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CC BY 4.0 · Rev Bras Ortop (Sao Paulo) 2024; 59(01): e125-e129
DOI: 10.1055/s-0044-1779686
Artigo Original
Trauma

Comparison of DN4 and DN4 Interview Tests in the Identification of Neuropathic Pain after Fracture Surgery

Article in several languages: português | English
Gustavo Waldolato 
1   Departamento de Ortopedia, Hospital Universitário Ciências Médicas de Minas Gerais, Belo Horizonte, Minas Gerais, Brasil
,
Glauciana de Sousa Pereira 
2   Programa de Pós-Graduação em Ciências da Reabilitação, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brasil
,
Isabela Storch Carvalho 
2   Programa de Pós-Graduação em Ciências da Reabilitação, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brasil
,
Janaine Cunha Polese 
2   Programa de Pós-Graduação em Ciências da Reabilitação, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brasil
,
Amanda Aparecida Oliveira Leopoldino 
2   Programa de Pós-Graduação em Ciências da Reabilitação, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brasil
› Author Affiliations Financial Support The Scientific Initiation Scholarship Program from Faculdade de Ciências Médicas de Minas Gerais (PROBIC/FCM-MG), linked to the Stricto Sensu Postgraduate Program, supported this study.
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Abstract

Objective: This study aimed to compare results obtained with the DN4 (in-person interview) and DN4i (telephone interview) questionnaires in identifying neuropathic pain after fracture surgery.

Methods: This study was methodological, using questionnaires administered in person (DN4) or via telephone (DN4i). The participants were at least 18 years old, underwent fracture surgery at a university hospital between January 2017 and July 2020, signed the Informed Consent Form (ICF), and could go to the Orthopedics and Traumatology Hospital. Pearson's correlation coefficient determined the agreement between the total score obtained during in-person and telephone interviews. The kappa coefficient evaluated the agreement between individual questionnaire items.

Results: Of the 53 participants, 50 presented the same result for neuropathic pain screening in DN4 and DN4i, including 41 with a positive score for neuropathic pain and 12 with a negative score. The Pearson's correlation coefficient and kappa coefficient were r = 0.84.

Conclusion: DN4 and DN4i presented a strong agreement between individual items of the questionnaires and the total scores obtained.

Keywords

complex regional pain syndromes - fracture fixation - interview, telephone - pain - surveys and questionnaires

Work developed at the Hospital Universitário Ciências Médicas de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.




Publication History

Received: 18 February 2023

Accepted: 21 July 2023

Article published online:
21 March 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)

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