title: Performance and quality indicators for the management of non-cancer chronic pain: a scoping review protocol.
abstract: BACKGROUND
  Chronic pain is a public health problem of epidemic proportion in most countries with important physical, psychological, social and economic consequences. The management of chronic pain is complex and requires an integrated network approach between all levels of the healthcare system and the involvement of several health professionals from different disciplines. Measuring the performance of organisations that provide care to individuals with chronic pain is essential to improve quality of care and requires the use of relevant performance and quality indicators. A scoping review methodology will be used to synthesise the evidence on performance and quality indicators developed for non-cancer chronic pain management across the continuum of care.
  
  
  METHODS
  The following electronic databases will be searched from 2000 onwards: Cochrane Effective Practice and Organisation of Care (EPOC) Review Group Specialised Register; Cochrane Library; EMBASE; PubMed; CINAHL; PsycINFO; ProQuest Dissertations and Theses. All types of studies will be included if these are concerned with performance or quality indicators in adults with chronic non-cancer pain. In addition, searches will be conducted on provincial, national and international health organisations as well as health professional and scientific associations' websites. A qualitative descriptive approach will be used to describe characteristics of each indicator. All identified indicators will be classified according to dimensions covered by Donabedian and the Triple Aim frameworks.
  
  
  BACKGROUND
  The scoping review findings will inform the development of a performance measurement system comprising a list of performance indicators with their level of evidence which can be used by stakeholders to evaluate the quality of care for individuals with chronic non-cancer pain at the patient, institutional and system level. The results will be disseminated via several knowledge translation strategies, including 2 stakeholder meetings, publication and presentation at conferences.
authors.affiliation: School of Public Health, University of Montreal, Montreal, Quebec, Canada Centre de Recherche Interdisciplinaire en Réadaptation du Montréal Métropolitain, Montreal, Quebec, Canada.
authors.forename: Diana
authors.initials: D
authors.lastname: Zidarov
authors.affiliation: Centre of Expertise in Chronic Pain, Réseau Universitaire Intégré de Santé (RUIS) McGill, Montreal, Quebec, Canada.
authors.forename: Regina
authors.initials: R
authors.lastname: Visca
authors.affiliation: Faculty of Medicine, School of Physical and Occupational Therapy, Epidemiology, Biostatistics, and Occupational Health, McGill University, Montreal, Quebec, Canada.
authors.forename: Amédé
authors.initials: A
authors.lastname: Gogovor
authors.affiliation: Centre de Recherche Interdisciplinaire en Réadaptation du Montréal Métropolitain, Montreal, Quebec, Canada Centre of Expertise in Chronic Pain, Réseau Universitaire Intégré de Santé (RUIS) McGill, Montreal, Quebec, Canada Faculty of Medicine, School of Physical and Occupational Therapy, Epidemiology, Biostatistics, and Occupational Health, McGill University, Montreal, Quebec, Canada Department of Clinical Epidemiology, McGill University Health Center, Montreal, Quebec, Canada.
authors.forename: Sara
authors.initials: S
authors.lastname: Ahmed
mesh_terms: D059350:Chronic Pain / Q000628:therapy*; D019468:Disease Management; D006801:Humans; D019984:Quality Indicators, Health Care; D000098584:Scoping Reviews as Topic
keywords: Non-cancer chronic pain; indicators; performance; quality of care; scoping review