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  5. Neuropathic pain prevalence following spinal cord injury: A systematic review and meta-analysis
 
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Neuropathic pain prevalence following spinal cord injury: A systematic review and meta-analysis

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Author(s)
Burke, Dearbhla 
Fullen, Brona M. 
Stokes, Diarmuid 
Lennon, Olive 
Uri
http://hdl.handle.net/10197/11399
Date Issued
January 2017
Date Available
30T14:29:59Z June 2020
Abstract
Following spinal cord injury (SCI), chronic pain is a common secondary complication with neuropathic pain (NP) cited as one of the most distressing and debilitating conditions leading to poor quality of life, depression and sleep disturbances. Neuropathic pain presenting at or below the level of injury is largely refractory to current pharmacological and physical treatments. No consensus on the prevalence of NP post SCI currently exists, hence this systematic review was undertaken. The review comprised three phases: a methodological assessment of databases [PubMed, Embase, Web of Knowledge, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Cochrane Library and Physiotherapy Evidence Database (PEDro)] identifying potential papers and screening for inclusion criteria by two independent reviewers; data extraction; and finally rating of internal validity and strength of the evidence, using a published valid and reliable scale. Meta‐analysis estimated pooled point prevalence rates using a random effects model. In total, 17 studies involving 2529 patients were included in the review. Overall point prevalence rates for NP were established at 53% (38.58–67.47); 19% (13.26–26.39) for at‐level NP and 27% (19.89–34.61) for below‐level NP, with high heterogeneity noted (I2 = 84–93%). Prevalence rates for NP following SCI are high. Future studies should include established definitions, classification systems and assessment tools for NP at defined time points post SCI to follow the trajectory of this problem across the lifespan and include indices of sleep, mood and interference to allow for appropriate, optimal and timely NP management for each patient.
Other Sponsorship
Pfizer Healthcare Ireland
Type of Material
Journal Article
Publisher
Wiley
Journal
European Journal of Pain
Volume
21
Issue
1
Start Page
29
End Page
44
Copyright (Published Version)
2016 European Pain Federation
Keywords
  • Humans

  • Spinal cord injuries

  • Neuralgia

  • Prevalence

DOI
10.1002/ejp.905
Language
English
Status of Item
Peer reviewed
ISSN
1090-3801
This item is made available under a Creative Commons License
https://creativecommons.org/licenses/by-nc-nd/3.0/ie/
Owning collection
Public Health, Physiotherapy and Sports Science Research Collection
Scopus© citations
180
Acquisition Date
Feb 5, 2023
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