The prevalence of neuropathic pain: clinical evaluation compared with screening tools in a community population.
The prevalence of neuropathic pain: clinical evaluation compared with screening tools in a community population.
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DOI：
10.1111/j.1526-4637.2009.00588.x
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发表时间：
2009-04
期刊：
影响因子：
--
通讯作者：
Melton LJ 3rd
中科院分区：
文献类型：
--
作者：
Yawn BP;Wollan PC;Weingarten TN;Watson JC;Hooten WM;Melton LJ 3rd
根据专业中心的研究和调查研究，神经性疼痛是常见的。然而，很少有流行率估计已完成在社区人群中使用临床评价。评估社区成年人神经性疼痛的患病率。来自邮寄调查（n = 3575社区受访者），电话采访（n = 905），和临床检查（n = 205）的数据被链接到估计神经性疼痛的人群患病率。使用临床检查作为“金”标准，从几个筛选工具的估计开发和调整，明尼苏达州奥姆斯特德县的成年人口。根据临床检查（金标准），神经性疼痛的估计社区患病率为9.8%。大多数其他估计值较低，包括使用Berger标准的3.0%人口患病率和使用S-LANSS的8.8%。只有神经痛的自报患病率较高（12.4%）。被确定为具有"神经性主要疼痛"的每个工具组之间的重叠仅是适度的，并且组具有显著不同的抑郁症状、焦虑、有限的功能能力和使用补充和替代医学（CAM）的比率。社区居民患有“神经性疼痛”的估计比率和个人特征根据用于识别神经性疼痛的工具而变化很大。没有一种筛选工具与临床评价相比较。当报告神经性疼痛流行病学、研究神经性疼痛治疗或试图将神经性疼痛研究转化为临床实践时，通过替代筛选方法确定的组中的差异变得非常重要。
Neuropathic pain is reported to be common based on studies from specialty centers and survey studies. However, few prevalence estimates have been completed in a community population using clinical evaluation. To develop an estimate of the prevalence of neuropathic pain in community dwelling adults. Data from a mailed survey (n=3575 community respondents), telephone interview (n=905), and a clinical examination (n=205) were linked to estimate the population prevalence of neuropathic pain. Using the clinical examination as the “gold” standard, estimates from several screening tools were developed and adjusted to the Olmsted County, Minnesota adult population. The estimated community prevalence of neuropathic pain from the clinical examination (gold standard) was 9.8%. Most other estimates were lower, including a 3.0% population prevalence using the Berger criteria and 8.8% using the S-LANSS. Only the prevalence rate based on self-report of nerve pain was higher (12.4%). Overlap among the groups each tool identified as having “neuropathic predominant pain” was only modest and the groups had significantly different rates of depressive symptoms, anxiety, limited functional ability and use of complementary and alternative medicine (CAM). The estimated rates and personal characteristics of community residents with “neuropathic pain” varies widely depending on the tools used to identify neuropathic pain. None of the screening tools compared well to clinical evaluation. The differences in the groups identified by alternative screening methods become of major importance when reporting neuropathic pain epidemiology, studying therapies for neuropathic pain or attempting to translate neuropathic pain research into clinical practice.
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影响因子：
4
作者：
Berger, A;Dukes, EM;Oster, G
通讯作者：
Oster, G
影响因子：
2.4
作者：
Backonja, MM;Galer, BS
通讯作者：
Galer, BS
影响因子：
3.1
作者：
Watkins, Emmeline A.;Wollan, Peter C.;Yawn, Barbara P.
通讯作者：
Yawn, Barbara P.
影响因子：
2.3
作者：
Freynhagen, R;Baron, R;Maier, C
通讯作者：
Maier, C
影响因子：
3.4
作者：
STEER, RA;RISSMILLER, DJ;BECK, AT
通讯作者：
BECK, AT