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- Title
The Application of Neuropathic Pain Questionnaires in Burning Mouth Syndrome Patients.
- Authors
Jun-Young Heo; Soo-Min Ok; Yong-Woo Ahn; Myung-Yun Ko; Sung-Hee Jeong
- Abstract
Aims: To evaluate and compare the validity of the PainDETECT, DN4, and abbreviated DN4 (DN4i) neuropathic pain questionnaires for primary burning mouth syndrome (BMS), which is a burning sensation in the oral mucosa in the absence of any identifiable organic etiology. Methods: Eighty-one patients (42 with primary BMS and 39 with nociceptive pain) complaining of a burning sensation and pain in their oral mucosa were enrolled in this study. All of the patients completed the neuropathic pain questionnaires. The sensitivity, specificity, positive predictive value, negative predictive value, and the area under the receiver operating characteristic (ROC) curve were estimated. Then the relationship between pain intensity and total neuropathic pain score was investigated. Data were analyzed with the chi-square test and independent t test for subjects' baseline characteristic differences, and with Pearson correlation coefficients for the relationship of variables. Results: The mean area under the ROC curves (AUCs) for PainDETECT, DN4, and DN4i were 0.81, 0.79, and 0.81, respectively. There was no statistically significant difference in the AUCs among the questionnaires. PainDETECT, DN4, and DN4i had a lower sensitivity and specificity for BMS compared to previous validation studies. The total scores for PainDETECT, DN4, and DN4i in the primary BMS group were significantly associated with pain intensity. Conclusion: Although the results of this study suggest that neuropathic pain questionnaires, such as PainDETECT and DN4, are not ideal principal screening tools for BMS patients, a substantial proportion of neuropathic symptoms in primary BMS patients were identified.
- Subjects
BURNING mouth syndrome; CHI-squared test; CONFIDENCE intervals; STATISTICAL correlation; PROBABILITY theory; QUESTIONNAIRES; T-test (Statistics); PAIN measurement; PREDICTIVE tests; RECEIVER operating characteristic curves; DATA analysis software; DESCRIPTIVE statistics; NOCICEPTIVE pain; ODDS ratio; DIAGNOSIS
- Publication
Journal of Oral & Facial Pain & Headache, 2015, Vol 29, Issue 2, p177
- ISSN
2333-0384
- Publication type
Article
- DOI
10.11607/opfh.1326