Hamdan Anas, Galvez Rafael, Katati Majed
Faculty of Medicine and Health Sciences, Department of Anesthesia and Resuscitation Technology, An-Najah National University, Nablus, Palestine.
Pain Clinic, Hospital Virgen de las Nieves, Granada, Faculty of Medicine, Granada Instituto de Investigacion Biosanitaria IBS, Granada, Spain.
SAGE Open Med. 2024 Feb 9;12:20503121231218985. doi: 10.1177/20503121231218985. eCollection 2024.
Ensuring the proper management of neuropathic pain is a contemporary challenge for professionals who care for patients with this type of pain. The estimated prevalence of neuropathic pain in Europe is 7%-8%. The objective of this study was to perform a non-systematic review on the diagnosis, screening, and quantification of neuropathic pain. For this purpose, a search was conducted of the PubMed/Medline, ScienceDirect, OVID, and SciELO databases for available evidence. The findings highlight the common occurrence of chronic neuropathic pain in clinical practice. However, diagnosing and managing this type of pain pose challenges due to its complexity and the individualized nature of cases. Precise diagnosis is crucial for effective management, involving therapeutic approaches that go beyond traditional pain treatments. It is noteworthy that until recent times, general questionnaires were utilized to assess neuropathic pain, lacking the ability to distinguish it from nociceptive pain or evaluate its broader impact on well-being. Biomarker pain panels hold promise in identifying treatable pain causes and evaluating treatment effectiveness. In conclusion, this review describes the diagnostic methods and tools for screening and quantifying neuropathic pain.
对于护理此类疼痛患者的专业人员而言,确保对神经性疼痛进行恰当管理是一项当代挑战。欧洲神经性疼痛的估计患病率为7%-8%。本研究的目的是对神经性疼痛的诊断、筛查和量化进行非系统性综述。为此,在PubMed/Medline、ScienceDirect、OVID和SciELO数据库中进行了检索以获取现有证据。研究结果凸显了慢性神经性疼痛在临床实践中的普遍存在。然而,由于其复杂性和病例的个体化性质,诊断和管理此类疼痛存在挑战。精确诊断对于有效管理至关重要,这涉及超越传统疼痛治疗的治疗方法。值得注意的是,直到最近,一般问卷仍被用于评估神经性疼痛,缺乏将其与伤害性疼痛区分开来或评估其对幸福感更广泛影响的能力。生物标志物疼痛检测组有望识别可治疗的疼痛原因并评估治疗效果。总之,本综述描述了筛查和量化神经性疼痛的诊断方法和工具。