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Ann Rheum Dis. 1978 Aug; 37(4): 378–381.
PMCID: PMC1000250

Studies with pain rating scales.


Good correlation has been shown between pain scores derived from 4 different rating scales. The correlation was maintained when presentation of the scales was separated by a series of questions and by physical examination. There is good evidence that the 4 scales are measuring the same underlying pain variable as they calibrate well. There is also evidence that an 11-point (0-10) numerical rating scale performs better than both a 4-point simple descriptive scale or a continuous (visual analogue) scale.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • McGuire RJ, Wright V. Statistical approach to indices of disease activity in rheumatoid arthritis. Ann Rheum Dis. 1971 Nov;30(6):574–580. [PMC free article] [PubMed]
  • Ritchie DM, Boyle JA, McInnes JM, Jasani MK, Dalakos TG, Grieveson P, Buchanan WW. Clinical studies with an articular index for the assessment of joint tenderness in patients with rheumatoid arthritis. Q J Med. 1968 Jul;37(147):393–406. [PubMed]
  • Scott J, Huskisson EC. Graphic representation of pain. Pain. 1976 Jun;2(2):175–184. [PubMed]

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