1. Association of sensory phenotype with quality of life, functionality, and emotional well-being in patients suffering from neuropathic pain
- Author
-
Maija Haanpää, Rolf-Detlef Treede, Rainer Freynhagen, Juliane Sachau, Søren H. Sindrup, Troels S. Jensen, Christoph Maier, Jan Vollert, Janne Gierthmühlen, Jeffrey D. Kennedy, Nadine Attal, Thomas R. Tölle, Didier Bouhassira, Märta Segerdahl, Andrew S.C. Rice, Johann Böhmer, Lise Ventzel, Ralf Baron, Per Hansson, University Medical Center of Schleswig–Holstein = Universitätsklinikum Schleswig-Holstein (UKSH), Kiel University, Physiopathologie et Pharmacologie Clinique de la Douleur (LPPD), Université de Versailles Saint-Quentin-en-Yvelines (UVSQ)-Institut National de la Santé et de la Recherche Médicale (INSERM), Benedictus Hospital Feldafing, Technische Universität München = Technical University of Munich (TUM), Helsinki University Hospital [Finland] (HUS), Oslo University Hospital [Oslo], Karolinska Institutet [Stockholm], Aarhus University Hospital, Eli Lilly and Company [Indianapolis], Ruhr University Bochum (RUB), Imperial College London, Odense University Hospital (OUH), Heidelberg University, This project has received funding from an Innovative Medicines Initiative 1 EUROPAIN under grant No [115007] and from an Innovative Medicines Initiative 2 Joint Undertaking under grant agreement No [777500]. This joint undertaking receives support from the European Union's Horizon 2020 research and innovation programme and EFPIA. (www.imi.europe.eu, European Project: 115007,EC:FP7:SP1-JTI,IMI-JU-01-2008,EUROPAIN(2009), HAL UVSQ, Équipe, and Understanding chronic pain and improving its treatment - EUROPAIN - - EC:FP7:SP1-JTI2009-10-01 - 2015-09-30 - 115007 - VALID
- Subjects
PRO ,Quality of life ,medicine.medical_specialty ,[SDV.MHEP.PSM] Life Sciences [q-bio]/Human health and pathology/Psychiatrics and mental health ,Sensory system ,Sensory phenotype ,Neuropathic pain ,Emotional well-being ,Physical medicine and rehabilitation ,medicine ,Humans ,[SDV.NEU] Life Sciences [q-bio]/Neurons and Cognition [q-bio.NC] ,Brief Pain Inventory ,Functionality ,business.industry ,Chronic pain ,Sensory loss ,medicine.disease ,QST ,Anesthesiology and Pain Medicine ,Phenotype ,Neurology ,Hyperalgesia ,[SDV.SPEE] Life Sciences [q-bio]/Santé publique et épidémiologie ,[SDV.MHEP.PSM]Life Sciences [q-bio]/Human health and pathology/Psychiatrics and mental health ,Anxiety ,Neuralgia ,Pain catastrophizing ,[SDV.NEU]Life Sciences [q-bio]/Neurons and Cognition [q-bio.NC] ,[SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie ,Neurology (clinical) ,medicine.symptom ,Chronic Pain ,business - Abstract
International audience; Neuropathic pain highly affects quality of life, well-being, and function. It has recently been shown based on cluster analysis studies that most patients with neuropathic pain may be categorized into 1 of 3 sensory phenotypes: sensory loss, mechanical hyperalgesia, and thermal hyperalgesia. If these phenotypes reflect underlying pathophysiological mechanisms, they may be more relevant for patient management than underlying neurological diagnosis or pain intensity. The aim of this study was thus to examine the impact of these sensory phenotypes on mental health, functionality, and quality of life. Data of 433 patients from the IMI/EuroPain network database were analyzed, and results of HADS-D/A, Pain Catastrophizing Scale, Euro Quality of Life 5D/-VAS, Brief Pain Inventory, and Graded Chronic Pain Scale between the sensory phenotypes were compared using multiple regression analysis. There was no difference in chronic pain grade, pain intensity, depression, or anxiety scores between phenotypes. Pain interference (Brief Pain Inventory) was higher (P = 0.002); self-reported health state lower (Euro Quality of Life 5D VAS, P = 0.02); and problems regarding mobility (P = 0.008), usual activities (P = 0.004), and self-care (P = 0.039) more prominent (EQ5-D) in the sensory loss compared with the thermal hyperalgesia phenotype. Patients with sensory loss also showed higher pain catastrophizing scores (P = 0.006 and 0.022, respectively) compared with the 2 other groups. Sensory phenotype is associated with the impact of neuropathic pain conditions on well-being, daily functionality, and quality of life but is less associated with pain intensity. These results suggest that the somatosensory phenotype should be considered for personalized pain management. Copyright
- Published
- 2022
- Full Text
- View/download PDF