Stratification of patients with unclassified pain in the FabryScan database.

Abstract:

Purpose:Fabry disease belongs to lysosomal storage disorders and can be successfully treated today. On the contrary, the correct diagnostic classification of its symptoms can be challenging and most patients suffer from pain for years, until they are diagnosed correctly. The aim of this project was to characterize patients with unclassified extremity pain and to present a simple algorithm for a retrospective stratification approach. Patients and methods:The FabryScan includes a bedside-test and a questionnaire, consisting of 10 symptom-orientated and anamnestic questions. For the stratification of patients according to the likelihood for Fabry disease two different approaches were conducted. First, a prospective subgrouping based on the previously invented FabryScan evaluation system was conducted. The second retrospective approach consisted of a factor analysis and a subsequent two-way cluster analysis. Further on, 4 patients diagnosed with Fabry disease were stratified according to both approaches. Results:In total, 183 completed datasets were included in the statistical analysis. The first approach prospectively classified patients into 3 subgroups (n=40 [likely], n=96 [possible], n=47 [unlikely]) according to the FabryScan evaluation system. The second approach retrospectively stratified patients into 3 subgroups (n=47 [cluster 1], n=95 [cluster 2], n=41 [cluster 3]). Finally, the Fabry patients were sorted to the subgroups, indicative for the highest possibility of Fabry disease in both stratification approaches A and B. Conclusion:Both stratification approaches sorted patients with confirmed Fabry disease to the subgroups, indicative for the highest likelihood for Fabry. These results indicate validity of the initially selected FabryScan outcome parameters.

journal_name

J Pain Res

journal_title

Journal of pain research

authors

Forstenpointner J,Moeller P,Sendel M,Reimer M,Hüllemann P,Baron R

doi

10.2147/JPR.S206223

subject

Has Abstract

pub_date

2019-07-23 00:00:00

pages

2223-2230

issn

1178-7090

pii

206223

journal_volume

12

pub_type

杂志文章
  • Short-term incubation of gabapentin or pregabalin does not affect chemically induced injury in neuronal cell models in vitro.

    abstract:Purpose:Gabapentinoids are currently the mainstay of pharmacological treatments for patients with neuropathic pain. Little is known about the effects of this therapy on the integrity of neuronal networks, especially in patients with an already-damaged nervous system. Since gabapentinoids can worsen cognitive functions ...

    journal_title:Journal of pain research

    pub_type: 杂志文章

    doi:10.2147/JPR.S162322

    authors: Baldewig M,Goldbaum O,Richter-Landsberg C,Weyland A,Bantel C

    更新日期:2018-06-20 00:00:00

  • Current perspectives on intrathecal drug delivery.

    abstract::Advances in intrathecal analgesia and intrathecal drug delivery systems have allowed for a range of medications to be used in the control of pain and spasticity. This technique allows for reduced medication doses that can decrease the side effects typically associated with oral or parenteral drug delivery. Recent expe...

    journal_title:Journal of pain research

    pub_type: 杂志文章,评审

    doi:10.2147/JPR.S37591

    authors: Bottros MM,Christo PJ

    更新日期:2014-11-06 00:00:00

  • Spinal N-Cadherin/CREB Signaling Contributes to Chronic Alcohol Consumption-Enhanced Postsurgical Pain.

    abstract:Background:It has been reported that N-cadherin and cAMP response element binding protein (CREB) in the spinal cord are critical for synaptogenesis and regulation of excitatory synapse function, which could underlie chronic pain development. The aim of the present study was to investigate the role of spinal N-cadherin/...

    journal_title:Journal of pain research

    pub_type: 杂志文章

    doi:10.2147/JPR.S267778

    authors: Ma Y,Zhang X,Li C,Liu S,Xing Y,Tao F

    更新日期:2020-08-12 00:00:00

  • Acupotomy versus Manual Acupuncture for the Treatment of Back and/or Leg Pain in Patients with Lumbar Disc Herniation: A Multicenter, Randomized, Controlled, Assessor-Blinded Clinical Trial.

