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    Identification of neuropathic pain in patients with neck/upper limb pain: Application of a grading system and screening tools.

    194947_194947.pdf (629.4Kb)
    Access Status
    Open access
    Authors
    Tampin, Brigitte
    Briffa, Kathy
    Goucke, R.
    Slater, Helen
    Date
    2013
    Type
    Journal Article
    
    Metadata
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    Citation
    Tampin, Brigitte and Briffa, Noelle Kathryn and Goucke, Roger and Slater, Helen. 2013. Identification of neuropathic pain in patients with neck/upper limb pain: Application of a grading system and screening tools. Pain. 154 (12): pp. 2813-2822.
    Source Title
    Pain
    DOI
    10.1016/j.pain.2013.08.018
    ISSN
    03043959
    Remarks

    NOTICE: this is the author’s version of a work that was accepted for publication in Pain. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Pain, Vol. 154, No. 12 (2013). DOI: 10.1016/j.pain.2013.08.018

    URI
    http://hdl.handle.net/20.500.11937/26783
    Collection
    • Curtin Research Publications
    Abstract

    The Neuropathic Pain Special Interest Group (NeuPSIG) of the International Association for the Study of Pain has proposed a grading system for the presence of neuropathic pain (NeP) using the following categories: no NeP, possible, probable, or definite NeP. To further evaluate this system, we investigated patients with neck/upper limb pain with a suspected nerve lesion, to explore: (i) the clinical application of this grading system; (ii) the suitability of 2 NeP questionnaires (Leeds Assessment of Neuropathic Symptoms and Signs pain scale [LANSS] and the painDETECT questionnaire [PD-Q]) in identifying NeP in this patient cohort; and (iii) the level of agreement in identifying NeP between the NeuPSIG classification system and 2 NeP questionnaires. Patients (n = 152; age 52 ± 12 years; 53% male) completed the PD-Q and LANSS questionnaire and underwent a comprehensive clinical examination. The NeuPSIG grading system proved feasible for application in this patient cohort, although it required considerable time and expertise. Both questionnaires failed to identify a large number of patients with clinically classified definite NeP (LANSS sensitivity 22%, specificity 88%; PD-Q sensitivity 64%, specificity 62%). These lowered sensitivity scores contrast with those from the original PD-Q and LANSS validation studies and may reflect differences in the clinical characteristics of the study populations. The diagnostic accuracy of LANSS and PD-Q for the identification of NeP in patients with neck/upper limb pain appears limited.

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