定向体部放射治疗是对先前接受过脊柱转移瘤放疗患者有效的挽救性治疗方法。
Int J Radiat Oncol Biol Phys. 2009 Jul 1;74(3):723-31. doi: 10.1016/j.ijrobp.2008.09.020. Epub 2008 Dec 25.
8
Russian Brief Pain Inventory: validation and application in cancer pain.俄罗斯简短疼痛量表：在癌症疼痛中的验证与应用
J Pain Symptom Manage. 2008 Jan;35(1):95-102. doi: 10.1016/j.jpainsymman.2007.02.042. Epub 2007 Nov 5.
9
Palliative radiotherapy trials for bone metastases: a systematic review.骨转移姑息性放疗试验：一项系统评价
J Clin Oncol. 2007 Apr 10;25(11):1423-36. doi: 10.1200/JCO.2006.09.5281.
10
Randomized trial of short- versus long-course radiotherapy for palliation of painful bone metastases.短疗程与长疗程放射治疗缓解骨转移疼痛的随机试验。
J Natl Cancer Inst. 2005 Jun 1;97(11):798-804. doi: 10.1093/jnci/dji139.

骨转移患者使用简明疼痛评估量表的疼痛及干扰模式分析：一项验证性研究。

Analysis of Pain and Interference Patterns With Brief Pain Inventory in Patients With Bone Metastases: A Confirmatory Study.

作者信息

Zeng Liang, Chow Edward, Zhang Liying, Culleton Shaelyn, Holden Lori, Jon Florencia, Khan Luluel, Uy Cassandra, Tsao May, Barnes Elizabeth, Danjoux Cyril, Sahgal Arjun

机构信息

Rapid Response Radiotherapy Program, Department of Radiation Oncology, Odette Cancer Center, Sunnybrook Health Sciences Center, University of Toronto, Canada.

出版信息

World J Oncol. 2011 Jun;2(3):123-132. doi: 10.4021/wjon322w. Epub 2011 Jun 8.

DOI:10.4021/wjon322w
PMID:29147236
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5649665/
Abstract

BACKGROUND

This study investigates the validity of the psychometric properties of the Brief Pain Inventory (BPI) in patients with bone metastases and determines if patients with lower body pain exhibit higher levels of activity interference than those with upper body pain.

METHODS

Three hundred and eighty-six patients treated, between May 2003 and June 2007, for painful bone metastases were included in this analysis, 336 patients with complete data were included in further analyses. Cronbach's Alpha, confirmatory factor analysis (CFA), and discriminant validity tests were performed to analyze the psychometric properties of the BPI. One-way analysis of variance was used to compare mean scores of BPI subscales (pain, activity, and affect) in patients with upper or lower bone metastases.

RESULTS

Internal consistency of two- and three-factor BPI analysis was high. In both cases, consistency was further improved when the sleep item was removed. CFA confirmed these results and showed that three-factor analysis was recommended. Patients with lower body metastases reporting moderate to severe pain exhibited greater levels of functional interference. A single fraction radiotherapy dose of 8 Gy was as effective as multi-fraction therapy where the predominant fractionation was 20 Gy in 5 fractions.

CONCLUSIONS

Our data confirms the psychometric validation of the BPI and the recommendations to use three-factor analysis in patients with bone metastases. Patients exhibiting lower extremity pain should receive prompt pain interventions and functional aid.

摘要

背景

本研究调查了简明疼痛量表（BPI）在骨转移患者中的心理测量特性的有效性，并确定下半身疼痛的患者是否比上半身疼痛的患者表现出更高水平的活动干扰。

方法

本分析纳入了2003年5月至2007年6月期间接受治疗的386例伴有疼痛性骨转移的患者，336例有完整数据的患者纳入进一步分析。进行了克朗巴哈系数、验证性因子分析（CFA）和区分效度检验，以分析BPI的心理测量特性。采用单因素方差分析比较上半身或下半身骨转移患者BPI各分量表（疼痛、活动和情感）的平均得分。

结果

两因素和三因素BPI分析的内部一致性较高。在这两种情况下，去除睡眠项目后一致性进一步提高。CFA证实了这些结果，并表明推荐三因素分析。报告中度至重度疼痛的下半身转移患者表现出更大程度的功能干扰。单次分割放疗剂量8 Gy与主要分割方案为20 Gy分5次的多次分割治疗效果相同。

结论

我们的数据证实了BPI的心理测量学验证以及对骨转移患者使用三因素分析的建议。表现出下肢疼痛的患者应接受及时的疼痛干预和功能辅助。