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PainDETECT: a suitable screening tool for neuropathic pain in patients with painful post-traumatic trigeminal nerve injuries?

Elias, L. -A., Yilmaz, Z., Smith, J. G., Bouchiba, M., van der Valk, R. A., Page, L., Barker, S. and Renton, T. 2014. PainDETECT: a suitable screening tool for neuropathic pain in patients with painful post-traumatic trigeminal nerve injuries? International Journal of Oral and Maxillofacial Surgery 43 (1) , pp. 120-126. 10.1016/j.ijom.2013.07.004

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Abstract

The PainDETECT questionnaire (PD-Q), originally developed and validated in a multicentre study of neuropathic pain (NeP) patients with back pain, is increasingly being applied to other pain conditions. The present study assessed whether the PD-Q would be a suitable screening tool for detecting NeP in patients with post-traumatic inferior alveolar nerve injury (IANI) and lingual nerve injury (LNI). A prospective cohort of patients with clinically diagnosed neuropathy was given the PD-Q at their clinic appointment, or it was sent to them after their consultation. Eighty-nine patients (IANI = 56, LNI = 33) were included in the study, 75 of whom suffered from painful neuropathy. Of the patients who completed the questionnaire fully (n = 56), allowing a summary score to be calculated, 34% were classified as having ‘likely NeP’ according to the PD-Q; 41% of patients scored in the uncertain classification range and the remaining quarter in the ‘likely nociceptive’ classification. There was a significant association between PD-Q scores and pain intensity levels across the sample, with those classified as likely NeP reporting high levels of pain. The results suggest that the PD-Q in its current format is not a suitable screening tool for NeP associated with IANI or LNI.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Medicine
Neuroscience and Mental Health Research Institute (NMHRI)
Publisher: Elsevier
ISSN: 0901-5027
Date of Acceptance: 3 July 2013
Last Modified: 08 May 2019 02:20
URI: http://orca-mwe.cf.ac.uk/id/eprint/115263

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