The development of the DEGRR: A scale to assess pain in young children with cancer

  title={The development of the DEGRR: A scale to assess pain in young children with cancer},
  author={Annie Gauvain-Piquard and Chantal Rodary and Ali Rezvani and S. Serbouti},
  journal={European Journal of Pain},
The Gustave Roussy Child Pain Scale (Douleur Enfant Gustave Roussy, DEGRRScale) is a scale for grading prolonged pain in children aged 2–6 years with cancer. The scale comprised six behaviours specific to pain items, five psychomotor inertia items, and four anxiety items, with a total score ranging from 0 to 60. This work was designed to confirm the scale structure and to study its construct validity and convergent validity. 

Evaluación psicológica del dolor Psychological assessment of pain

The most important clinical recommendations are given with regard to interview, self-monitoring, behavioral observation, psycho-physiological records, pain questionnaires, coping, impact on emotional condition, social function, and psychopathology.

HEDEN Pain Scale: A Shortened Behavioral Scale for Assessment of Prolonged Cancer or Postsurgical Pain in Children Aged 2 to 6 Years

The Hétero Evaluation Douleur Enfant (HEDEN) scale from the DEGR scale is developed and validated, which allows accurate assessment of prolonged pain in young children with cancer.

Pain Assessment in Newborns, Infants, and Children.

This article reviews the available pain scales for children from birth to adolescence and proposes a synthesis of the reliable tools to use based on the pain context to help caregivers use the adapted tools.

Behavioral pain assessment and the Face, Legs, Activity, Cry and Consolability instrument

With minor revisions, the Face, Legs, Activity, Cry and Consolability pain scale may be useful to assess acute pain across populations of children and adults who are unable to self-report their pain.

Assessment and management of chronic orofacial pain associated with a disease in children: a multidisciplinary approach

Strict management of the cause is not sufficient for children with COFPAD without a multidisciplinary approach combining pharmacotherapy, psychology and physiotherapy.

Cancer pain in children

Cancer pain should always be measured using validated pain assessment tools, and a team including social workers, physiotherapists, play therapists, and music therapists may be needed.

Pain in children who have life-limiting conditions.

Reducing pain in children with cancer: Methodology for the development of a clinical practice guideline

This paper presents the thorough methodology for this development of a clinical practice guideline, addressing assessment and pharmacological, psychological, and physical management of tumor‐, treatment‐, and procedure‐related pain in children with cancer.

Pain and Pain Relief in Pediatric End-of-Life Care

There is a small but evolving collective expertise that is developing clinical services to care for dying children and the collective knowledge base will grow more quickly with time if this endeavor becomes an international collaborative effort.

Measuring the Pain of Mucositis using Oucher and DEGR

The data suggest DEGR was more sensitive to persistent pain than the Oucher but patient numbers were small, which may suggest that intensive treatment for mucositis persisted despite intensive treatment.



Coping with pain: a developmental approach to treatment of burned children.

  • F. Stoddard
  • Psychology, Medicine
    The American journal of psychiatry
  • 1982
The treatment of children aged 1-18 who experienced physical pain from an acute burn and the emotional pain of disfigurement offers a prototype for treatment of pain and understanding its impact on

Patterns of Pediatric Pain Intensity: A Methodological Investigation of a Self‐Report Scale

Moderate, positive relationships were revealed between pain intensity and the number of doses of analgesics given, and relationships between the Oucher and two other pain measures used were found to be strong and positive.

Children and pain: easing the hurt.

A clear understanding of the various developmental and cognitive levels will help the nurse better assess and manage children in pain.

Evaluating a child's pain.

  • P. Mcgrath
  • Medicine, Psychology
    Journal of pain and symptom management
  • 1989
This article reviews the primary categories of pediatric pain measures, with a specific focus on the selection of the most appropriate behavioral, physiologic, or subjective method for assessing a child's pain.

On the relation of injury to pain the John J. Bonica Lecture

Toward validation of pain measurement tools for children: a pilot study

Pain in juvenile chronic arthritis: consequences for the musculo-skeletal system.

  • H. Truckenbrodt
  • Medicine, Psychology
    Clinical and experimental rheumatology
  • 1993
Children bring their inflamed joints into a pain relieving position which triggers a vicious circle which may result in joint deformity and permanent handicap, demonstrated in an inquiry directed to the parents of 111 small children with different subgroups of juvenile chronic arthritis.

Pain in children.

There are currently a number of pediatric pain assessment instruments developed that are used in selected practice settings, but their use should be extended to document the existence of children's pain and its relief.

Clinical assessment and pharmacologic treatment of pain in children: cancer as a model for the management of chronic or persistent pain.

This report will be a clinical one, derived from the experiences of a pediatric oncologist and a pediatric pain consultant, which will illustrate clinical assessment and management strategies.