Screening for neuropathic pain after spinal cord injury with the Spinal Cord Injury Pain Instrument (SCIPI): a preliminary validation study

Short Title:
Screening for neuropathic pain after spinal cord injury with the Spinal Cord Injury Pain Instrument (SCIPI): a preliminary validation study
Model System:
SCI
Reference Type:
Journal Article
Accession No.:
J68717
Journal:
Spinal Cord
Year, Volume, Issue, Page(s):
2014, vol. 1, issue 52, pp 407-412
Publication Website:
Abstract:
Study evaluated the validity of the Spinal Cord Injury Pain Instrument (SCIPI), an interview-based spinal cord injury (SCI) neuropathic pain screening instrument. Clinician diagnoses of neuropathic pain (NP) and non-neuropathic pain subtypes were collected independently of descriptions of the pain characteristics provided by the patient with SCI using the Spinal Cord Injury Pain Instrument (SCIPI). The SCIPI information and physician diagnoses for 82 pain sites of which they were most confident were subsequently compared. Four of the SCIPI items correlated significantly with the NP subtype as determined by the clinician. The best cutoff score for identifying NP was an endorsement of two or more of these four items. Using this cutoff, sensitivity of the SCIPI was 78 percent, specificity was 73 percent, and overall diagnostic accuracy was 76 percent. In this preliminary study, the SCIPI, which can be administered by a nonclinician, appears to have good sensitivity, specificity, and diagnostic accuracy in a SCI population; it may have a role as a screening tool for NP after SCI. More studies to further investigate the SCIPI’s validity are recommended.
Author(s):
Bryce,T.Richards.J.Bombardier,C.Dijkers,M.Fann.Brooks,L.Chiodo,A.Tate,D.Forchheimer,M.
Author Address(es):

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