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Postherpetic neuralgia, diabetic neuropathy, and trigeminal neuralgia - Chronic peripheral neuropathic pain in 58,480 rural Italian primary care patients
National Society of Medical Education in General Practice (SNAMID), Italy.
Region Kronoberg, Sweden.
National Society of Medical Education in General Practice (SNAMID), Italy;Lund university.
National Society of Medical Education in General Practice (SNAMID), Italy.
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2017 (English)In: Journal of family medicine and primary care, ISSN 2249-4863, Vol. 6, no 1, p. 110-114Article in journal (Refereed) Published
Abstract [en]

INTRODUCTION: Chronic peripheral neuropathic pain (CPNP) is a condition due to peripheral nervous system diseases or injury, but its prevalence is unknown in Italian primary care.

AIM: The aim of this study is to assess the prevalence of CPNP in a rural primary care area in Northern Italy.

MATERIALS AND METHODS: A multicenter audit study was carried out in a rural area in Northern Italy with 113 participating general practitioners (GPs) seeing 58,480 patients >18 years during 3 months. Patients who for any reason attended GPs' surgeries and had symptoms suggestive of neuropathic pain (NP) were given the NP diagnostic questionnaire "Douleur Neuropathique en 4 Questions" (DN4) and recorded their pain level on a visual analog scale (VAS).

RESULTS: Chronic NP was established by a DN4 score of ≥4 and a VAS pain score of ≥40 mm for >6 months together with a clinical diagnosis in 448 (254 women and 194 men) out of 58,480 patients giving a prevalence of 0.77%. 179 patients (0.31%) had diabetes neuropathy, 142 (0.24%) had postherpetic pain, 41 (0.07%) had trigeminal neuralgia, 27 (0.05%) had NP postinjury, 27 (0.05%) had NP caused by nerve entrapments, 11 (0.02%) had NP triggered by systemic diseases, and 21 (0.04%) had NP of unknown etiology.

CONCLUSIONS: The prevalence of CPNP in this population of primary care attenders in a rural area in Northern Italy was 0.77%. Diabetes neuropathy (0.31%) and postherpetic pain (0.24%) were the two most common subgroups of NP, followed by trigeminal neuralgia (0.07%).

Place, publisher, year, edition, pages
Wolters Kluwer, 2017. Vol. 6, no 1, p. 110-114
Keywords [en]
Chronic peripheral neuropathic pain, diabetes neuropathy, general practitioners, herpetic pain, neuropathic pain diagnostic questionnaire, prevalence, visual analogic scale
National Category
Neurology
Research subject
Natural Science, Medicine
Identifiers
URN: urn:nbn:se:lnu:diva-81317DOI: 10.4103/2249-4863.214980PubMedID: 29026761OAI: oai:DiVA.org:lnu-81317DiVA, id: diva2:1298968
Available from: 2019-03-25 Created: 2019-03-25 Last updated: 2019-04-15Bibliographically approved

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Citation style
  • apa
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  • Other locale
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