Confirmatory factor analysis of the International Pain Outcome questionnaire in surgery

Abstract. Background:. Choosing perioperative suitable treatments requires reliable and valid outcome measurements. The International Pain Outcome (IPO) questionnaire has been widely used for quality improvement and research purposes within the PAIN-OUT network that has collected more than 550,000 d...

Full description

Bibliographic Details
Main Authors: Mauricio Polanco-García, Roser Granero, Lluís Gallart, Jaume García-Lopez, Antonio Montes
Format: Article
Language:English
Published: Wolters Kluwer 2021-01-01
Series:PAIN Reports
Online Access:http://journals.lww.com/painrpts/fulltext/10.1097/PR9.0000000000000903
_version_ 1818596153588973568
author Mauricio Polanco-García
Roser Granero
Lluís Gallart
Jaume García-Lopez
Antonio Montes
author_facet Mauricio Polanco-García
Roser Granero
Lluís Gallart
Jaume García-Lopez
Antonio Montes
author_sort Mauricio Polanco-García
collection DOAJ
description Abstract. Background:. Choosing perioperative suitable treatments requires reliable and valid outcome measurements. The International Pain Outcome (IPO) questionnaire has been widely used for quality improvement and research purposes within the PAIN-OUT network that has collected more than 550,000 data sets of postoperative patients in 200 hospitals worldwide. Our aim is to confirm psychometric properties of the Spanish version of the IPO questionnaire and its invariance by pain predictors. Method:. Sample included 4014 participants within a large age range, who underwent different surgical procedures. Confirmatory factor analysis (CFA) assessed internal structure, considering invariance by sex, age, procedure, smoking, obesity, affective disorder, and chronic pain. Incremental predictive validity of factor scores on question would have liked more pain treatment and opioid requirement was also estimated with logistic binary regression. Results:. Confirmatory factor analysis verified original structure in 3 factors measuring pain intensity and interference (F1), adverse effects (F2), and perceptions of care (F3), with good internal consistency. Multigroup CFA analysis confirmed invariance by assessed pain predictors. Good incremental predictive capacity to identify would have liked more pain treatment was achieved. Conclusion:. Our study confirms the factor structure, supports reliability, and adds some evidence of convergent validity of the Spanish adaptation of the IPO questionnaire. The sum of scores in its main factors serves a global outcome analysis tool. Low scores in F1 and F2 with high scores in F3 would indicate optimal quality of care.
first_indexed 2024-12-16T11:27:23Z
format Article
id doaj.art-e44767f4ea7b4fe99051955849871bf7
institution Directory Open Access Journal
issn 2471-2531
language English
last_indexed 2024-12-16T11:27:23Z
publishDate 2021-01-01
publisher Wolters Kluwer
record_format Article
series PAIN Reports
spelling doaj.art-e44767f4ea7b4fe99051955849871bf72022-12-21T22:33:20ZengWolters KluwerPAIN Reports2471-25312021-01-0161e90310.1097/PR9.0000000000000903202101000-00024Confirmatory factor analysis of the International Pain Outcome questionnaire in surgeryMauricio Polanco-García0Roser Granero1Lluís Gallart2Jaume García-Lopez3Antonio Montes4a Department of Anesthesiology, Consorci Sanitari Alt Penedès-Garraf, Barcelona, Spainb Ciber Fisiopatologia Obesidad y Nutrición (CIBERobn), Instituto Salud Carlos III, Madrid, Spaind Department of Anesthesiology, Hospital del Mar. IMIM (Hospital del Mar Medical Research Institute), Universitat Autònoma de Barcelona, Bellaterra, Spaind Department of Anesthesiology, Hospital del Mar. IMIM (Hospital del Mar Medical Research Institute), Universitat Autònoma de Barcelona, Bellaterra, Spaind Department of Anesthesiology, Hospital del Mar. IMIM (Hospital del Mar Medical Research Institute), Universitat Autònoma de Barcelona, Bellaterra, SpainAbstract. Background:. Choosing perioperative suitable treatments requires reliable and valid outcome measurements. The International Pain Outcome (IPO) questionnaire has been widely used for quality improvement and research purposes within the PAIN-OUT network that has collected more than 550,000 data sets of postoperative patients in 200 hospitals worldwide. Our aim is to confirm psychometric properties of the Spanish version of the IPO questionnaire and its invariance by pain predictors. Method:. Sample included 4014 participants within a large age range, who underwent different surgical procedures. Confirmatory factor analysis (CFA) assessed internal structure, considering invariance by sex, age, procedure, smoking, obesity, affective disorder, and chronic pain. Incremental predictive validity of factor scores on question would have liked more pain treatment and opioid requirement was also estimated with logistic binary regression. Results:. Confirmatory factor analysis verified original structure in 3 factors measuring pain intensity and interference (F1), adverse effects (F2), and perceptions of care (F3), with good internal consistency. Multigroup CFA analysis confirmed invariance by assessed pain predictors. Good incremental predictive capacity to identify would have liked more pain treatment was achieved. Conclusion:. Our study confirms the factor structure, supports reliability, and adds some evidence of convergent validity of the Spanish adaptation of the IPO questionnaire. The sum of scores in its main factors serves a global outcome analysis tool. Low scores in F1 and F2 with high scores in F3 would indicate optimal quality of care.http://journals.lww.com/painrpts/fulltext/10.1097/PR9.0000000000000903
spellingShingle Mauricio Polanco-García
Roser Granero
Lluís Gallart
Jaume García-Lopez
Antonio Montes
Confirmatory factor analysis of the International Pain Outcome questionnaire in surgery
PAIN Reports
title Confirmatory factor analysis of the International Pain Outcome questionnaire in surgery
title_full Confirmatory factor analysis of the International Pain Outcome questionnaire in surgery
title_fullStr Confirmatory factor analysis of the International Pain Outcome questionnaire in surgery
title_full_unstemmed Confirmatory factor analysis of the International Pain Outcome questionnaire in surgery
title_short Confirmatory factor analysis of the International Pain Outcome questionnaire in surgery
title_sort confirmatory factor analysis of the international pain outcome questionnaire in surgery
url http://journals.lww.com/painrpts/fulltext/10.1097/PR9.0000000000000903
work_keys_str_mv AT mauriciopolancogarcia confirmatoryfactoranalysisoftheinternationalpainoutcomequestionnaireinsurgery
AT rosergranero confirmatoryfactoranalysisoftheinternationalpainoutcomequestionnaireinsurgery
AT lluisgallart confirmatoryfactoranalysisoftheinternationalpainoutcomequestionnaireinsurgery
AT jaumegarcialopez confirmatoryfactoranalysisoftheinternationalpainoutcomequestionnaireinsurgery
AT antoniomontes confirmatoryfactoranalysisoftheinternationalpainoutcomequestionnaireinsurgery