    abstract:Background:Acupotomy, which involves the addition of a scalpel function to the conventional acupuncture treatment, has recently been applied as a conservative treatment method for lumbar disc herniation (LDH). This study investigated the effectiveness and safety of acupotomy, compared to manual acupuncture, for the tre...

    journal_title:Journal of pain research

    pub_type:

    doi:10.2147/JPR.S234761

    authors: Jeong JK,Kim E,Yoon KS,Jeon JH,Kim YI,Lee H,Kwon O,Jung SY,Lee JH,Yang C,Kang JH,Han CH

    更新日期:2020-04-01 00:00:00

  • Classifying patients with lumbar disc herniation and exploring the most effective risk factors for this disease.

    abstract::Objectives: To classify patients suffering from low back pain (LBP) into two different groups - patients with lumbar disc herniation (LDH) and patients without this disease based on simple questions and without magnetic resonance imaging (MRI) procedure - and to diagnose the most effective risk factors of LDH. Methods...

    journal_title:Journal of pain research

    pub_type: 杂志文章

    doi:10.2147/JPR.S189927

    authors: Jafari S,Dehesh T,Iranmanesh F

    更新日期:2019-04-15 00:00:00

  • Dietary methyl content regulates opioid responses in mice.

    abstract:BACKGROUND:Large interindividual differences in clinical responses to opioids and the variable susceptibility to abuse of this class of drugs make their use problematic. We lack a full understanding of the factors responsible for these differences. Dietary factors including methyl donor content have been noted to alter...

    journal_title:Journal of pain research

    pub_type: 杂志文章

    doi:10.2147/JPR.S42561

    authors: Liang DY,Sun Y,Clark JD

    更新日期:2013-01-01 00:00:00

  • Does going to an amusement park alleviate low back pain? A preliminary study.

    abstract:BACKGROUND:Low back pain is often called nonspecific pain. In this type of low back pain, various emotions and stress are known to strongly affect pain perception. The purpose of this study is to investigate how the degree of low back pain changes in people with chronic mild low back pain when they are inside and outsi...

    journal_title:Journal of pain research

    pub_type: 杂志文章

    doi:10.2147/JPR.S36960

    authors: Sakakibara T,Wang Z,Kasai Y

    更新日期:2012-01-01 00:00:00

  • Parameters associated with efficacy of epidural steroid injections in the management of postherpetic neuralgia: the Mayo Clinic experience.

    abstract::Purpose: Thirty percent of patients with postherpetic neuralgia (PHN) receiving conservative treatment report unsatisfactory pain relief. Epidural steroid injections (ESIs) are commonly used as a therapeutic intervention in these patients. In this study, we aimed to determine if there are variables that predict the ef...

    journal_title:Journal of pain research

    pub_type: 杂志文章

    doi:10.2147/JPR.S190646

    authors: Ghanavatian S,Wie CS,Low RS,Butterfield RJ,Zhang N,Dhaliwal GS,Montoya JM,Swanson DL

    更新日期:2019-04-23 00:00:00

  • Clear differences in cerebrospinal fluid proteome between women with chronic widespread pain and healthy women - a multivariate explorative cross-sectional study.

    abstract:INTRODUCTION:Frequent chronic local pain can develop into chronic widespread pain (CWP). The spread of pain is correlated with pain intensity, anxiety, and depression, conditions that ultimately lead to a poor quality of life. Knowledge is incomplete about CWP's etiology, although it has been suggested that both centra...

    journal_title:Journal of pain research

    pub_type: 杂志文章

    doi:10.2147/JPR.S125667

    authors: Olausson P,Ghafouri B,Bäckryd E,Gerdle B

    更新日期:2017-03-13 00:00:00

  • Changes in pain and concurrent pain medication use following compounded topical analgesic treatment for chronic pain: 3- and 6-month follow-up results from the prospective, observational Optimizing Patient Experience and Response to Topical Analgesics stu

    abstract:BACKGROUND:Opioids and other controlled substances prescribed for chronic pain are associated with abuse, addiction, and death, prompting national initiatives to identify safe and effective pain management strategies including topical analgesics. METHODS:This prospective, observational study evaluated changes from bas...

