Neuropathic pain in breast cancer survivors: using the ID pain as a screening tool.
Neuropathic pain in breast cancer survivors: using the ID pain as a screening tool.
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DOI:
10.1016/j.jpainsymman.2009.09.020
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发表时间:
2010-05
影响因子:
4.7
通讯作者:
Shete, Sanjay
中科院分区:
文献类型:
--
作者:
Reyes-Gibby, Cielito;Morrow, Phuong Khanh;Bennett, Michael I.;Jensen, Mark P.;Shete, Sanjay
Neuropathic pain (NP) is a debilitating symptom experienced by a number of patients with cancer. We evaluated the validity of ID Pain as a screening tool for NP in breast cancer survivors using the S-LANSS and a reported diagnosis of NP as criterion measures. Two hundred and forty breast cancer survivors with a mean age of 58 years (SD= 16) participated in this survey. Forty-five percent of the sample reported having pain in the past week. Of those reporting pain, 33% reported that they had been diagnosed by their health care provider for NP, 39% had a positive ID Pain (≥ 2) score and 19% had a positive S-LANSS score. The most commonly endorsed ID Pain item was “hot/burning” (n = 48), followed by feeling “numb” (n = 47) and “pins and needles” (n = 45). Total ID Pain score was significantly associated with a clinical diagnosis of NP (r = 0.41; P < 0.001) and the S-LANSS total score (r = 0.54; P < 0.001). Receiver Operating Curve analysis demonstrated that ID Pain has a predictive validity of 0.72 and 0.70 for diagnosis of NP as made by clinicians and the S-LANSS, respectively. We also found that an ID Pain score of ≥ 2 corresponded with the likelihood of NP in this sample, consistent with the original ID Pain development study. This study provides evidence for ID Pain as a valid screening measure of NP for breast cancer survivors.
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