title: Accuracy of providers' assessment of pain during intrauterine device insertion.
abstract: BACKGROUND
  Providers often underestimate patient pain. This study investigated if providers accurately assess pain during intrauterine device (IUD) insertion.
  
  
  METHODS
  This is a secondary analysis of a randomized trial. Participants rated pain on a 100-mm visual analogue scale (VAS). Providers marked a similar VAS for maximum level and timing of participant pain.
  
  
  RESULTS
  The mean patient maximum pain was 64.8 mm (SD, 27) compared to 35.3 mm (SD, 26) rated by the provider (p<.001). Patient and provider agreement on most painful time point of procedure was weak (kappa statistic, 0.16).
  
  
  CONCLUSIONS
  Providers underestimate pain during IUD insertion.
  
  
  CONCLUSIONS
  To our knowledge, this is the first paper to compare provider and patient perceptions of pain during IUD insertion. Understanding this relationship will help guide further research about IUD insertion pain and techniques and could improve patient counseling.
authors.affiliation: University of Miami, Miller School of Medicine, Department of Obstetrics and Gynecology, Miami, FL 33136, USA. Electronic address: kmaguire@med.miami.edu.
authors.forename: Karla
authors.initials: K
authors.lastname: Maguire
authors.forename: Kathleen
authors.initials: K
authors.lastname: Morrell
authors.forename: Carolyn
authors.initials: C
authors.lastname: Westhoff
authors.forename: Anne
authors.initials: A
authors.lastname: Davis
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D007434:Intrauterine Devices / Q000009:adverse effects*; D010147:Pain Measurement; D016032:Randomized Controlled Trials as Topic; D055815:Young Adult
keywords: IUD insertion; Intrauterine device insertion; Pain; Provider perception