title: Use of the Pain Assessment Screening Tool and Outcomes Registry in an Army Interdisciplinary Pain Management Center, Lessons Learned and Future Implications of a 10-Month Beta Test.
abstract: The U.S. Army Comprehensive Pain Management Campaign Plan was launched in 2010 to improve pain outcomes in military populations. Interdisciplinary Pain Management Centers (IPMCs) were established at every Army medical center, each offering a robust array of treatment options including conventional and complementary and integrative medicine (CIM) pain management therapies. The Pain Assessment Screening Tool and Outcomes Registry (PASTOR) was developed to assess and track biopsychosocial aspects of pain management and to identify best treatment practices.
  
  
  
  During a 10-month pilot test of PASTOR at one Army IPMC, active duty patients completed PASTOR at baseline and at significant junctures during their therapeutic course.
  
  
  
  322 IPMC patients completed baseline and follow-up PASTOR assessments. The PASTOR outcomes were analyzed for patients who completed a 3- to 6-week CIM program, a 3-week functional restoration program, or both. For most PASTOR domains, a greater proportion of patients who completed both programs reported important improvement compared with patients who completed either program alone.
  
  
  
  This pilot test demonstrated the utility of using PASTOR in a military IPMC to track biopsychosocial treatment outcomes. These preliminary data will inform future comparative effectiveness analyses of pain therapies among military and veteran populations.
authors.affiliation: Department of Pain Management, Madigan Army Medical Center, 9040 Jackson Avenue, Tacoma, WA 98431.
authors.forename: Diane M
authors.initials: DM
authors.lastname: Flynn
authors.affiliation: Department of Medical Social Sciences, Feinstein School of Medicine, Northwestern University, 633 North Street Clair, 19th Floor, Chicago, IL 60611.
authors.forename: Karon
authors.initials: K
authors.lastname: Cook
authors.affiliation: Department of Medical Social Sciences, Feinstein School of Medicine, Northwestern University, 633 North Street Clair, 19th Floor, Chicago, IL 60611.
authors.forename: Michael
authors.initials: M
authors.lastname: Kallen
authors.affiliation: Defense and Veterans Center for Integrative Pain Management, 11308 Rockville Pike, Rockville, MD 20852.
authors.forename: Chester
authors.initials: C
authors.lastname: Buckenmaier
authors.affiliation: Department of Pain Management, Madigan Army Medical Center, 9040 Jackson Avenue, Tacoma, WA 98431.
authors.forename: Ricke
authors.initials: R
authors.lastname: Weickum
authors.affiliation: Defense and Veterans Center for Integrative Pain Management, 11308 Rockville Pike, Rockville, MD 20852.
authors.forename: Teresa
authors.initials: T
authors.lastname: Collins
authors.affiliation: Defense and Veterans Center for Integrative Pain Management, 11308 Rockville Pike, Rockville, MD 20852.
authors.forename: Ashley
authors.initials: A
authors.lastname: Johnson
authors.affiliation: Department of Pain Management, Madigan Army Medical Center, 9040 Jackson Avenue, Tacoma, WA 98431.
authors.forename: Dawn
authors.initials: D
authors.lastname: Morgan
authors.affiliation: Defense and Veterans Center for Integrative Pain Management, 11308 Rockville Pike, Rockville, MD 20852.
authors.forename: Kevin
authors.initials: K
authors.lastname: Galloway
authors.affiliation: Defense and Veterans Center for Integrative Pain Management, 11308 Rockville Pike, Rockville, MD 20852.
authors.forename: Kristin
authors.initials: K
authors.lastname: Joltes
mesh_terms: D000553:Ambulatory Care / Q000379:methods*; D006801:Humans; D008887:Military Medicine / Q000379:methods*; D008889:Military Personnel / Q000706:statistics & numerical data; D059408:Pain Management / Q000379:methods; D010147:Pain Measurement / Q000295:instrumentation* / Q000379:methods / Q000592:standards*; D063868:Patient Outcome Assessment; D010865:Pilot Projects; D011795:Surveys and Questionnaires