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Characteristics of patients with neuropathic pain syndromes screened by the painDETECT questionnaire and diagnosed by physician exam

Journal of Pain Research Jan 12, 2019

Kudel I, et al. - Researchers studied the clinical characteristics, treatment usage, and health outcomes of US adults with scores beyond the threshold for probable neuropathic pain (NeP; painDETECT ≥19) and diagnosed with NeP by a qualified physician. Participants (n=295) were predominantly female (64.4%), middle-aged (53.9%), and white (51.5%). The most frequently diagnosed major NeP syndrome (n=166) was chronic low back pain, followed by diabetic peripheral neuropathy (n=58), post-trauma neuropathy (n=47), post-surgical neuropathy (n=28), and central NeP (n=23). Findings revealed high rates of comorbid disease across each NeP subtype, including arthritis and high blood pressure, as well as symptomology that included numbness and changes in muscular strength. NeP pain medication most commonly used were non-steroidal anti-inflammatory drugs and both weak and strong opioids. Generally, similar levels of dysfunction were noted in all six NeP groups on all self-report measures. Findings thereby suggest medically complex nature of patients with NeP across different etiologies.

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