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Validation of the Korean Version of the DN4 Diagnostic Questionnaire for Neuropathic Pain in Patients with Lumbar or Lumbar-Radicular Pain

PURPOSE: To evaluate the diagnostic value of the Korean version of the Douleur Neuropathique 4 (DN4) questionnaire and to validate this questionnaire in terms of psychometric properties in patients with chronic pain due to degenerative spinal disease. MATERIALS AND METHODS: The Korean version of the...

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Autores principales: Kim, Ho-Joong, Park, Joon-Hee, Bouhassira, Didier, Shin, Jae-Hoon, Chang, Bong-Soon, Lee, Choon-Ki, Baek, Chang Hyun, Yeom, Jin S.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Yonsei University College of Medicine 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4740539/
https://www.ncbi.nlm.nih.gov/pubmed/26847299
http://dx.doi.org/10.3349/ymj.2016.57.2.449
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author Kim, Ho-Joong
Park, Joon-Hee
Bouhassira, Didier
Shin, Jae-Hoon
Chang, Bong-Soon
Lee, Choon-Ki
Baek, Chang Hyun
Yeom, Jin S.
author_facet Kim, Ho-Joong
Park, Joon-Hee
Bouhassira, Didier
Shin, Jae-Hoon
Chang, Bong-Soon
Lee, Choon-Ki
Baek, Chang Hyun
Yeom, Jin S.
author_sort Kim, Ho-Joong
collection PubMed
description PURPOSE: To evaluate the diagnostic value of the Korean version of the Douleur Neuropathique 4 (DN4) questionnaire and to validate this questionnaire in terms of psychometric properties in patients with chronic pain due to degenerative spinal disease. MATERIALS AND METHODS: The Korean version of the DN4 questionnaire, which was translated and linguistically validated by the MAPI Research Group, was tested on 83 patients with lumbar or lumbar-radicular pain. Test-retest reliability was evaluated in a subsample of 40 patients who completed two assessments with an interval of 2 weeks. Nociceptive pain and neuropathic component pain were diagnosed in 40 and 43 patients, respectively. RESULTS: The Cronbach's α coefficient of internal consistency was 0.819, and the test-retest intraclass correlation coefficient (3, 1) (95% confidence interval) was 0.813 (0.776–0.847) (n=40). The area under the receiver-operator characteristics curve was 0.953 (p<0.001), with 95% confidence interval between 0.869 and 0.990. The Korean version of the DN4 questionnaire showed a sensitivity of 100% and 87.1%, and a specificity of 88.2% and 94.1% at the cutoff value of 3/10 and 4/10, respectively, for discriminating neuropathic component pain. CONCLUSION: The present study demonstrated the good discriminatory power of DN4 between nociceptive pain and neuropathic component pain in patients with lumbar or lumbar-radicular pain.
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spelling pubmed-47405392016-03-01 Validation of the Korean Version of the DN4 Diagnostic Questionnaire for Neuropathic Pain in Patients with Lumbar or Lumbar-Radicular Pain Kim, Ho-Joong Park, Joon-Hee Bouhassira, Didier Shin, Jae-Hoon Chang, Bong-Soon Lee, Choon-Ki Baek, Chang Hyun Yeom, Jin S. Yonsei Med J Original Article PURPOSE: To evaluate the diagnostic value of the Korean version of the Douleur Neuropathique 4 (DN4) questionnaire and to validate this questionnaire in terms of psychometric properties in patients with chronic pain due to degenerative spinal disease. MATERIALS AND METHODS: The Korean version of the DN4 questionnaire, which was translated and linguistically validated by the MAPI Research Group, was tested on 83 patients with lumbar or lumbar-radicular pain. Test-retest reliability was evaluated in a subsample of 40 patients who completed two assessments with an interval of 2 weeks. Nociceptive pain and neuropathic component pain were diagnosed in 40 and 43 patients, respectively. RESULTS: The Cronbach's α coefficient of internal consistency was 0.819, and the test-retest intraclass correlation coefficient (3, 1) (95% confidence interval) was 0.813 (0.776–0.847) (n=40). The area under the receiver-operator characteristics curve was 0.953 (p<0.001), with 95% confidence interval between 0.869 and 0.990. The Korean version of the DN4 questionnaire showed a sensitivity of 100% and 87.1%, and a specificity of 88.2% and 94.1% at the cutoff value of 3/10 and 4/10, respectively, for discriminating neuropathic component pain. CONCLUSION: The present study demonstrated the good discriminatory power of DN4 between nociceptive pain and neuropathic component pain in patients with lumbar or lumbar-radicular pain. Yonsei University College of Medicine 2016-03-01 2016-01-28 /pmc/articles/PMC4740539/ /pubmed/26847299 http://dx.doi.org/10.3349/ymj.2016.57.2.449 Text en © Copyright: Yonsei University College of Medicine 2016 http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Kim, Ho-Joong
Park, Joon-Hee
Bouhassira, Didier
Shin, Jae-Hoon
Chang, Bong-Soon
Lee, Choon-Ki
Baek, Chang Hyun
Yeom, Jin S.
Validation of the Korean Version of the DN4 Diagnostic Questionnaire for Neuropathic Pain in Patients with Lumbar or Lumbar-Radicular Pain
title Validation of the Korean Version of the DN4 Diagnostic Questionnaire for Neuropathic Pain in Patients with Lumbar or Lumbar-Radicular Pain
title_full Validation of the Korean Version of the DN4 Diagnostic Questionnaire for Neuropathic Pain in Patients with Lumbar or Lumbar-Radicular Pain
title_fullStr Validation of the Korean Version of the DN4 Diagnostic Questionnaire for Neuropathic Pain in Patients with Lumbar or Lumbar-Radicular Pain
title_full_unstemmed Validation of the Korean Version of the DN4 Diagnostic Questionnaire for Neuropathic Pain in Patients with Lumbar or Lumbar-Radicular Pain
title_short Validation of the Korean Version of the DN4 Diagnostic Questionnaire for Neuropathic Pain in Patients with Lumbar or Lumbar-Radicular Pain
title_sort validation of the korean version of the dn4 diagnostic questionnaire for neuropathic pain in patients with lumbar or lumbar-radicular pain
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4740539/
https://www.ncbi.nlm.nih.gov/pubmed/26847299
http://dx.doi.org/10.3349/ymj.2016.57.2.449
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