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The Predictive Qualities of Neuropathic Screening Tools

  • RobertD. Searle
    Correspondence
    Address reprint requests to Robert D. Searle, MBChB, The Pain Clinic, Royal Cornwall Hospitals NHS Trust, Truro, United Kingdom.
    Affiliations
    The Pain Clinic, Royal Cornwall Hospitals NHS Trust, Truro, United Kingdom
    Search for articles by this author
      I read with interest the article by Cho and colleagues reporting the predictive qualities of the S-LANSS (Self-completed Leeds Assessment of Neuropathic Symptoms and Signs) neuropathic pain screening tool when used in patients with acute herpes zoster.
      • Cho S.I.
      • Lee C.H.
      • Park G.H.
      • Park C.W.
      • Kim H.O.
      Use of S-LANSS, a tool for screening neuropathic pain, for predicting postherpetic neuralgia in patients after acute herpes zoster events: A single-center, 12-month, prospective cohort study.
      The authors report that no prior study has used screening tools in acute herpes zoster patients with the aim of predicting the development of postherpetic neuralgia. However, a DN4 (Douleur Neuropathique 4) screening tool diagnosis of neuropathic pain made during the first 7 days of herpes zoster infection has also been shown to be an independent predictor for the development of postherpetic neuralgia.
      • Bouhassira D.
      • Chassany O.
      • Gaillat J.
      • Hanslik T.
      • Launay O.
      • Mann C.
      • Rabaud C.
      • Rogeaux O.
      • Strady C.
      Patient perspective on herpes zoster and its complications: An observational prospective study in patients aged over 50 years in general practice.
      In addition, both the DN4 and LANSS screening tools demonstrate predictive qualities when used in the acute setting for other conditions associated with the development of chronic neuropathic pain, namely, following surgery.
      • Martinez V.
      • Ben Ammar S.
      • Judet T.
      • Bouhassira D.
      • Chauvin M.
      • Fletcher D.
      Risk factors predictive of chronic postsurgical neuropathic pain: The value of the iliac crest bone harvest model.
      • Searle R.D.
      • Simpson M.P.
      • Simpson K.H.
      • Milton R.
      • Bennett M.I.
      Can chronic neuropathic pain following thoracic surgery be predicted during the postoperative period?.
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      References

        • Bouhassira D.
        • Chassany O.
        • Gaillat J.
        • Hanslik T.
        • Launay O.
        • Mann C.
        • Rabaud C.
        • Rogeaux O.
        • Strady C.
        Patient perspective on herpes zoster and its complications: An observational prospective study in patients aged over 50 years in general practice.
        Pain. 2012; 153: 342-349
        • Cho S.I.
        • Lee C.H.
        • Park G.H.
        • Park C.W.
        • Kim H.O.
        Use of S-LANSS, a tool for screening neuropathic pain, for predicting postherpetic neuralgia in patients after acute herpes zoster events: A single-center, 12-month, prospective cohort study.
        J Pain. 2014; 15: 149-156
        • Martinez V.
        • Ben Ammar S.
        • Judet T.
        • Bouhassira D.
        • Chauvin M.
        • Fletcher D.
        Risk factors predictive of chronic postsurgical neuropathic pain: The value of the iliac crest bone harvest model.
        Pain. 2012; 153: 1478-1483
        • Searle R.D.
        • Simpson M.P.
        • Simpson K.H.
        • Milton R.
        • Bennett M.I.
        Can chronic neuropathic pain following thoracic surgery be predicted during the postoperative period?.
        Interact Cardiovasc Thorac Surg. 2009; 9: 999-1002

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