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Titolo:
Nociceptive and neuropathic pain in patients with lung cancer: A comparison of pain quality descriptors
Autore:
Wilkie, DJ; Huang, HY; Reilly, N; Cain, KC;
Indirizzi:
Univ Washington, Dept Biobehav Nursing & Hlth Syst, Seattle, WA 98195 USA Univ Washington Seattle WA USA 98195 g & Hlth Syst, Seattle, WA 98195 USA Univ Washington, Off Nursing Res & Practice, Seattle, WA 98195 USA Univ Washington Seattle WA USA 98195 es & Practice, Seattle, WA 98195 USA Clackamas Community Coll, Clackamas, OR USA Clackamas Community Coll Clackamas OR USA munity Coll, Clackamas, OR USA
Titolo Testata:
JOURNAL OF PAIN AND SYMPTOM MANAGEMENT
fascicolo: 5, volume: 22, anno: 2001,
pagine: 899 - 910
SICI:
0885-3924(200111)22:5<899:NANPIP>2.0.ZU;2-D
Fonte:
ISI
Lingua:
ENG
Soggetto:
RELIEVES POSTHERPETIC NEURALGIA; DIABETIC NEUROPATHY; OPIOID RESPONSIVENESS; CONTROLLED TRIAL; QUESTIONNAIRE; AMITRIPTYLINE; CLASSIFICATION; DESIPRAMINE; MECHANISMS; PHYSIOLOGY;
Keywords:
classification of pain; lung neoplasms; pain quality descriptors; human;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
56
Recensione:
Indirizzi per estratti:
Indirizzo: Wilkie, DJ Univ Washington, Dept Biobehav Nursing & Hlth Syst, Room T602-B, Seattle, WA 98195 USA Univ Washington Room T602-B Seattle WA USA 98195 , WA 98195 USA
Citazione:
D.J. Wilkie et al., "Nociceptive and neuropathic pain in patients with lung cancer: A comparison of pain quality descriptors", J PAIN SYMP, 22(5), 2001, pp. 899-910

Abstract

Predictive validity of each word from the McGill Pain Questionnaire (MPQ) has not been investigated in relation to pain etiology. The purpose of thisstudy was to explore differences in the words used to describe nociceptiveand neuropathic pain. Patients with lung cancer (N = 123) selected words from the 78 MPQ pain quality descriptors and indicated the corresponding pain site for each word. Using only the MPQ pain location, and the cancer and treatment data abstracted from medical records, each pain site was classified as nociceptive or neuropathic (etiology). Pain etiology and quality descriptors were tested for proportional differences with sensitivity, specificity, and predictive value calculated for statistically significant descriptors. Of the 457 pain sites, 343 were classified as nociceptive (75%), 114 as neuropathic (25%). Lacerating, stinging, heavy, and suffocating were selected for a significantly larger proportion of nociceptive sites whereas throbbing, aching, numb, tender, punishing, pulling, tugging, pricking, penetrating, punishing, miserable, and nagging were selected for a larger proportion of neuropathic sites. Ten words correctly predicted 78% of the sites with 81% sensitivity to nociceptive pain and 59% sensitivity to neuropathic pain. Interestingly, several pain quality descriptors (burning, shooting, flashing, tingling, itching, and cold) previously associated with neuropathicpain, did not distinguish between neuropathic and nociceptive pain. Infrequent selection of many MPQ words and lack of neurological exam data in the medical records are possible explanations for inconsistency with previous literature. Prospective studies are needed to validate pain quality descriptors for nociceptive and neuropathic types of lung cancer pain. J Pain Symptom Manage 2001: 22:899-910. (C) U.S. Cancer Pain Relief Committee, 2001.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 09/04/20 alle ore 10:21:49