    journal_title:Journal of pain research

    pub_type: 杂志文章

    doi:10.2147/JPR.S143513

    authors: Gudin JA,Brennan MJ,Harris ED,Hurwitz PL,Dietze DT,Strader JD

    更新日期:2017-10-03 00:00:00

  • The relationship between findings on magnetic resonance imaging and previous history of low back pain.

    abstract::The objective of this study was to evaluate the relationship between magnetic resonance imaging (MRI) findings and previous low back pain (LBP) in participants without current LBP. Current LBP was defined as LBP during the past month. Previous LBP was defined as a history of medical consultation for LBP. Ninety-one pa...

    journal_title:Journal of pain research

    pub_type: 杂志文章

    doi:10.2147/JPR.S122380

    authors: Tonosu J,Oka H,Matsudaira K,Higashikawa A,Okazaki H,Tanaka S

    更新日期:2016-12-29 00:00:00

  • A retrospective study on analgesic requirements for thoracoscopic surgery postoperative pain.

    abstract:Background:Thoracoscopic surgery (TS) has been performed as a minimally invasive procedure since the beginning of the 1990s. This has led to a dramatic change in the postoperative condition of these patients, facilitating early ambulation and easier management of postoperative pain. However, empirical evidence on posto...

    journal_title:Journal of pain research

    pub_type: 杂志文章

    doi:10.2147/JPR.S147691

    authors: Kuroda H,Mizuno H,Dejima H,Watanabe K,Yoshida T,Naito Y,Sakao Y

    更新日期:2017-11-15 00:00:00

  • Validation of the Swedish version of the Pain Catastrophizing Scale for Parents (PCS-P) for parents of children with cancer.

    abstract:Objectives:Pain is reported as one of the most common and burdensome symptoms for children with cancer. Pain catastrophizing is clearly related to pain intensity and disability. Catastrophizing in parents is associated with both child functioning and parent distress. The Pain Catastrophizing Scale for Parents (PCS-P) r...

    journal_title:Journal of pain research

    pub_type: 杂志文章

    doi:10.2147/JPR.S193164

    authors: Cederberg JT,Weineland S,Dahl J,Ljungman G

    更新日期:2019-03-18 00:00:00

  • Identification, prevalence, and treatment of painful diabetic neuropathy in patients from a rural area in South Carolina.

    abstract::Diabetic peripheral neuropathy (DPN) represents significant burdens to many patients and the public health-care system. Patients with diabetes in rural areas have higher risk of developing complications and having less access to proper treatment. We studied a rural population of patients with diabetes who attended a p...

    journal_title:Journal of pain research

    pub_type: 杂志文章

    doi:10.2147/JPR.S129139

    authors: Pruitt J 3rd,Moracho-Vilrriales C,Threatt T,Wagner S,Wu J,Romero-Sandoval EA

    更新日期:2017-04-07 00:00:00

  • The effect of pregabalin or duloxetine on arthritis pain: a clinical and mechanistic study in people with hand osteoarthritis.

    abstract::Osteoarthritis (OA) is the most prevalent arthritis worldwide and is characterized by chronic pain and impaired physical function. We hypothesized that heightened pain in hand OA could be reduced with duloxetine or pregabalin. In this prospective, randomized clinical study, we recruited 65 participants, aged 40-75 yea...

    journal_title:Journal of pain research

    pub_type: 杂志文章

    doi:10.2147/JPR.S147640

    authors: Sofat N,Harrison A,Russell MD,Ayis S,Kiely PD,Baker EH,Barrick TR,Howe FA

    更新日期:2017-10-10 00:00:00

  • Duloxetine in the treatment of chronic pain due to fibromyalgia and diabetic neuropathy.

    abstract::Duloxetine is a serotonin-norepinephrine reuptake inhibitor approved by the US Food and Drug Administration for the treatment of fibromyalgia and painful diabetic neuropathy at doses of 60 mg daily. Duloxetine has been shown to significantly improve the symptoms of chronic pain associated with these disorders, as meas...

