Back to Search
Start Over
Usefulness of painDETECT and S-LANSS in identifying the neuropathic component of mixed pain among patients with tumor-related cancer pain
- Source :
- Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer. 28(1)
- Publication Year :
- 2019
-
Abstract
- Tumor-related cancer pain often comprises mixed pain with both nociceptive and neuropathic components. Whether tumor-related cancer pain includes a neuropathic component impacts the therapeutic strategy. The aim of this cross-sectional study was to investigate the usefulness of two screening tools for neuropathic pain, painDETECT and Self-Report Leeds Assessment of Neuropathic Symptoms and Signs (S-LANSS), in identifying the neuropathic component of mixed pain among patients with tumor-related cancer pain. This cross-sectional study recruited consecutive inpatients and outpatients at a single site. The diagnostic accuracy of painDETECT and S-LANSS was evaluated using receiver operating characteristic curve analysis and classification probability. Of the study group, 106 patients had tumor-related cancer pain. Analyses of the nociceptive and mixed pain groups (n = 104) showed that neither painDETECT nor S-LANSS had satisfactory areas under the curve (AUCs) for identifying the neuropathic component of mixed pain (0.59 for painDETECT and 0.56 for S-LANSS). By pain intensity, the AUC for painDETECT was significantly higher in the mild pain group than in the moderate or severe pain group (0.77 vs. 0.43, P = 0.002). All parameters of classification probability for both tools were higher in the mild pain group than in the moderate or severe pain group. painDETECT and S-LANSS could not identify the neuropathic component of mixed pain among patients with tumor-related cancer pain, especially when pain was moderate or severe. Contrarily, these screening tools might be useful for identifying the neuropathic component of mixed pain for mild pain.
- Subjects :
- Male
medicine.medical_specialty
Self-Assessment
Cross-sectional study
Pain medicine
Comorbidity
Diagnosis, Differential
03 medical and health sciences
0302 clinical medicine
Predictive Value of Tests
Internal medicine
Neoplasms
Surveys and Questionnaires
medicine
Severe pain
Humans
Mass Screening
030212 general & internal medicine
Aged
Pain Measurement
Receiver operating characteristic
business.industry
Cancer Pain
Middle Aged
Nociception
Cross-Sectional Studies
Oncology
030220 oncology & carcinogenesis
Mixed pain
Neuropathic pain
Neuralgia
Female
Self Report
Cancer pain
business
Subjects
Details
- ISSN :
- 14337339
- Volume :
- 28
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer
- Accession number :
- edsair.doi.dedup.....7be18b6c26500251fd6db03363146c1a