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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Are Headaches Taking Your Life Hostage and Preventing You From Living to Your Fullest Potential? Are you tired of being given the run around by doctors who tell you that your headaches or migraines are psychological or that they have no cause that can be treated? Are you sick of calling in sick because you woke up with a headache so bad that you can barely think or see straight?