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Our objective was to test a method of brief pain assessment and clinical staging based on recognized focal features of chronic pain and preexisting measurement tools.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A total of 781 adults ages \u226550 years who were registered with 3 general practices and were experiencing knee pain within the previous 6 months attended research clinics between August 2002 and September 2003. Pain and associated disability were staged on the basis of self\u2010completed questions on knee pain persistence and global severity (Chronic Pain Grade). These were then compared with participants' appraisals of their knee problem, its perceived importance, negative health states, and consultation behavior.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Knee pain global severity was associated with symptom dissatisfaction, patient prioritizing, oral analgesic intake, mood, mobility limitation, poorer general health, and consultation behavior. Fewer independent associations were found with knee pain persistence. Staging could be performed using only 4 simple questions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Although the usefulness of this approach still needs to be determined in routine clinical settings and across other joint pain sites, our findings suggest that focal characteristics of chronic pain (persistence, global severity) can be used as the basis of brief, simple assessment and staging of joint pain in older adults.<\/jats:p><\/jats:sec>","DOI":"10.1002\/art.21986","type":"journal-article","created":{"date-parts":[[2006,6,1]],"date-time":"2006-06-01T00:20:04Z","timestamp":1149121204000},"page":"411-419","source":"Crossref","is-referenced-by-count":8,"title":["Staging joint pain and disability: A brief method using persistence and global severity"],"prefix":"10.1002","volume":"55","author":[{"given":"George","family":"Peat","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elaine","family":"Thomas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Croft","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2006,5,31]]},"reference":[{"key":"e_1_2_5_2_2","series-title":"WHO Technical Report Series","volume-title":"The burden of musculoskeletal conditions at the start of the new millenium: report of a WHO scientific group","author":"World Health Organization","year":"2003"},{"key":"e_1_2_5_3_2","first-page":"646","article-title":"Burden of major musculoskeletal conditions","volume":"81","author":"Woolf AD","year":"2003","journal-title":"Bull World Health Organ"},{"key":"e_1_2_5_4_2","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.84.3.351"},{"key":"e_1_2_5_5_2","series-title":"Morbidity statistics from general Practice: fourth national study 1991\u20131992","author":"McCormick A","year":"1995"},{"key":"e_1_2_5_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0304-3959(00)00361-4"},{"key":"e_1_2_5_7_2","doi-asserted-by":"publisher","DOI":"10.1136\/ard.16.4.494"},{"key":"e_1_2_5_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1063-4584(97)80020-9"},{"key":"e_1_2_5_9_2","doi-asserted-by":"publisher","DOI":"10.1136\/ard.57.10.595"},{"key":"e_1_2_5_10_2","volume-title":"Partnership in practice: the management of osteoarthritis","author":"The Primary Care Rheumatology Society","year":"1995"},{"key":"e_1_2_5_11_2","first-page":"799","article-title":"Recommendations for a core set of outcome measures for future phase III clinical trials in knee, hip, and hand osteoarthritis: consensus development at OMERACT III","volume":"24","author":"Bellamy N","year":"1997","journal-title":"J Rheumatol"},{"key":"e_1_2_5_12_2","doi-asserted-by":"publisher","DOI":"10.1136\/ard.2003.011742"},{"key":"e_1_2_5_13_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.314.7074.131"},{"key":"e_1_2_5_14_2","volume-title":"Knee osteoarthritis: management options","author":"The Primary Care Rheumatology Society","year":"1999"},{"key":"e_1_2_5_15_2","unstructured":"National Institute for Clinical Excellence. 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