    journal_title:Journal of pain research

    pub_type: 杂志文章

    doi:10.2147/JPR.S12866

    authors: Wright A,Luedtke KE,Vandenberg C

    更新日期:2010-12-16 00:00:00

  • The effects of slow-paced versus mechanically assisted breathing on autonomic function in fibromyalgia patients.

    abstract::Paced breathing has shown efficacy in fibromyalgia (FM), but the mechanisms associated with symptom change are largely unknown. We investigated whether changes in respiratory rate (RR) alone resulted in autonomic changes during normal, paced, and mechanically assisted breathing in untrained FM patients and controls. P...

    journal_title:Journal of pain research

    pub_type: 杂志文章

    doi:10.2147/JPR.S139642

    authors: Schmidt JE,O'Brien TG,Hooten WM,Joyner MJ,Johnson BD

    更新日期:2017-12-08 00:00:00

  • Clinical efficacy of calcitonin compared to diclofenac sodium in chronic nonspecific low back pain with type I Modic changes: a retrospective study.

    abstract:Background:The objective of this study was to compare the efficacy of calcitonin with diclofenac sodium in the treatment of patients with nonspecific low back pain (LBP) and type I Modic changes (MC1). Patients and methods:The study was a retrospective observational study with 109 patients who had nonspecific LBP and ...

    journal_title:Journal of pain research

    pub_type: 杂志文章

    doi:10.2147/JPR.S158718

    authors: Zhou J,Li T,Li L,Xue Y

    更新日期:2018-07-17 00:00:00

  • Analgesic effects of amiodarone in mouse models of pain.

    abstract::Purpose: Although amiodarone is classified as a Vaughan-Williams class Ⅲ antiarrhythmic drug, it has inhibitory effects on voltage-gated sodium and calcium channels and on β-adrenergic receptors. Given these pharmacological profiles, amiodarone may have analgesic properties. Most patients who are prescribed amiodarone...

    journal_title:Journal of pain research

    pub_type: 杂志文章

    doi:10.2147/JPR.S196480

    authors: Kotoda M,Ino H,Kumakura Y,Iijima T,Ishiyama T,Matsukawa T

    更新日期:2019-06-06 00:00:00

  • Age-related and sex-related changes in perfusion index in response to noxious electrical stimulation in healthy subjects.

    abstract:BACKGROUND:Even though pain is a subjective phenomenon, its objective evaluation in humans is important because subjects requiring pain evaluation may be unable to describe their pain intensity because of decreased awareness or impaired cognitive function. Previous reports indicate that the perfusion index (PI), which ...

    journal_title:Journal of pain research

    pub_type: 杂志文章

    doi:10.2147/JPR.S57140

    authors: Nishimura T,Nakae A,Shibata M,Mashimo T,Fujino Y

    更新日期:2014-02-10 00:00:00

  • Differing efficacies of autologous platelet-rich plasma treatment in reducing pain following rotator-cuff injury in a single patient.

    abstract::Rotator-cuff tears (RCTs) are typically associated with chronic pain. The most common treatment for reducing pain is the injection of cortisone into the injury site. An alternative and increasingly used technique is the injection of autologous platelet-rich plasma (PRP). A limitation of cortisone is its pain relief is...

    journal_title:Journal of pain research

    pub_type:

    doi:10.2147/JPR.S169647

    authors: Kuffler DP

    更新日期:2018-10-09 00:00:00

  • Comparison of the transport of QX-314 through TRPA1, TRPM8, and TRPV1 channels.

    abstract:BACKGROUND:It has been demonstrated that N-ethyl-lidocaine (QX-314) can target the transient receptor protein vanilloid 1 (TRPV1) nociceptors when coadministered with capsaicin, resulting in a selective block of the nociceptors. Capsaicin is problematic in therapeutic use because it induces firing of nociceptors. The p...

    journal_title:Journal of pain research

    pub_type: 杂志文章

    doi:10.2147/JPR.S41614

    authors: Nakagawa H,Hiura A

    更新日期:2013-01-01 00:00:00

  • Preconditioning by light-load eccentric exercise is equally effective as low-level laser therapy in attenuating exercise-induced muscle damage in collegiate men.

