A consensus

The Initiative on Methods, Measurement and Pain Assessment in Clinical Trials (IMMPACT)36 has produced guidelines on choice of measures of efficacy and effectiveness in analgesic studies. The core domains and measures are summarized in Table 14.3. While these core domains and specific measures are recommended for use in clinical trials, their use in many different types of settings and patient populations is clearly applicable. Although McQuay46 encouraged comment on these recommendations cautioning against acceptance of prescriptive measures selected on the basis of opinion rather than firm evidence, this author's review (October 2006) of articles citing the recommendations suggests that his challenge has not been taken up and thus the recommendations stand.

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