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DN4与DN4访谈测试在骨折手术后神经性疼痛识别中的比较。

Comparison of DN4 and DN4 Interview Tests in the Identification of Neuropathic Pain after Fracture Surgery.

作者信息

Waldolato Gustavo, Pereira Glauciana de Sousa, Carvalho Isabela Storch, Polese Janaine Cunha, Leopoldino Amanda Aparecida Oliveira

机构信息

Departamento de Ortopedia, Hospital Universitário Ciências Médicas de Minas Gerais, Belo Horizonte, Minas Gerais, Brasil.

Programa de Pós-Graduação em Ciências da Reabilitação, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brasil.

出版信息

Rev Bras Ortop (Sao Paulo). 2024 Mar 21;59(1):e125-e129. doi: 10.1055/s-0044-1779686. eCollection 2024 Feb.

DOI:10.1055/s-0044-1779686
PMID:38524706
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10957271/
Abstract

This study aimed to compare results obtained with the DN4 (in-person interview) and DN4i (telephone interview) questionnaires in identifying neuropathic pain after fracture surgery.  This study was methodological, using questionnaires administered in person (DN4) or via telephone (DN4i). The participants were at least 18 years old, underwent fracture surgery at a university hospital between January 2017 and July 2020, signed the Informed Consent Form (ICF), and could go to the Orthopedics and Traumatology Hospital. Pearson's correlation coefficient determined the agreement between the total score obtained during in-person and telephone interviews. The kappa coefficient evaluated the agreement between individual questionnaire items.  Of the 53 participants, 50 presented the same result for neuropathic pain screening in DN4 and DN4i, including 41 with a positive score for neuropathic pain and 12 with a negative score. The Pearson's correlation coefficient and kappa coefficient were r = 0.84.  DN4 and DN4i presented a strong agreement between individual items of the questionnaires and the total scores obtained.

摘要

本研究旨在比较使用DN4问卷(面对面访谈)和DN4i问卷(电话访谈)在识别骨折手术后神经性疼痛方面所获得的结果。 本研究为方法学研究,采用面对面(DN4)或通过电话(DN4i)发放问卷。参与者年龄至少18岁,于2017年1月至2020年7月在一家大学医院接受骨折手术,签署了知情同意书(ICF),且能够前往骨与创伤科医院。Pearson相关系数用于确定面对面访谈和电话访谈中获得的总分之间的一致性。kappa系数用于评估各问卷项目之间的一致性。 53名参与者中,50名在DN4和DN4i的神经性疼痛筛查中结果相同,其中41名神经性疼痛评分为阳性,12名评分为阴性。Pearson相关系数和kappa系数为r = 0.84。 DN4和DN4i在问卷的各个项目以及所获得的总分之间呈现出高度一致性。

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本文引用的文献

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Chronic pain with neuropathic characteristics after surgery for major trauma to the lower limb: prevalence, predictors, and association with pain severity, disability, and quality of life in the UK WHiST trial.英国WHiST试验中下肢严重创伤手术后具有神经病理性特征的慢性疼痛:患病率、预测因素及其与疼痛严重程度、残疾和生活质量的关联
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Douleur Neuropathique 4 (DN4) stratifies possible and definite neuropathic pain after surgical peripheral nerve lesion.术后外周神经损伤后,神经病理性疼痛 4 级(DN4)对可能和确定的神经病理性疼痛进行分层。
Eur J Pain. 2020 Feb;24(2):413-422. doi: 10.1002/ejp.1498. Epub 2019 Nov 12.
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Outcomes and Complications in the Management of Distal Radial Fractures in the Elderly.
老年人桡骨远端骨折的治疗结果和并发症。
J Bone Joint Surg Am. 2020 Jan 2;102(1):37-44. doi: 10.2106/JBJS.18.00561.
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Severe acute pain and persistent post-surgical pain in orthopaedic trauma patients: a cohort study.骨科创伤患者的严重急性疼痛和持续术后疼痛:一项队列研究。
Br J Anaesth. 2019 Sep;123(3):350-359. doi: 10.1016/j.bja.2019.05.030. Epub 2019 Jun 24.
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Epidemiology of physician-diagnosed neuropathic pain in Brazil.巴西医生诊断的神经性疼痛的流行病学。
J Pain Res. 2019 Jan 7;12:243-253. doi: 10.2147/JPR.S160504. eCollection 2019.
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Neuropathic pain: Definition, assessment and epidemiology.神经病理性疼痛:定义、评估和流行病学。
Rev Neurol (Paris). 2019 Jan-Feb;175(1-2):16-25. doi: 10.1016/j.neurol.2018.09.016. Epub 2018 Oct 29.
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Diagnosis and assessment of neuropathic pain through questionnaires.通过问卷诊断和评估神经性疼痛。
Lancet Neurol. 2018 May;17(5):456-466. doi: 10.1016/S1474-4422(18)30071-1. Epub 2018 Mar 26.
8
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Foot Ankle Int. 2017 Sep;38(9):987-996. doi: 10.1177/1071100717712432. Epub 2017 Jul 1.
9
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