Table 1

Scoring values for prognostic chronic pain Risk Score (0–28)

Item	Item value	Risk Score value*
Average pain intensity (0–10 rating)	0–3	0
	4–6	1
	7–10	2
Worst pain intensity (0–10 rating)	0–4	0
	5–7	1
	8–10	2
Current pain intensity (0–10 rating)	0–2	0
	3–4	1
	5–10	2
Interference with usual activities (0–10 rating)	0–2	0
	3–4	1
	5–10	2
Interference with work/household activities (0–10 rating)	0–2	0
	3–4	1
	5–10	2
Interference with family/social activities (0–10 rating)	0–2	0
	3–4	1
	5–10	2
Days of activity limitation due to pain in prior three months	0–2	0
	3–6	1
	7–15	2
	16–24	3
	25–90	4
SCL-90-R† Depression score	<0.50	0
	0.50–<1.0	1
	1.0–<1.5	2
	1.5–<2.0	3
	2.0–4.0	4
Number of other pain sites	0	0
	1	1
	2	2
	3	3
	4	4
Number of days with index pain in prior six months	0–30	0
	31–89	1
	90–120	2
	121–160	3
	161–180	4
Total Risk Score		0–28

^*Risk Score values are summed across items.
^†Symptom Checklist-90-R.
This Risk Score algorithm has been placed in the Creative Commons and may be used without the authors’ permission with attribution.