VPLIV NEVROPATSKE SESTAVINE BOLEČINE NA STOPNJO NEZMOŽNOSTI IN KAKOVOST ŽIVLJENJA BOLNIKOV S KRONIČNO BOLEČINO V KRIŽU. (Slovenian)

Introduction: Chronic low back pain syndrome (CLBPS) is a mixed pain syndrome. Determination of the neuropathic component of pain (NCP) is clinically demanding, therefore use of specific neuropathic screening scales is recommended. Our aim was to determine the prevalence of NCP in patients with CLBPS using the painDETECT questionnaire (PD-Q), and to identify differences between groups of patients with and without NCP in pain severity, disability, and quality of life. Methods: Thirty-four patients with CLBP with or without concomitant leg pain were included in the study. The patients completed a questionnaire on sociodemographic data and disease characteristics, they self-assessed pain intensity (on 11-point numerical rating score, NRS), and filled in PD-Q, Oswestry Disability Index (ODI) and EuroQol questionnaire (EQ-5D-5L). Results: The mean NRS value for the whole sample was 6.3 (range, 2–10). NCP was present in 10 patients and 8 had an unclear result. Fourteen patients had a severe degree of disability, 10 had a moderate degree, and 8 had a minimum degree of disability. The correlations between the ODI, PD-Q, and EQ-5D-5L scores were moderate, and the correlation between the PD-Q and EQ- 5D-5L scores was not statistically significant. On average, the patients with NCP had statistically significantly higher degree of disability, and statistically insignificantly more severe pain and lower health and quality of life scores. Conclusions: Disability is correlated with the PD-Q and the quality of life scores. On average, patients with NCP had a statistically significantly higher disability score; the differences in health and quality of life scores were not statistically significant. [ABSTRACT FROM AUTHOR]

Uvod: Sindrom kronične bolečine v križu (SKBvK) je mešan bolečinski sindrom. Klinično ugotavljanje nevropatske sestavine bolečine (NSB) je zahtevno in si lahko pomagamo s specifičnimi presejalnimi lestvicami. Cilj raziskave je bil ugotoviti pogostost NSB pri bolnikih s SKBvK z uporabo vprašalnika painDETECT (V-PD) in razlike med skupinama z in brez NSB v jakosti bolečine, oceni zmanjšane zmožnosti in kakovosti življenja. Metode: V raziskavo smo vključili 34 polnoletnih preiskovancev s SKBvK s spremljajočo bolečino v spodnjih udih ali brez nje. Preiskovanci so izpolnili vprašalnik o sociodemografskih podatkih in značilnostih bolezni, ocenili jakost bolečine s številsko ocenjevalno lestvico (angl. Numeric Rating Scale, NRS), izpolnili V-PD, vprašalnik zmanjšane zmožnosti Oswestry (angl. Oswestry Disability Index, ODI) in petnivojsko EuroQol lestvico kakovosti življenja (EQ-5D-5L). Rezultati: Povprečna vrednost NRS za celoten vzorec je znašala 6,3 (razpon 2–10). NSB je bila prisotna pri 10 preiskovancih, nejasen rezultat je imelo 8 preiskovancev. Štirinajst preiskovancev je imelo hudo stopnjo zmanjšane zmožnosti, 10 zmerno stopnjo in 8 najmanjšo stopnjo zmanjšane zmožnosti. Povezanosti med ocenami vprašalnika ODI in ocenami lestvic NRS, V-PD in EQ-5D-5L so bile zmerne stopnje. Povezanost med ocenami V-PD in lestvice EQ-5D-5L ni bila statistično značilna. Preiskovanci z NSB so imeli statistično značilno slabšo oceno zmanjšane zmožnosti, ne pa tudi statistično značilno slabše ocene jakosti bolečine in kakovosti življenja. Zaključki: Ocena zmanjšane zmožnosti je povezana z oceno V-PD in oceno kakovosti življenja. Preiskovanci z NSB imajo statistično značilno slabšo oceno zmanjšane zmožnosti, glede jakosti bolečine in ocene kakovosti življenja pa nismo ugotovili statistično značilnih razlik. [ABSTRACT FROM AUTHOR]

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