Pain medicine

The level of agreement between the numerical rating scale and visual analogue scale for assessing pain intensity in adults with chronic pain

AnaesthesiaPublished Secondary analysis of the INTERVAL cross-sectional study

Authors' conclusion

This study failed to show an acceptable agreement between the numerical rating scale and visual analogue scale when pain intensity was rated by adults with chronic pain, despite showing both scales measure the same information.

Study context

Population
Adults with chronic pain
Participants
366 adults
Comparison
NRS vs VAS for pain intensity
Primary endpoint
One-dimensionality and agreement between NRS and VAS scores (current, average, minimal and maximal pain)
Methodological detailsprospective, multicentre
  • Prospective
  • Multicentre

Primary result

As reported in the abstract

Agreement between NRS and VAS

Intra-class correlation coefficient range

0.739 to 0.858

Further findings

Proportion scoring minimal pain ≤ maximal pain

Agreement between pain severity categories

'moderate' for average and minimal pain; 'substantial' for current and maximal pain

Original publication

The level of agreement between the numerical rating scale and visual analogue scale for assessing pain intensity in adults with chronic pain. Anaesthesia. Published 6 December 2023. doi:10.1111/anae.16151

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