Neuropathic pain and quality of life in traumatic brachial plexopathy: Results of multicentric collaborative italian study in Journal of the Peripheral Nervous System
2013
AOU Città della Salute di Torino
Tipo pubblicazione
Conference Abstract
Autori/Collaboratori (9)Vedi tutti...
Ciaramitaro P
Padua L
Devigili G
et alii...
Abstract
No epidemiological studies have been dedicated to distinguish the different symptoms of neuropathic pain (NeuP) by using specifically designed pain questionnaires. NeuP-Italy is an epidemiological study on the prevalence and characteristics of NeuP in traumatic brachial plexopathies (TBP), diabetic neuropathy, multiple sclerosis and stroke. Here we report data on TBP. The aims of this study were: 1) to assess the prevalence and the characteristics of NeuP in TBP; 2) to evaluate the quality of life (QoL) in TBP by using dedicated scales. We collected consecutive patients with TBP in five Italian centres (Torino, Roma, Udine, Piacenza, Verona) since October 2010. All patients underwent a detailed clinical examination, clinical questionnaires and neurophysiological tests (EMG) according to standardized diagnostic criteria for TBP. Chronic pain was defined in the presence of pain in the last 30 days. The intensity of pain was assessedwith the Numerical Rating Scale. In all patientswith pain the DN4 questionnairewas performed; in patientswith a DN4 score ? 4, NPSI, Beck Depression Inventory and Quality of Life scale (SF-36) were fulfilled. Other data collected were: age, gender, injury level and site, onset of pain (days from trauma), surgical treatment, pain therapy. 107 patients (85 m, 22 f; 16-79 yrs, mean age 42.4±12.3) with clinical and neurophysiological diagnosis of TBP were enrolled. Painful neuropathies were 73%: NeuP prevalence was 56%. At the first visit 72/78 patients with chronic pain were in treatment: anticonvulsants (pregabalin, gabapentin, carbamazepine, oxcarbazepine), tricyclic antidepressants (amitriptyline), SNRI (duloxetine), opioids, other drugs (nonsteroidal antiinflammatory drugs, steroids, L-acetylcarnitine, alpha-lipoic acid). Paroxysmal pain (pain feeling like ''electric shocks'') and paresthesia/dysesthesia (pins and needles/tingling) had higher values at NPSI. TBP patients with chronic pain had worse SF-36 scores, with a strong cor
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DOI : 10.1111/jns5.12015
Keywords
tricyclic antidepressant agent; levacecarnine; thioctic acid; oxcarbazepine; carbamazepine; gabapentin; pregabalin; nonsteroid antiinflammatory agent; steroid; anticonvulsive agent; serotonin noradrenalin reuptake inhibitor; duloxetine; amitriptyline; neuropathic pain; quality of life; pain; human; patient; chronic pain; prevalence; diagnosis; questionnaire; injury; cerebrovascular accident; gender; multiple sclerosis; Beck Depression Inventory; rating scale; diabetic neuropathy; surgery; therapy; clinical examination; Italy; neuropathy; clinical trial (topic); electric shock; classification; analgesia; planning;