Neuropathic Pain in Breast Cancer Survivors: Using the ID Pain as a Screening Tool

作者：Reyes Gibby Cielito^*; Morrow Phuong Khanh; Bennett Michael I; Jensen Mark P; Shete Sanjay

来源：Journal of Pain and Symptom Management, 2010, 39(5): 882-889.

DOI：10.1016/j.jpainsymman.2009.09.020

• Neuropathic pain
• ID Pain
• epidemiology
• breast cancer
• symptoms
• survivorship

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 Self-Report Leeds Assessment of Neuropathic Symptoms and. Signs (S-LANSS) and a reported diagnosis of NP as criterion measures. Two hundred forty breast cancer survivors with a mean age of 58 years (standard deviation = 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 with 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 greater than or equal to 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 for NP in breast cancer survivors. j Pain Symptom Manage 2010;39:882-889.

• 出版日期2010-5