Initial accuracy assessment of the modified S-LANSS for the detection of neuropathic orofacial pain conditions

Alberto Herrero Babiloni, Donald R. Nixdorf, Alan S. Law, Estephan J. Moana-Filho, Sarah S. Shueb, Ruby H. Nguyen, Justin Durham

Research output: Contribution to journalArticle

2 Scopus citations

Abstract

Objective: To evaluate the accuracy of a questionnaire modified for the identification of intraoral pain with neuropathic characteristics in a clinical orofacial pain sample population. Method and Materials: 136 participants with at least one of four orofacial pain diagnoses (temporomandibular disorders [TMD, n = 41], acute dental pain [ADP, n = 41], trigeminal neuralgia [TN, n = 19], persistent dentoalveolar pain disorder [PDAP, n = 14]) and a group of pain-free controls (n = 21) completed the modified S-LANSS, a previously adapted version of the original questionnaire devised to detected patients suffering from intraoral pain with neuropathic characteristics. Psychometric properties (sensitivity, specificity, positive predictive value [PPV], negative predictive value [NPV]) were calculated in two analyses with two different thresholds: (1) Detection of pain with neuropathic characteristics: PDAP + TN were considered positive, and TMD + ADP + controls were considered negative per gold standard (expert opinion). (2) Detection of PDAP: PDAP was considered positive and TMD + ADP were considered negative per gold standard. For both analyses, target values for adequate sensitivity and specificity were defined as = 80%. Results: For detection of orofacial pain with neuropathic characteristics (PDAP + TN), the modified S-LANSS presented with the most optimistic threshold sensitivity of 52% (95% confidence interval [CI], 34-69), specificity of 70% (95% CI, 60-79), PPV of 35% (95% CI, 22-51), and NPV of 82% (95% CI, 72-89). For detection of PDAP only, with the most optimistic threshold sensitivity was 64% (95% CI, 35-87), specificity 63% (95% CI, 52-74), PPV 23% (95% CI, 11-39) and NPV 91% (95% CI, 81-97). Conclusion: Based on a priori defined criteria, the modified S-LANSS did not show adequate accuracy to detect intraoral pain with neuropathic characteristics in a clinical orofacial pain sample.

Original languageEnglish (US)
Pages (from-to)419-429
Number of pages11
JournalQuintessence International
Volume48
Issue number5
DOIs
StatePublished - 2017

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Keywords

  • Atypical odontalgia
  • Chronic pain
  • Mass screening
  • Neuralgia
  • Root canal therapy
  • Surveys and questionnaires

PubMed: MeSH publication types

  • Journal Article

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