Validation of the Nepali Version of the Self-reported Leeds Assessment of Neuropathic Symptoms and Signs (S-LANSS) in Adults With Chronic Pain and Predominantly Low-literacy Levels

Sharma, Saurab; Higgins, Cassie; Cameron, Paul A.; Bimali, Inosha; Hales, Tim G.; Bennett, Mike; Smith, Blair H.

doi:10.1016/j.jpain.2021.09.004

Cited by 3 publications

(4 citation statements)

References 55 publications

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“…7 Surgery, especially thoracic surgery, increases the risk of NeuP, which may involve different degrees of nerve injury, such as transection, stretching, and compression. 11,[33][34][35][36] However, the precise mechanism underlying its occurrence remains elusive and likely involves a complex interplay between peripheral and central nervous system alterations. 37,38 Our results suggested that chronic NeuP at 3 and 6-month after thoracic surgery were 41.5% and 11.3% with those receiving ropivacaine alone, respectively, which is compatible with that of previous studies.…”

Section: Discussionmentioning

confidence: 99%

Effects of Ultrasound-Guided Thoracic Paravertebral Nerve Block Combined with Perineural or IV Dexmedetomidine on Acute and Chronic Pain After Thoracoscopic Resection of Lung Lesions: A Double-Blind Randomized Trial

Chen,

Gao,

Zhang

et al. 2024

DDDT

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Section: Discussionmentioning

confidence: 99%

Effects of Ultrasound-Guided Thoracic Paravertebral Nerve Block Combined with Perineural or IV Dexmedetomidine on Acute and Chronic Pain After Thoracoscopic Resection of Lung Lesions: A Double-Blind Randomized Trial

Chen,

Gao,

Zhang

et al. 2024

DDDT

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“…The DN4 questionnaire is based on interview and patient examination. Currently, there is validated subjective questionnaire in Nepali (S-LANSS), which has been tested on people with low literacy [ 21 ]. Now, the researchers will have a choice of tools which can be used as per their feasibility.…”

Section: Discussionmentioning

confidence: 99%

“…The assessment of psychometric properties of internationally accepted tools is needed in Nepali so that they can be used uniformly for clinical and research purposes. The S-LANSS scale which was validated in 2021 is a subjective based questionnaire which helps to identify pain of predominantly neuropathic origin [ 21 ]. There is another standard screening tool for neuropathic pain (DN4 questionnaire) which is based on both interview and clinical examination, but it has not yet been interpreted in Nepali.…”

Section: Introductionmentioning

confidence: 99%

Nepalese version of Douleur Neuropathique 4 (DN4) questionnaire for detection of neuropathic pain signs and symptoms: Translation and psychometric properties

et al. 2023

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Objective This study aimed to translate the DN4 questionnaire into Nepalese version and assess its psychometric properties: diagnostic accuracy, internal consistency, and test-retest reliability. Methods An observational study was conducted in a tertiary level teaching hospital of Kathmandu, Nepal. We included 166 patients with chronic pain visiting a pain clinic over a period of one year. The Nepalese version of the DN4 questionnaire was used for detecting signs and symptoms of neuropathic pain. The English version of the questionnaire was translated into Nepali in accordance with the standard guideline with the help of linguistic experts. The patients who met the inclusion criteria were examined and interviewed twice in an interval of two weeks. The association between the index test and the reference test was analyzed using Chi-square test. Diagnostic accuracy was assessed using sensitivity, specificity, Youden’s index, and positive and negative predictive values. We calculated internal consistency using Cronbach’s alpha (∝), and test-retest reliability using Cohen’s kappa and Intra-class correlation coefficient (ICC). Results The study showed a significant association between the result of DN4 questionnaire and the gold standard (physician’s diagnosis) (p<0.001). The sensitivity and specificity values for the DN4 questionnaire were 75% and 95.3% respectively. Similarly, positive and negative predictive values were 93.8% and 80.4% respectively. Our study showed adequate internal consistency (∝ = 0.710) and a good test-retest reliability (kappa = 0.872, ICC = 0.877). Conclusions The Nepalese version of DN4 questionnaire is a valid and reliable tool for the identification of signs and symptoms of neuropathic pain. This can be used for screening neuropathic pain signs and symptoms in clinical as well as research settings.

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“… 20 , 38 For example, chronic pain prevalence in Australia is 20%, 11 27% in Mexico, 9 and 53% in Nepal. 35 Chronic musculoskeletal pain conditions are the number one cause of disability globally, with a 32% increase in the past 3 decades, 15 estimated financial costs at $73.2 billion in 2018 in Australia alone. 10 Effective management of chronic pain requires accurate pain science education.…”

Section: Introductionmentioning

confidence: 99%

Online information on chronic pain in 3 countries: an assessment of readability, credibility, and accuracy

Basnet

Méndez

González

et al. 2023

PR9

Self Cite

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Objectives: To assess the readability, credibility, and accuracy of online information on chronic pain in Australia, Mexico, and Nepal. Methods: We assessed Google-based websites and government health websites about chronic pain for readability (using the Flesch Kincaid Readability Ease tool), credibility (using the Journal of American Medical Association [JAMA] benchmark criteria and Health on the Net Code [HONcode]), and accuracy (using 3 core concepts of pain science education: (1) pain does not mean my body is damaged; (2) thoughts, emotions, and experiences affect pain; and (3) I can retrain my overactive pain system). Results: We assessed 71 Google-based websites and 15 government websites. There were no significant between-country differences in chronic pain information retrieved through Google for readability, credibility, or accuracy. Based on readability scores, the websites were "fairly difficult to read," suitable for ages 15 to 17 years or grades 10 to 12 years. For credibility, less than 30% of all websites met the full JAMA criteria, and more than 60% were not HONcode certified. For accuracy, all 3 core concepts were present in less than 30% of websites. Moreover, we found that the Australian government websites have low readability but are credible, and the majority provided all 3 core concepts in pain science education. A single Mexican government website had low readability without any core concepts but was credible. Conclusion:The readability, credibility, and accuracy of online information on chronic pain should be improved internationally to support facilitating better management of chronic pain.

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Validation of the Nepali Version of the Self-reported Leeds Assessment of Neuropathic Symptoms and Signs (S-LANSS) in Adults With Chronic Pain and Predominantly Low-literacy Levels

Cited by 3 publications

References 55 publications

Effects of Ultrasound-Guided Thoracic Paravertebral Nerve Block Combined with Perineural or IV Dexmedetomidine on Acute and Chronic Pain After Thoracoscopic Resection of Lung Lesions: A Double-Blind Randomized Trial

Effects of Ultrasound-Guided Thoracic Paravertebral Nerve Block Combined with Perineural or IV Dexmedetomidine on Acute and Chronic Pain After Thoracoscopic Resection of Lung Lesions: A Double-Blind Randomized Trial

Nepalese version of Douleur Neuropathique 4 (DN4) questionnaire for detection of neuropathic pain signs and symptoms: Translation and psychometric properties

Online information on chronic pain in 3 countries: an assessment of readability, credibility, and accuracy

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