Comparing Diagnostic Accuracy of Direct Questioning Versus Schematic Evaluation of Chronic Pain Localization

Acta Clinica Croatica

Ali Reza Karambakhsh¹  Mohammad Jalali²  Afshin Amini³  Mehrdad Moghimi⁴  Ali Kabir⁵  Taher Doroudi⁶  Ashkan Divanbeigi⁶  Pirhossein Kolivand⁶ 

[1] Behavioral Sciences Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran;Department of Cardiology, Alborz University of Medical Sciences, Karaj, Iran;Department of Emergency Medicine, Imam Hossein Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran;Department of Surgery, Shahid Beheshti University of Medical Sciences, Tehran, Iran;Minimally Invasive Surgery Research Center, Iran University of Medical Sciences, Tehran, Iran;Shefa Neuroscience Research Center, Khatam Alanbia Hospital, Tehran, Iran;

关键词: Manikins;    Chronic pain;    Pain measurement;    Surveys and questionnaires;    Data accuracy;    Iran;   

DOI  :  

来源: DOAJ

【 摘 要 】

None of the previous studies localized pain in comparison with graphic scheme. Our aim was to investigate the validity of direct questioning about the main pain localization in comparison with schematic evaluation. In this cross-sectional study, 331 patients, mean age 49.4±10.72 years, localized their main pain site anatomically with manikin and by direct questioning. Two methods were employed to localize pain: direct questioning and schematic evaluation (manikin). Sensitivity, specificity, accuracy, positive predictive value (PPV), negative predictive value (NPV), positive likelihood ratio (PLR), negative likelihood ratio (NLR) and odds ratio (OR) were used to compare these two methods. Study patients answered in both methods. The sensitivity and PPV were mostly in a weak range, while accuracy, specificity and NPV were mostly in good range. Kappa index was in the marginal reproducibility range. Pain in the left part of the body had a higher OR (OR=9). PLR for pain in the right part of the body was 28.03. NLR for all questions was located in the small and rarely important change probability group. Negative answer in direct questioning was more reliable than a positive one. Pain localization in the left side of the body was more reliable.

【 授权许可】

Unknown