title: Pain assessment in children with juvenile chronic arthritis: a matter of scaling and rater.
abstract: Twenty-six children with juvenile chronic arthritis and their parents participated in the study. We compared the assessments of pain perceived by the children on a visual analogue scale (VAS) with assessments on a 4-point verbal descriptor scale (VDS-4). In children aged 10 y and older, the pain assessment results of the children and the parents were compared. The discordance in paired data from the scale comparisons and from the inter-rater comparisons was evaluated using a statistical method developed for ordinal data. The preference of scale and motivation of the older children were summarized.
  
  
  CONCLUSIONS
  The parents and children used the VAS and the VDS-4 differently. The children showed a higher inter-scale discordance compared with the parents and they gave their pain a higher rating on the VAS but a lower rating on the VDS-4 than their parents. The VAS was preferred by the children but did not show the most reliable results.
authors.affiliation: Department of Paediatrics, Falun Hospital, Sweden. lillemor.berntson@falun.mail.telia.com
authors.forename: L
authors.initials: L
authors.lastname: Berntson
authors.forename: E
authors.initials: E
authors.lastname: Svensson
mesh_terms: D000293:Adolescent; D001171:Arthritis, Juvenile / Q000503:physiopathology*; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D008297:Male; D010147:Pain Measurement