Anchoring Patients Pain Scores in the Emergency Department
NCT ID: NCT04717518
Last Updated: 2022-04-07
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
108 participants
OBSERVATIONAL
2020-08-24
2021-11-12
Brief Summary
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Detailed Description
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Conditions
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Study Design
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COHORT
PROSPECTIVE
Study Groups
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Lower Anchor Survey
Patients will likely rate their pain lower.
Measurement of Pain
Patients will fill out a brief survey concerning the current visit to the ED.
Higher Anchor Survey
Patients will likely rate their pain higher.
Measurement of Pain
Patients will fill out a brief survey concerning the current visit to the ED.
Interventions
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Measurement of Pain
Patients will fill out a brief survey concerning the current visit to the ED.
Eligibility Criteria
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Inclusion Criteria
* Presenting to the ED with a chief complaint of any type of pain
Exclusion Criteria
* Refusal to consent
* Incarcerated patients
* Pregnant patients
* Unable to complete survey secondary to clinical instability, severe pain, or disorientation determined by a study physician
18 Years
ALL
Yes
Sponsors
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CHRISTUS Health
OTHER
Responsible Party
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Landry Dorsett, DO
Principal Investigator
Principal Investigators
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Landry Dorsett, DO
Role: PRINCIPAL_INVESTIGATOR
CHRISTUS Spohn Health System
Locations
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CHRISTUS Spohn Health System
Corpus Christi, Texas, United States
Countries
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References
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"CDC Guideline for Prescribing Opioids for Chronic Pain." CDC, 2019, www.cdc.gov/drugoverdose/prescribing/guideline.html.
Colorado Opioid Safety Pilot Results Report The Colorado Opioid Safety Collaborative Background. Colorado Hospital Association, 2017.
"Nonopioid Pain Management | AHA." American Hospital Association, 2018, www.aha.org/bibliographylink-page/2018-09-28-nonopioid-pain-management. Accessed 13 Nov. 2019.
Scholl L, Seth P, Kariisa M, Wilson N, Baldwin G. Drug and Opioid-Involved Overdose Deaths - United States, 2013-2017. MMWR Morb Mortal Wkly Rep. 2018 Jan 4;67(5152):1419-1427. doi: 10.15585/mmwr.mm675152e1.
"Overdose Death Maps." CDC, 13 Aug. 2019, www.cdc.gov/drugoverdose/data/prescribing/overdosedeath-maps.html.
Compton WM, Jones CM, Baldwin GT. Relationship between Nonmedical Prescription-Opioid Use and Heroin Use. N Engl J Med. 2016 Jan 14;374(2):154-63. doi: 10.1056/NEJMra1508490. No abstract available.
Meisel ZF, Lupulescu-Mann N, Charlesworth CJ, Kim H, Sun BC. Conversion to Persistent or High-Risk Opioid Use After a New Prescription From the Emergency Department: Evidence From Washington Medicaid Beneficiaries. Ann Emerg Med. 2019 Nov;74(5):611-621. doi: 10.1016/j.annemergmed.2019.04.007. Epub 2019 Jun 20.
Marco CA, Kanitz W, Jolly M. Pain scores among emergency department (ED) patients: comparison by ED diagnosis. J Emerg Med. 2013 Jan;44(1):46-52. doi: 10.1016/j.jemermed.2012.05.002. Epub 2012 Jul 13.
Marco CA, Nagel J, Klink E, Baehren D. Factors associated with self-reported pain scores among ED patients. Am J Emerg Med. 2012 Feb;30(2):331-7. doi: 10.1016/j.ajem.2010.12.015. Epub 2011 Mar 1.
Tversky A, Kahneman D. Judgment under Uncertainty: Heuristics and Biases. Science. 1974 Sep 27;185(4157):1124-31. doi: 10.1126/science.185.4157.1124.
Northcraft, Gregory B, and Margaret A Neale. "Experts, Amateurs, and Real Estate: An Anchoring-andAdjustment Perspective on Property Pricing Decisions." Organizational Behavior and Human Decision Processes, vol. 39, no. 1, 1987, pp. 84-97, 10.1016/0749-5978(87)90046-x.
. Wansink, Brian, et al. "An Anchoring and Adjustment Model of Purchase Quantity Decisions." Journal of Marketing Research, vol. 35, no. 1, Feb. 1998, pp. 71-81, 10.1177/002224379803500108.
Yadav, Manjit S. "How Buyers Evaluate Product Bundles: A Model of Anchoring and Adjustment." Journal of Consumer Research, vol. 21, no. 2, Sept. 1994, p. 342, 10.1086/209402.
Liang, Hanchao, et al. "Bounded Rationality, Anchoring-and-Adjustment Sentiment, and Asset Pricing." The North American Journal of Economics and Finance, vol. 40, Apr. 2017, pp. 85-102, 10.1016/j.najef.2017.02.001. Accessed 13 Nov. 2019.
Brewer NT, Chapman GB, Schwartz JA, Bergus GR. The influence of irrelevant anchors on the judgments and choices of doctors and patients. Med Decis Making. 2007 Mar-Apr;27(2):203-11. doi: 10.1177/0272989X06298595.
Amir R, Leiba R, Eisenberg E. Anchoring the Numeric Pain Scale Changes Pain Intensity Reports in Patients With Chronic But Not With Acute Pain. Pain Pract. 2019 Mar;19(3):283-288. doi: 10.1111/papr.12738. Epub 2018 Nov 20.
Riva P, Rusconi P, Montali L, Cherubini P. The influence of anchoring on pain judgment. J Pain Symptom Manage. 2011 Aug;42(2):265-77. doi: 10.1016/j.jpainsymman.2010.10.264. Epub 2011 Mar 12.
Marco CA, Marco AP, Plewa MC, Buderer N, Bowles J, Lee J. The verbal numeric pain scale: effects of patient education on self-reports of pain. Acad Emerg Med. 2006 Aug;13(8):853-9. doi: 10.1197/j.aem.2006.04.020.
Other Identifiers
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2020-132
Identifier Type: -
Identifier Source: org_study_id
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