Template:DN4: Difference between revisions
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! colspan="3" |<div style="display:flex; flex-direction:row; justify-content:space-around;"><div>Result</div><div><span class="interpretation" style="color: green;">Negative</span></div><div><span class="score">Score: 0</span></div></div> | ! colspan="3" |<div style="display:flex; flex-direction:row; justify-content:space-around;"><div>Result</div><div><span class="interpretation" style="color: green;">Negative</span></div><div><span class="score">Score: 0</span></div></div> | ||
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|colspan="3"|<small>Validated in painful diabetic polyneuropathy. At the cut-off of 4, DN4 displayed sensitivity of 80%, specificity of 92%, positive predictive value (PPV) of 82%, negative predictive value (NPV) of 91%, and likelihood ratio for a positive result (LR(+) ) of 9.6. At the cut-off of 3, DN4-interview showed sensitivity and specificity of 84%, PPV of 71%, NPV of 92%, and LR(+) of 5.3.<ref>Spallone V, Morganti R, D'Amato C, Greco C, Cacciotti L, Marfia GA. Validation of DN4 as a screening tool for neuropathic pain in painful diabetic polyneuropathy. Diabet Med. 2012 May;29(5):578-85. doi: 10.1111/j.1464-5491.2011.03500.x. [https://pubmed.ncbi.nlm.nih.gov/22023377/#:~:text=Aims%3A%20DN4%20(Douleur%20Neuropathique%20en,formally%20been%20validated%20in%20diabetes. PMID]</ref></small> | |||
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Revision as of 13:30, 6 April 2022
| INTERVIEW OF THE PATIENT | ||
|---|---|---|
| QUESTION 1 | ||
| Does the pain have one or more of the following characteristics? | Yes | No |
| Burning | ||
| Painful cold | ||
| Electric shocks | ||
| QUESTION 2 | ||
| Is the pain associated with one or more of the following symptoms in the same area? | Yes | No |
| Tingling | ||
| Pins and needles | ||
| Numbness | ||
| Itching | ||
| EXAMINATION OF THE PATIENT | ||
| QUESTION 3 | ||
| Is the pain located in an area where the physical examination may reveal one or more of the following characteristics? | Yes | No |
| Hypoaesthesia to touch | ||
| Hypoaesthesia to pinprick | ||
| QUESTION 4 | ||
| In the painful area, can the pain be caused or increased by: | Yes | No |
| Brushing | ||
Result Negative Score: 0 | ||
| Validated in painful diabetic polyneuropathy. At the cut-off of 4, DN4 displayed sensitivity of 80%, specificity of 92%, positive predictive value (PPV) of 82%, negative predictive value (NPV) of 91%, and likelihood ratio for a positive result (LR(+) ) of 9.6. At the cut-off of 3, DN4-interview showed sensitivity and specificity of 84%, PPV of 71%, NPV of 92%, and LR(+) of 5.3.[1] | ||
