Review Article

Chronic Pain Assessments in Children and Adolescents: A Systematic Literature Review of the Selection, Administration, Interpretation, and Reporting of Unidimensional Pain Intensity Scales

Table 3

Study characteristics and quality assessments by two independent reviewers.

ToolAuthor and yearChronic pain conditionMean age (years)SD (years)Female RangeQuality score
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VASAbu-Saad and Uiterwijk (1995) [35]Juvenile rheumatoid arthritis3372.3%7–165
VASAstfalck et al. (2010) [36]Chronic low back pain2815.550.550%14–161
VASChan et al. (2009) [37]Chronic daily headache1214–182
VASCohen et al. (2010) [38]Chronic pain22214.81.974.6%10–185
VASde Oliveira et al. (2011) [39]Juvenile idiopathic arthritis8011.642%8–142
VASEccleston et al. (2004) [40]Chronic pain8014.451.5571.25%11–175
VASGold et al. (2009) [41]Chronic pain8013.892.5772.5%8–185
VASGragg et al. (1996) [42]Rheumatic disease10012.22.4968%8–165
VASGuite et al. (2011) [27]Chronic pain25915.101.6477.6%12–185
VASHunfeld et al. (2002) [43]Chronic pain4214.51.612–187
VASHunfeld et al. (2002) [44]Chronic pain858.42.2565.88%5–115
VASJacob et al. (2012) [45]Sickle cell disease3113.42.451.6%10–176
VASKashikar-Zuck et al. (2011) [28]Chronic pain130014.22.476%8–185
VASKashikar-Zuck et al. (2012) [46]Juvenile fibromyalgia114151.892.1%11–184
VASKonijnenberg et al. (2005) [47]Chronic pain14911.873%8–185
VASLogan et al. (2006) [48]Chronic pain11215.31.379.46%13–183
VASLynch et al. (2006) [49]Chronic back pain6514.92.680%8–186
VASSchanberg et al. (2003) [50]Polyarticular arthritis4112.32.959%8–175
VASStinson et al. (2008) [51]Juvenile idiopathic arthritis112132.458–176
VASStinson et al. (2013) [52]Cancer4713.49–186
VASSwain et al. (2005) [53]Juvenile fibromyalgia2215.621.33100%13–175
VASVarni et al. (1987) [54]Juvenile rheumatoid arthritis259.53.1776%5–157
VASVervoort et al. (2008) [34]Chronic pain7113.332.8357.38%8–184
VASVetter et al. (2014) [55]Chronic Pain9913.22.471%8–175
NRSClaar et al. (2008) [56]Chronic pain25414.691.4976.8%12–176
NRSCornelissen et al. (2014) [57]Juvenile idiopathic arthritis601373%7–175
NRSGuite et al. (2011) [27]Chronic pain25915.101.6477.6%12–185
NRSHainsworth et al. (2007) [58]Chronic pain6014.02.781.7%8–185
NRSHainsworth et al. (2009) [59]Chronic pain31913.42.771%8–184
NRSHechler et al. (2014) [29]Chronic pain87143.474.66%9–176
NRSHicks et al. (2006) [60]Chronic pain4711.72.163.839–164
NRSHirschfeld et al. (2013) [61]Chronic pain16714.11.9162%11–186
NRSHirschfeld et al. (2013) [17]Chronic pain224912.452.9361%2
NRSJastrowski et al. (2013) [62]Chronic pain61512–174
NRSLogan et al. (2008) [63]Chronic pain41414.71.675.6%12–174
NRSLogan et al. (2013) [64]Chronic pain61413.8874.73%7–185
NRSPalermo et al. (2008) [65]Chronic pain15514.312.4558.06%8–185
NRSRuskin et al. (2014) [15]Chronic pain14314.12.472%8–176
NRSRuskin et al. (2015) [66]Chronic pain1615.751.00100%13–175
NRSSimons et al. (2010) [67]Chronic pain126151.582.5%12–175
NRSSimons et al. (2015) [68]Chronic pain32113.732.4774.8%8–185
NRSSmith et al. (2015) [69]Chronic pain31013.802.6975.2%8–175
NRSVowles et al. (2010) [70]Chronic pain20914.81.974.6%10–185
FPSClaar and Walker (2006) [71]Chronic abdominal pain59611.592.4561%8–175
FPSPalermo et al. (2004) [72]Chronic pain18912.42.560%8–164
FPSPalermo and Kiska (2005) [73]Chronic pain8614.7567%13–164
FPS-revisedHechler et al. (2014) [29]Chronic pain87143.474.66%9–176
FPS-revisedKashikar-Zuck et al. (2011) [28]Chronic pain130014.22.476%8–186
FPS-revisedRamstad et al. (2011) [33]Cerebral palsy15314.272.8847.06%8–187

Highest score achieved7

Mean score4.86

Standard deviation1.26

Median score5

Interquartile range46