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Classifying patients with lumbar spinal stenosis using painDETECT: a cross-sectional study

机译：使用疼痛对腰椎管狭窄症患者进行分类检测：一项横断面研究

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Background The pathological mechanisms of lumbar spinal stenosis are unclear. Family doctors in the primary care setting may perform medical examinations of patients with lumbar spinal stenosis. Our aim was to use the painDETECT questionnaire to quantify the pathological mechanisms of low back pain and/or leg pain caused by lumbar spinal stenosis. Methods We enrolled 102 patients (37 men, 65 women) who had been newly diagnosed with lumbar spinal stenosis at 2 facilities. The patients’ conditions were evaluated using the painDETECT questionnaire, Numerical Rating Scale, Roland-Morris Disability Questionnaire, Japanese Orthopaedic Association Back Pain Evaluation Questionnaire, and 36-Item Short-Form Health Survey. The pathological mechanisms of low back pain and/or leg pain caused by lumbar spinal stenosis were classified based on results of the painDETECT questionnaire as nociceptive pain, neuropathic pain, or unclear type of pain (mixed pain). Statistical analyses were performed using the Kruskal–Wallis test. A value of p Results The mean age of all patients in this study was 70.3?±?2?years. The male:female distribution was 37:65 (36.3:63.7?%). In all, 72 (70.6?%) patients had chronic pain (duration of ≥3?months), and 30 (29.4?%) had subacute or acute pain (duration of Conclusions Patients with neuropathic back and/or leg pain caused by lumbar spinal stenosis may have lower physical and/or psychological quality of life than patients with such pain caused by other mechanisms.
机译：背景腰椎管狭窄症的病理机制尚不清楚。处于初级保健环境的家庭医生可以对腰椎管狭窄症患者进行医学检查。我们的目的是使用painDETECT问卷来量化由腰椎管狭窄引起的下腰痛和/或腿痛的病理机制。方法我们在2个机构招募了102例新诊断为腰椎管狭窄症的患者（37例男性，65例女性）。使用painDETECT问卷，数字评分量表，Roland-Morris残疾问卷，日本骨科协会腰痛评估问卷和36项简短健康调查对患者的状况进行评估。根据painDETECT调查表的结果将腰椎管狭窄引起的下腰痛和/或腿痛的病理机制归类为伤害性疼痛，神经性疼痛或不清楚的疼痛类型（混合性疼痛）。使用Kruskal–Wallis检验进行统计分析。 p值的结果本研究中所有患者的平均年龄为70.3？±？2？岁。男女比例为37:65（36.3：63.7％）。总共有72（70.6％）位患者患有慢性疼痛（持续时间≥3个月），有30位（29.4％）患者具有亚急性或急性疼痛（持续时间）结论：腰椎引起的神经性背痛和/或腿痛的患者与其他原因引起的疼痛相比，椎管狭窄症患者的生理和/或心理生活质量可能较低。

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