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The Modified painDETECT Questionnaire for Patients with Hip or Knee Osteoarthritis: Translation into Dutch, Cross-Cultural Adaptation and Reliability Assessment.

Rienstra W, Blikman T, Mensink FB, van Raay JJ, Dijkstra B, Bulstra SK, Stevens M, van den Akker-Scheek I - PLoS ONE (2015)

Bottom Line: Reliability for internal consistency, repeatability and floor and ceiling effects were subsequently assessed.International guidelines were followed in the translation process and this study has ample sample size with an adequate time interval for repeatability.Whether it is also suitable as an evaluative tool to record changes over time or after an intervention remains open to further investigation.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopedics, University Medical Center Groningen, Groningen, The Netherlands.

ABSTRACT
There is a growing amount of evidence that alteration in pain processing by the peripheral and central nervous system play a role in osteoarthritis pain, leading to neuropathic-like symptoms. It is essential to identify knee and hip osteoarthritis patients with a neuropathic pain profile in order to offer such patients education and additional treatment options besides conventional pain treatment. The painDETECT Questionnaire is a self-report questionnaire developed to discriminate between nociceptive and neuropathic pain. This questionnaire was modified to fit patients suffering from knee osteoarthritis. The aim of this study was to translate and cross-culturally adapt the modified painDETECT Questionnaire to the Dutch language and to provide a modified version to fit patients with hip osteoarthritis. Reliability for internal consistency, repeatability and floor and ceiling effects were subsequently assessed. A total of 278 patients were included in the reliability study and 123 patients in the repeatability analysis. The Dutch modified painDETECT Questionnaire shows good internal consistency and small relative measurement errors, represented by a good intraclass correlation coefficient. Absolute measurement error, represented by the Standard Error of Measurement, was acceptable. However, a measurement bias might be present when it comes to repeatability. To our knowledge, this study is the first to provide a Dutch modified painDETECT Questionnaire to fit hip and knee osteoarthritis patients and to assess internal consistency, reliability and agreement. International guidelines were followed in the translation process and this study has ample sample size with an adequate time interval for repeatability. Based on this study, the Dutch modified painDETECT Questionnaire seems to be fit as a discriminative tool to identify knee and hip osteoarthritis patients with a neuropathic pain profile. Whether it is also suitable as an evaluative tool to record changes over time or after an intervention remains open to further investigation.

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Related in: MedlinePlus

Flow chart showing inclusion procedure.
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pone.0146117.g001: Flow chart showing inclusion procedure.

Mentions: Translation of the mPDQ into Dutch was successful. No difficulties were encountered during pilot testing. In total, 604 patients were invited to participate in the reliability study. The response rate was 336 participants (55.6%). Of these respondents, 278 (46.0%) were included in the reliability study. Ten patients were excluded from the repeatability analysis. Reasons were because they received THA/TKA before the retest could be conducted or because the first questionnaire was returned with a considerable delay that surpassed the retest period. The response rate for the repeatability analysis was 220 participants (82.1%), 123 (45.9%) of whom were included in the repeatability analysis. Fig 1 shows the flow chart for inclusion. The number of cases lost because of missing items was 34 out of 336 respondents of the first questionnaire (10.1%) and 15 out of 220 respondents of the second questionnaire (6.8%).


The Modified painDETECT Questionnaire for Patients with Hip or Knee Osteoarthritis: Translation into Dutch, Cross-Cultural Adaptation and Reliability Assessment.

Rienstra W, Blikman T, Mensink FB, van Raay JJ, Dijkstra B, Bulstra SK, Stevens M, van den Akker-Scheek I - PLoS ONE (2015)

Flow chart showing inclusion procedure.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4697818&req=5

pone.0146117.g001: Flow chart showing inclusion procedure.
Mentions: Translation of the mPDQ into Dutch was successful. No difficulties were encountered during pilot testing. In total, 604 patients were invited to participate in the reliability study. The response rate was 336 participants (55.6%). Of these respondents, 278 (46.0%) were included in the reliability study. Ten patients were excluded from the repeatability analysis. Reasons were because they received THA/TKA before the retest could be conducted or because the first questionnaire was returned with a considerable delay that surpassed the retest period. The response rate for the repeatability analysis was 220 participants (82.1%), 123 (45.9%) of whom were included in the repeatability analysis. Fig 1 shows the flow chart for inclusion. The number of cases lost because of missing items was 34 out of 336 respondents of the first questionnaire (10.1%) and 15 out of 220 respondents of the second questionnaire (6.8%).

Bottom Line: Reliability for internal consistency, repeatability and floor and ceiling effects were subsequently assessed.International guidelines were followed in the translation process and this study has ample sample size with an adequate time interval for repeatability.Whether it is also suitable as an evaluative tool to record changes over time or after an intervention remains open to further investigation.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopedics, University Medical Center Groningen, Groningen, The Netherlands.

ABSTRACT
There is a growing amount of evidence that alteration in pain processing by the peripheral and central nervous system play a role in osteoarthritis pain, leading to neuropathic-like symptoms. It is essential to identify knee and hip osteoarthritis patients with a neuropathic pain profile in order to offer such patients education and additional treatment options besides conventional pain treatment. The painDETECT Questionnaire is a self-report questionnaire developed to discriminate between nociceptive and neuropathic pain. This questionnaire was modified to fit patients suffering from knee osteoarthritis. The aim of this study was to translate and cross-culturally adapt the modified painDETECT Questionnaire to the Dutch language and to provide a modified version to fit patients with hip osteoarthritis. Reliability for internal consistency, repeatability and floor and ceiling effects were subsequently assessed. A total of 278 patients were included in the reliability study and 123 patients in the repeatability analysis. The Dutch modified painDETECT Questionnaire shows good internal consistency and small relative measurement errors, represented by a good intraclass correlation coefficient. Absolute measurement error, represented by the Standard Error of Measurement, was acceptable. However, a measurement bias might be present when it comes to repeatability. To our knowledge, this study is the first to provide a Dutch modified painDETECT Questionnaire to fit hip and knee osteoarthritis patients and to assess internal consistency, reliability and agreement. International guidelines were followed in the translation process and this study has ample sample size with an adequate time interval for repeatability. Based on this study, the Dutch modified painDETECT Questionnaire seems to be fit as a discriminative tool to identify knee and hip osteoarthritis patients with a neuropathic pain profile. Whether it is also suitable as an evaluative tool to record changes over time or after an intervention remains open to further investigation.

Show MeSH
Related in: MedlinePlus