PainDETECT: a suitable screening tool for neuropathic pain in patients with painful post-traumatic trigeminal nerve injuries?
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.
Department of Oral Surgery, King's College London Dental Institute, London, UK.
L-A
LA
Elias
Department of Oral Surgery, King's College London Dental Institute, London, UK.
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Z
Yilmaz
Section of Mental Health, Division of Population Health Sciences and Education, St George's, University of London, London, UK.
J G
JG
Smith
Department of Oral Surgery, King's College London Dental Institute, London, UK.
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Bouchiba
Department of Oral Surgery, King's College London Dental Institute, London, UK.
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RA
van der Valk
Department of Oral Surgery, King's College London Dental Institute, London, UK.
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Page
Department of Oral Surgery, King's College London Dental Institute, London, UK.
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S
Barker
Department of Oral Surgery, King's College London Dental Institute, London, UK. Electronic address: tara.renton@kcl.ac.uk.
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T
Renton
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002908:Chronic Disease; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009437:Neuralgia / Q000175:diagnosis*; D010147:Pain Measurement; D011446:Prospective Studies; D011795:Surveys and Questionnaires; D061221:Trigeminal Nerve Injuries / Q000175:diagnosis*
PainDETECT; inferior alveolar nerve; lingual nerve; post-traumatic sensory neuropathy; trigeminal neuropathic pain