J Korean Med Sci.  2005 Oct;20(5):877-882. 10.3346/jkms.2005.20.5.877.

Reliability and Validity of the Korean Cancer Pain Assessment Tool (KCPAT)

Affiliations
  • 1Department of Family Medicine, Korea University College of Medicine, Seoul, Korea. younseon@korea.ac.kr
  • 2Department of Preventive Medicine, Korea University College of Medicine, Seoul, Korea.
  • 3Department of Internal Medicine, Bobath Memorial Hospital, Seoungnam, Korea.
  • 4Department of Internal Medicine, The Catholic University of Korea College of Medicine, Seoul, Korea.
  • 5Department of Family Medicine, Kwandong University College of Medicine, Seoul, Korea.
  • 6Dongmyun Health Center, Cheonan, Korea.
  • 7Department of Anesthesiology and Pain Medicine, Yonsei University College of Medicine, Seoul, Korea.
  • 8Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea.

Abstract

The Korean Cancer Pain Assessment Tool (KCPAT), which was developed in 2003, consists of questions concerning the location of pain, the nature of pain, the present pain intensity, the symptoms associated with the pain, and psychosocial/spiritual pain assessments. This study was carried out to evaluate the reliability and validity of the KCPAT. A stratified, proportional-quota, clustered, systematic sampling procedure was used. The study population (903 cancer patients) was 1% of the target population (90,252 cancer patients). A total of 314 (34.8%) questionnaires were collected. The results showed that the average pain score (5 point on Likert scale) according to the cancer type and the at-present average pain score (VAS, 0-10) were correlated (r=0.56, p<0.0001), and showed moderate agreement (kappa=0.364). The mean satisfaction score was 3.8 (1-5). The average time to complete the questionnaire was 8.9 min. In conclusion, the KCPAT is a reliable and valid instrument for assessing cancer pain in Koreans.

Keyword

Neoplasms; Pain; Pain Measurement; Reliability; Validity; Reproducibility of Results; Korean

MeSH Terms

Adult
Aged
Aged, 80 and over
Causality
Comorbidity
Data Collection/methods/*standards
Female
Humans
Korea/epidemiology
Male
Middle Aged
Neoplasms/*diagnosis/*epidemiology
Outcome Assessment (Health Care)/*methods
Pain/*diagnosis/*epidemiology
Pain Measurement/*methods
Reproducibility of Results
Research Support, Non-U.S. Gov't
Sensitivity and Specificity
Severity of Illness Index

Reference

1. 2001 Annual Report of the Korea Central Cancer Registry. 2001. Korea Central Cancer Registry and Ministry of Health and Welfare Republic of Korea.
2. Guideline of Cancer Pain Management. 2001. Seoul: The Korean Society for Hospice and Palliative Care, Korean Chemotherapy Study Group;1–20.
3. Merskey H. Pain terms: a list with definitions and notes on usage. Recommended by the IASP Subcommittee on Taxonomy. Pain. 1979. 6:249.
4. Saunders CM. The management of terminal illness. 1967. London: Hospital Medicine Publications.
5. Scott J, Huskisson EC. The graphic represention of pain. Pain. 1976. 2:75–84.
6. Sriwatanakul K, Kelvie W, Lasagna L, Calimlim JF, Weis OF, Mehta G. Studies with different types of visual analog scales for measurement of pain. Clin Pharmacol Ther. 1983. 34:234–239.
Article
7. Bieri D, Reeve RA, Champion GD, Addicoat L, Ziegler JB. The Faces Pain Scale for the self-assessment of the severity of pain experienced by children: development, initial validation, and preliminary investigation for ratio scale properties. Pain. 1990. 41:139–150.
Article
8. Daut RL, Cleeland CS, Flanery RC. Development of the Wisconsin Brief Pain Questionnaire to assess pain in cancer and other diseases. Pain. 1983. 17:197–210.
Article
9. Fishman B, Pasternak S, Wallenstein SL, Houde RW, Holland JC, Foley KM. The Memorial Pain Assessment Card. A valid instrument for the evaluation of cancer pain. Cancer. 1987. 60:1151–1158.
Article
10. Mellzack R. The McGill Pain Questionnaire: major properties and scoring methods. Pain. 1975. 1:277–299.
Article
11. Lee SO, Kim HS, Kim SY, Hong YS, Kim EK. Patient satisfaction with cancer pain management. Korean J Hospice Palliative Care. 2003. 6:22–33.
12. Kim KH, Jang WI, Joh Y-H, Choi I-S, Park SR, Lee S-Y, Kim JH, Kim DY, Lee SH, Kim T-Y, Heo DS, Bang Y-J, Kim NK. Evaluation of the Adequacy of Pain Management in the Admitted Cancer Patients. Korean J Hospice Palliative Care. 2002. 4:137.
13. Grossman SA, Sheidler VR, Swedeen K, Mucenski J, Piantadosi S. Correlation of patient and caregiver ratings of cancer pain. J Pain Symptom Manage. 1991. 6:53–57.
Article
14. Von Roenn JH, Cleeland CS, Gonin R, Hatfield AK, Pandya KJ. Physician attitudes and practice in cancer pain management. A survey from the Eastern Cooperative Oncology Group. Ann Intern Med. 1993. 119:121–126.
Article
15. Yun YH. Barriers to pain control related to physician. Korean J Hospice Palliative Care. 1999. 2:70–76.
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