SUFU 2021: Measuring Widespread Pain Using a Body Map: A Mapp Network Proposal

( This group presented a simplified body map that can be used by clinicians to assess for the presence of widespread pain in men and women with urologic chronic pelvic pain syndrome (UCPPS). The group used the CHOIR Body Map that has 76 sites.

It was administered 5 times, at weekly intervals to 578 male and female UCPPS participants. The participants recorded the sites and rated the pain severity (0-10 NRS) where they had experienced pain during the previous week. The 76 sites were classified into 13 contiguous regions (1 pelvic region and 12 non-pelvic regions). The degree of widespread pain was scored from 0-12 based on the number of reported non-pelvic pain regions with any pain rating. Continuous body map scores were correlated with other measures of widespread pain, as well as UCPPS symptom severity. The body map scores (0-12) showed limited variability over the 5 weekly assessments. The score demonstrated a very high correlation with other measures of widespread pain, p4 resulted in only marginal increases in these correlations. This group endorses the use of this 13-region body map in the clinical assessment of UCPPS patients as it provides reliable data about the presence of widespread pain and does not require measurement of pain severity.

Presented by: J. Quentin Clemens, J. Richard Landis, Kenneth Locke, Karl Kreder, Larissa V. Rodriguez, Claire C. Yang, Frank Tu, Steven Harte, Andrew Schrepf, John T. Farrar, Siobhan Sutcliffe, Bruce Naliboff, David Williams, Niloofar Afari, Tracy Spitznagle, Bayley Taple, Christopher Mullins, H. Henry Lai

Written by: Diane K. Newman, DNP, CRNP, FAAN, BCB-PMD, Nurse Practioner and Co-Director, Penn Center for Continence and Pelvic Health Adjunct Professor of Urology in Surgery during the 2021 Society of Urodynamics, Female Pelvic Medicine & Urogenital Reconstruction (SUFU) Winter Meeting.

Cramer, E., Ziadni, M., Scherrer, K., & Mackey, S. (2018). The somatic distribution of chronic pain and emotional distress utilizing the collaborative health outcomes information registry (CHOIR) body map. The Journal of Pain, 19(3), S53-S54