Development of the Japanese Version of the Leeds Assessment of the Neuropathic Symptoms and Signs Pain Scale: Diagnostic Utility in a Clinical Setting

被引:6
|
作者
Isomura, Tatsuya [1 ,2 ]
Sumitani, Masahiko [3 ]
Matsudaira, Ko [4 ]
Kawaguchi, Mika [1 ]
Inoue, Reo [3 ]
Hozumi, Jun [3 ]
Tanaka, Takeyuki [5 ]
Oshima, Hirofumi [6 ]
Mori, Kanto [5 ]
Taketomi, Shuji [7 ]
Inui, Hiroshi [7 ]
Tahara, Keitaro [7 ]
Yamagami, Ryota [7 ]
Hayakawa, Kazuhiro [8 ]
机构
[1] Clin Study Support Inc, Nagoya, Aichi, Japan
[2] Tokyo Med Univ, Inst Med Sci, Tokyo, Japan
[3] Univ Tokyo Hosp, Dept Pain & Palliat Med, Tokyo, Japan
[4] Univ Tokyo Hosp, Fac Med, Dept Med Res & Management Musculoskeletal Pain, 22nd Century Med & Res Ctr, Tokyo, Japan
[5] Univ Tokyo, Orthopaed Surg Sensory & Motor Syst Med, Div Surg Sci, Grad Sch Med, Tokyo, Japan
[6] Univ Tokyo, Grad Sch Med, Div Sci Joint Reconstruct, Tokyo, Japan
[7] Univ Tokyo, Fac Med, Dept Orthopaed Surg, Tokyo, Japan
[8] Pfizer Japan Inc, Tokyo, Japan
关键词
neuropathic pain; Leeds Assessment of Neuropathic Symptoms and Signs Pain Scale; Japanese version; screening tools; diagnostic utility; QUALITY-OF-LIFE; VALIDATION; HEALTH; IMPACT;
D O I
10.1111/papr.12528
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
ObjectiveWe aimed to assess the diagnostic utility of the linguistically validated Japanese version of the Leeds Assessment of Neuropathic Symptoms and Signs Pain Scale (LANSS-J) as a screening tool for neuropathic pain in the clinical setting. MethodsPatients with neuropathic pain or nociceptive pain who were 20 to 85 years of age were included. Sensitivity and specificity using the original cutoff value of 12 were assessed to evaluate the diagnostic utility of the LANSS-J. Sensitivity and specificity with possible cutoff values were calculated, along with area under the receiver operating characteristic curve. We then evaluated agreement regarding assessment of the LANSS-J by two investigators. We used the intraclass correlation coefficient (ICC) for the total score and Cohen's kappa coefficient for each item. ResultsData for patients with neuropathic pain (n = 30) and those with nociceptive pain (n = 29) were analyzed. With a cutoff of 12, the sensitivity was 63.3% (19/30) and the specificity 93.1% (27/29). Sensitivity improved substantially with a cutoff of 11 ( 83.3%, 25/30). High specificity (93.1%, 27/29) was sustained with a cutoff of 9 to 12. The ICC for the total score was 0.85, indicating sufficient agreement. Kappa coefficients ranged from 0.68 to 0.84. ConclusionsThe LANSS-J is a valid screening tool for detecting neuropathic pain. Our results suggest that employing the original cutoff value provides high specificity, although a lower cutoff value of 10 or 11 (with its high specificity maintained) may be more beneficial when pain attributed to neuropathic mechanisms is suspected in Japanese patients.
引用
收藏
页码:800 / 807
页数:8
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