Cross‐Cultural Psychometric Assessment of the Leeds Assessment of Neuropathic Symptoms and Signs (LANSS) Pain Scale in the Portuguese Population

Abstract

The Portuguese LANSS version pain scale properties lead us to the conclusion that such a cross-cultural version is a reliable and valid instrument for the differentiation of this type of pain. Its usage is recommended.

Neuropathic pain screening questionnaires have limited measurement properties. A systematic review

“…Mixed pain conditions, where both neuropathic and nociceptive components are present, can be a diagnostic challenge. Many of our studies excluded participants with mixed pain conditions[7,9,10,29,34,35,40,42,45,48], which may have influenced the sensitivity and specificity of the questionnaires, and hence limit generalisability when applying our results to clinical practice. Of the studies that did include mixed pain in their analysis[8,12,13,23,25,30,32,36,38,41,43,44] there was no consistent trend in increased or decreased sensitivity and/or specificity when compared to the original version.…”

“…Most studies administered the questionnaires face to face in a clinical setting, most commonly by a pain physician or specialist [7][8][9][10]12,[29][30][31][32]34,35,37,40,42,43,45,48] …”

“…Some studies omitted to report the time between the initial clinical assessment and administration of the questionnaire(s) [9-13,22,23,26-29,31-37,[40][41][42][43][44][46][47][48][49][50]. In these cases patients may have changed over time, thus reducing the methodological quality and the robustness of the results on criterion validity.The overall level of evidence of the included studies was low or very low due to the methodological quality and the small sample sizes.…”

Cross-cultural Adaptation and Linguistic Validation of the Korean Version of the Leeds Assessment of Neuropathic Symptoms and Signs Pain Scale

“…It is concordant of clinical diagnosis with a sensitivity and specificity of 83% and 87%, respectively, and a score of at least 12 of 24 points ( 4 ). The original English version of the LANSS pain scale has been translated and validated in Turkish ( 5 ), Spanish ( 6 ), Swedish ( 7 ), Brazilian Portuguese ( 8 ), Portuguese ( 9 ), and Chinese Mandarin ( 10 ). However, no neuropathic pain questionnaire including the LANSS has yet been established in Korea.…”

Validation of the Leeds Assessment of Neuropathic Symptoms and Signs Pain Scale (LANSS) in Russia

“…Необходимая лингвокультурная адаптация и оценка психометрических свойств шкалы уже выполнены в Испании [13], Греции [14], Португалии [15] Надежность -устойчивость инструмента к ошибкам измерения [16]. В данном исследовании в качестве параметров надежности оценивались внутренняя согласованность и воспроизводимость.…”