Spondyloarthritis & psoriatic arthritis

A systematic review and meta-analysis of questionnaires to screen for pain sensitisation and neuropathic like pain in inflammatory arthritis

Semin Arthritis RheumPublished Systematic review and meta-analysis

Authors' conclusion

Pain sensitivity and neuropathic like pain contribute to pain perception in up to 42% of patients with IA.

Study context

Population
Adult patients with inflammatory arthritis (IA)
Participants
13,035 patients63 studies
Comparison
painDETECT vs DN4 vs LANSS vs CSI
Outcome
Prevalence of pain sensitivity/neuropathic like pain in IA, as defined by questionnaires
Methodological detailsmeta-regression, risk of bias assessed with National Institute of Health Quality Assessment Tool
  • Meta-regression
  • Risk of bias assessed with National Institute of Health Quality Assessment Tool

Pooled result

As reported in the abstract

Prevalence of pain sensitivity/neuropathic like pain in IA

Further pooled results

OutcomeP value
Prevalence by IA type on meta-regression (painDETECT)RA vs SpA · RA significantly lowerP = 0.01
Prevalence by IA type on meta-regression (painDETECT)RA vs PsA · RA significantly lowerP = 0.002

Association with clinical measures (all questionnaires)

Pain sensitivity and neuropathic like pain significantly associated with worse pain severity, disease activity, disability, quality of life and anxiety and depression measures

Neuropathic like pain as predictor of treatment outcome

Studies inconsistent

Original publication

A systematic review and meta-analysis of questionnaires to screen for pain sensitisation and neuropathic like pain in inflammatory arthritis. Semin Arthritis Rheum. Published 26 April 2023. doi:10.1016/j.semarthrit.2023.152207

Composed by AI from the published abstract and checked against it. How Briefs are made →

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