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Systematic assessment and characterization of chronic pain in multiple sclerosis patients.

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Title: Systematic assessment and characterization of chronic pain in multiple sclerosis patients.
Authors: Ferraro, Diana, Plantone, Domenico, Morselli, Franca, Dallari, Giulia, Simone, Anna M., Vitetta, Francesca, Sola, Patrizia, Primiano, Guido, Nociti, Viviana, Pardini, Matteo, Mirabella, Massimiliano, Vollono, Catello
Source: Neurological Sciences. Mar2018, Vol. 39 Issue 3, p445-453. 9p. 5 Charts.
Subjects: Multiple sclerosis diagnosis, Analgesics, Pain management, Chronic pain, Functional assessment, Longitudinal method, Multiple sclerosis, Neuralgia, Psychological tests, Pain measurement, Disease prevalence, Cross-sectional method, Disease complications, Diagnosis
Abstract: Pain is one of the most disabling clinical symptoms in patients with multiple sclerosis (MS). Several studies have already assessed the prevalence of pain in MS patients, reporting variable results, probably due to methodological differences. The aim of this single-centre cross-sectional study was to define the prevalence and characteristics of chronic pain in a population of MS patients using validated tools, and to analyse these data in relation to demographic and clinical features, including disease duration and disability (EDSS and its single functional system scores). Of 397 enrolled patients, 23 were excluded due to a Beck's Depression Inventory Score > 19. In the remaining 374 patients, the overall prevalence of chronic pain was 52.1%, most frequently affecting the lower limbs (36.9%). Neuropathic pain was the most frequent type of chronic pain (89 patients, overall prevalence of 23.7%) and was associated with a sensory functional system involvement. Pain intensity was significantly higher in patients with neuropathic pain as opposed to patients with non-neuropathic pain. Patients with chronic pain and, in particular, patients with neuropathic pain had significantly higher EDSS scores than those without pain. Only 24% of patients with chronic pain and 33% of patients with neuropathic pain were on a specific long-lasting treatment for pain. The present study supports the routine assessment of neuropathic pain in MS patients, especially in those with a sensory functional system involvement, in order to avoid underdiagnosing and undertreating a potentially disabling condition. [ABSTRACT FROM AUTHOR]
Copyright of Neurological Sciences is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Systematic assessment and characterization of chronic pain in multiple sclerosis patients.
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  Data: <searchLink fieldCode="AR" term="%22Ferraro%2C+Diana%22">Ferraro, Diana</searchLink><br /><searchLink fieldCode="AR" term="%22Plantone%2C+Domenico%22">Plantone, Domenico</searchLink><br /><searchLink fieldCode="AR" term="%22Morselli%2C+Franca%22">Morselli, Franca</searchLink><br /><searchLink fieldCode="AR" term="%22Dallari%2C+Giulia%22">Dallari, Giulia</searchLink><br /><searchLink fieldCode="AR" term="%22Simone%2C+Anna+M%2E%22">Simone, Anna M.</searchLink><br /><searchLink fieldCode="AR" term="%22Vitetta%2C+Francesca%22">Vitetta, Francesca</searchLink><br /><searchLink fieldCode="AR" term="%22Sola%2C+Patrizia%22">Sola, Patrizia</searchLink><br /><searchLink fieldCode="AR" term="%22Primiano%2C+Guido%22">Primiano, Guido</searchLink><br /><searchLink fieldCode="AR" term="%22Nociti%2C+Viviana%22">Nociti, Viviana</searchLink><br /><searchLink fieldCode="AR" term="%22Pardini%2C+Matteo%22">Pardini, Matteo</searchLink><br /><searchLink fieldCode="AR" term="%22Mirabella%2C+Massimiliano%22">Mirabella, Massimiliano</searchLink><br /><searchLink fieldCode="AR" term="%22Vollono%2C+Catello%22">Vollono, Catello</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Neurological+Sciences%22">Neurological Sciences</searchLink>. Mar2018, Vol. 39 Issue 3, p445-453. 9p. 5 Charts.
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  Data: Pain is one of the most disabling clinical symptoms in patients with multiple sclerosis (MS). Several studies have already assessed the prevalence of pain in MS patients, reporting variable results, probably due to methodological differences. The aim of this single-centre cross-sectional study was to define the prevalence and characteristics of chronic pain in a population of MS patients using validated tools, and to analyse these data in relation to demographic and clinical features, including disease duration and disability (EDSS and its single functional system scores). Of 397 enrolled patients, 23 were excluded due to a Beck's Depression Inventory Score > 19. In the remaining 374 patients, the overall prevalence of chronic pain was 52.1%, most frequently affecting the lower limbs (36.9%). Neuropathic pain was the most frequent type of chronic pain (89 patients, overall prevalence of 23.7%) and was associated with a sensory functional system involvement. Pain intensity was significantly higher in patients with neuropathic pain as opposed to patients with non-neuropathic pain. Patients with chronic pain and, in particular, patients with neuropathic pain had significantly higher EDSS scores than those without pain. Only 24% of patients with chronic pain and 33% of patients with neuropathic pain were on a specific long-lasting treatment for pain. The present study supports the routine assessment of neuropathic pain in MS patients, especially in those with a sensory functional system involvement, in order to avoid underdiagnosing and undertreating a potentially disabling condition. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Neurological Sciences is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1007/s10072-017-3217-x
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        Text: English
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      – SubjectFull: Multiple sclerosis diagnosis
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