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An Application of Bradley-Terry-Type Models to the Measurement of Pain

A case-study concerning the measurement of pain experienced in the administration of routine subcutaneous to patients undergoing regular haemodialysis is presented. The four treatments studied had a 2/times2 faction structure: one faction comprised two forms of the anaemia correcting substance eryth...

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Bibliographic Details
Published in:Applied Statistics 1995-01, Vol.44 (2), p.243-255
Main Authors: Matthews, J. N. S., Morris, K. P.
Format: Article
Language:English
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Summary:A case-study concerning the measurement of pain experienced in the administration of routine subcutaneous to patients undergoing regular haemodialysis is presented. The four treatments studied had a 2/times2 faction structure: one faction comprised two forms of the anaemia correcting substance erythropoietin, and the other whether an anaesthetic or placebo cream was applied to the injection site. On a visit to the dialysis unit, a patient is given two of the treatments, one in each arm, and asked to nominate the less painful injection; on a subsequent visit the patient is asked to compare the remaining treatment in a similar was. These paired comparisons are analysed by using a version of the Bradley-Terry model which accommodates ties and order effects. Extensions to the method to allow for factorial treatments and judgments are developed.
ISSN:0035-9254
1467-9876
DOI:10.2307/2986348