Hindi version of short form of douleur neuropathique 4 (S-DN4) questionnaire for assessment of neuropathic pain component: a cross-cultural validation study.
10.3344/kjp.2017.30.3.197
- Author:
Kapil GUDALA
1
;
Babita GHAI
;
Dipika BANSAL
Author Information
1. Department of Pharmacy Practice, National Institute of Pharmaceutical Education and Research, SAS Nagar (Mohali), India.
- Publication Type:Original Article
- Keywords:
Mass screening;
Neuralgia;
Neuropathic pain;
Nociceptive pain;
Patient reported outcome measures;
Surveys and questionnaires
- MeSH:
Area Under Curve;
Chronic Pain;
Diagnosis;
Humans;
Mass Screening;
Neuralgia*;
Nociceptive Pain;
Psychometrics;
Quality of Life;
Reproducibility of Results;
Sensitivity and Specificity;
Surveys and Questionnaires
- From:The Korean Journal of Pain
2017;30(3):197-206
- CountryRepublic of Korea
- Language:English
-
Abstract:
BACKGROUND: Pain with neuropathic characteristics is generally more severe and associated with a lower quality of life compared to nociceptive pain (NcP). Short form of the Douleur Neuropathique en 4 Questions (S-DN4) is one of the most used and reliable screening questionnaires and is reported to have good diagnostic properties. This study was aimed to cross-culturally validate the Hindi version of the S-DN4 in patients with various chronic pain conditions. METHODS: The S-DN4 is already translated into the Hindi language by Mapi Research Trust. This study assessed the psychometric properties of the Hindi version of the S-DN4 including internal consistency and test-retest reliability after 3 days' post-baseline assessment. Diagnostic performance was also assessed. RESULTS: One hundred sixty patients with chronic pain, 80 each in the neuropathic pain (NeP) present and NeP absent groups, were recruited. Patients with NeP present reported significantly higher S-DN4 scores in comparison to patients in the NeP absent group (mean (SD), 4.7 (1.7) vs. 1.8 (1.6), P < 0.01). The S-DN4 was found to have an AUC of 0.88 with adequate internal consistency (Cronbach's α = 0.80) and a test-retest reliability (ICC = 0.92) with an optimal cut-off value of 3 (Youden's index = 0.66, sensitivity and specificity of 88.7% and 77.5%). The diagnostic concordance rate between clinician diagnosis and the S-DN4 questionnaire was 83.1% (kappa = 0.66). CONCLUSIONS: Overall, the Hindi version of the S-DN4 has good internal consistency and test-retest reliability along with good diagnostic accuracy.
