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 Sup

doi:10.3349/ymj.2016.57.2.449

Cited by 24 publications

(22 citation statements)

References 25 publications

(55 reference statements)

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“…Against which newer tests can be compared”. There are studies regarding the validity of the DN4 using only one physician’s opinion[ 21 , 30 ]. To our opinion it is preferable to use two physicians as the gold standard, which is also performed in the original validation study of the DN4[ 17 ].…”

Section: Discussionmentioning

confidence: 99%

Investigating the validity of the DN4 in a consecutive population of patients with chronic pain

et al. 2017

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Neuropathic pain is clinically described as pain caused by a lesion or disease of the somatosensory nervous system. The aim of this study was to assess the validity of the Dutch version of the DN4, in a cross-sectional multicentre design, as a screening tool for detecting a neuropathic pain component in a large consecutive, not pre-stratified on basis of the target outcome, population of patients with chronic pain. Patients’ pain was classified by two independent (pain-)physicians as the gold standard. The analysis was initially performed on the outcomes of those patients (n = 228 out of 291) in whom both physicians agreed in their pain classification. Compared to the gold standard the DN4 had a sensitivity of 75% and specificity of 76%. The DN4-symptoms (seven interview items) solely resulted in a sensitivity of 70% and a specificity of 67%. For the DN4-signs (three examination items) it was respectively 75% and 75%. In conclusion, because it seems that the DN4 helps to identify a neuropathic pain component in a consecutive population of patients with chronic pain in a moderate way, a comprehensive (physical-) examination by the physician is still obligate.

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Section: Discussionmentioning

confidence: 99%

Investigating the validity of the DN4 in a consecutive population of patients with chronic pain

et al. 2017

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“…Few studies also shown that only the self-completing part of the DN4 have demonstrated good discriminatory properties in identifying NeP. The DN4 questionnaire is cross-culturally adapted and validated in Arabic [ 13 ], Dutch [ 14 ], French [ 11 ], Greek [ 16 ], German [ 14 ], Hungarian [ 14 ], Italian [ 17 ], Korean [ 18 ], Persian [ 19 ], Portuguese [ 20 ], Spanish [ 21 ], Turkish [ 22 ], and Thai languages [ 23 ].…”

Section: Discussionmentioning

confidence: 99%

Hindi version of short form of douleur neuropathique 4 (S-DN4) questionnaire for assessment of neuropathic pain component: a cross-cultural validation study

2017

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BackgroundPain with neuropathic characteristics is generally more severe and associated with a lower quality of life compared to nociceptive pain (NcP). Short form of the Douleur Neuropathique en 4 Questions (S-DN4) is one of the most used and reliable screening questionnaires and is reported to have good diagnostic properties. This study was aimed to cross-culturally validate the Hindi version of the S-DN4 in patients with various chronic pain conditions.MethodsThe S-DN4 is already translated into the Hindi language by Mapi Research Trust. This study assessed the psychometric properties of the Hindi version of the S-DN4 including internal consistency and test-retest reliability after 3 days' post-baseline assessment. Diagnostic performance was also assessed.ResultsOne hundred sixty patients with chronic pain, 80 each in the neuropathic pain (NeP) present and NeP absent groups, were recruited. Patients with NeP present reported significantly higher S-DN4 scores in comparison to patients in the NeP absent group (mean (SD), 4.7 (1.7) vs. 1.8 (1.6), P < 0.01). The S-DN4 was found to have an AUC of 0.88 with adequate internal consistency (Cronbach's α = 0.80) and a test-retest reliability (ICC = 0.92) with an optimal cut-off value of 3 (Youden's index = 0.66, sensitivity and specificity of 88.7% and 77.5%). The diagnostic concordance rate between clinician diagnosis and the S-DN4 questionnaire was 83.1% (kappa = 0.66).ConclusionsOverall, the Hindi version of the S-DN4 has good internal consistency and test-retest reliability along with good diagnostic accuracy.

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“…Few studies also shown that only the self-completing part of the DN4 have demonstrated good discriminatory properties in identifying NeP. The DN4 questionnaire is cross-culturally adapted and validated in Arabic [13], Dutch [14], French [11], Greek [16], German [14], Hungarian [14], Italian [17], Korean [18], Persian [19], Portuguese [20], Spanish [21], Turkish [22], and Thai languages [23].…”

Section: Discussionmentioning

confidence: 99%

Hindi Version of Short Form of Douleur Neuropathique 4 (S-Dn4) Questionnaire for Assessment of Neuropathic Pain Component: A Cross-Cultural Validation Study

Ghai¹

2017

Preprint

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Background: Pain with neuropathic characteristics is generally more severe and associated with a lower quality of life compared to nociceptive pain (NcP). Short form of the Douleur Neuropathique en 4 Questions (S-DN4) is one of the most used and reliable screening questionnaires and is reported to have good diagnostic properties. This study was aimed to cross-culturally validate the Hindi version of the S-DN4 in patients with various chronic pain conditions. Methods: The S-DN4 is already translated into the Hindi language by Mapi Research Trust. This study assessed the psychometric properties of the Hindi version of the S-DN4 including internal consistency and test-retest reliability after 3 days' post-baseline assessment. Diagnostic performance was also assessed. Results: One hundred sixty patients with chronic pain, 80 each in the neuropathic pain (NeP) present and NeP absent groups, were recruited. Patients with NeP present reported significantly higher S-DN4 scores in comparison to patients in the NeP absent group (mean (SD), 4.7 (1.7) vs. 1.8 (1.6), P ＜ 0.01). The S-DN4 was found to have an AUC of 0.88 with adequate internal consistency (Cronbach's  = 0.80) and a test-retest reliability (ICC = 0.92) with an optimal cutoff value of 3 (Youden's index = 0.66, sensitivity and specificity of 88.7% and 77.5%). The diagnostic concordance rate between clinician diagnosis and the S-DN4 questionnaire was 83.1% (kappa = 0.66). Conclusions: Overall, the Hindi version of the S-DN4 has good internal consistency and test-retest reliability along with good diagnostic accuracy.

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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

Cited by 24 publications

References 25 publications

Investigating the validity of the DN4 in a consecutive population of patients with chronic pain

Investigating the validity of the DN4 in a consecutive population of patients with chronic pain

Hindi version of short form of douleur neuropathique 4 (S-DN4) questionnaire for assessment of neuropathic pain component: a cross-cultural validation study

Hindi Version of Short Form of Douleur Neuropathique 4 (S-Dn4) Questionnaire for Assessment of Neuropathic Pain Component: A Cross-Cultural Validation Study

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