    abstract:BACKGROUND/OBJECTIVE:Previous studies have already reported an independent effect of light-load eccentric exercise (10% eccentric exercise contraction [EEC]) and low-level laser therapy (LLLT) as a protective measure against more strenuous eccentric exercise. However, the difference between these two interventions is l...

    journal_title:Journal of pain research

    pub_type: 杂志文章

    doi:10.2147/JPR.S139615

    authors: Nausheen S,Moiz JA,Raza S,Shareef MY,Anwer S,Alghadir AH

    更新日期:2017-09-11 00:00:00

  • Stability of behavioral estimates of activity-dependent modulation of pain.

    abstract::Temporal sensory summation of pain (TSSP) is a proxy measure of windup in humans and results in increased ratings of pain caused by a repetitive, low-frequency noxious stimulus. Aftersensations (ASs) are pain sensations that remain after TSSP has been induced. We examined the within-session and across-session variabil...

    journal_title:Journal of pain research

    pub_type: 杂志文章

    doi:10.2147/JPR.S18105

    authors: Alappattu MJ,Bishop MD,Bialosky JE,George SZ,Robinson ME

    更新日期:2011-01-01 00:00:00

  • Gross and fine motor function in fibromyalgia and chronic fatigue syndrome.

    abstract:PURPOSE:This paper aimed to investigate motor proficiency in fine and gross motor function, with a focus on reaction time (RT) and movement skill, in patients with fibromyalgia (FM) and chronic fatigue syndrome (CFS) compared to healthy controls (HC). METHODS:A total of 60 individuals (20 CFS, 20 FM, and 20 HC), age 1...

    journal_title:Journal of pain research

    pub_type: 杂志文章

    doi:10.2147/JPR.S127038

    authors: Rasouli O,Fors EA,Borchgrevink PC,Öhberg F,Stensdotter AK

    更新日期:2017-02-07 00:00:00

  • Efficient assessment of efficacy in post-traumatic peripheral neuropathic pain patients: pregabalin in a randomized, placebo-controlled, crossover study.

    abstract:BACKGROUND:Detecting the efficacy of novel analgesic agents in neuropathic pain is challenging. There is a critical need for study designs with the desirable characteristics of assay sensitivity, low placebo response, reliable pain recordings, low cost, short duration of exposure to test drug and placebo, and relevant ...

    journal_title:Journal of pain research

    pub_type: 杂志文章

    doi:10.2147/JPR.S34098

    authors: Jenkins TM,Smart TS,Hackman F,Cooke C,Tan KK

    更新日期:2012-01-01 00:00:00

  • Ovine model of neuropathic pain for assessing mechanisms of spinal cord stimulation therapy via dorsal horn recordings, von Frey filaments, and gait analysis.

    abstract:Background:It is becoming increasingly important to understand the mechanisms of spinal cord stimulation (SCS) in alleviating neuropathic pain as novel stimulation paradigms arise. Purpose:Additionally, the small anatomic scale of current SCS animal models is a barrier to more translational research. Methods:Using ch...

    journal_title:Journal of pain research

    pub_type: 杂志文章

    doi:10.2147/JPR.S139843

    authors: Reddy CG,Miller JW,Abode-Iyamah KO,Safayi S,Wilson S,Dalm BD,Fredericks DC,Gillies GT,Howard MA 3rd,Brennan TJ

    更新日期:2018-06-15 00:00:00

  • Co-crystals as a new approach to multimodal analgesia and the treatment of pain.

    abstract::Pain is highly prevalent, but frequently untreated or under-treated, and health care professionals are faced with a range of treatment challenges. Multimodal therapy is recommended and can be achieved using open combinations (ie, concomitant administration) of individual agents, fixed-dose combinations (FDCs), or mult...

    journal_title:Journal of pain research

    pub_type: 杂志文章

    doi:10.2147/JPR.S208082

    authors: Almansa C,Frampton CS,Vela JM,Whitelock S,Plata-Salamán CR

    更新日期:2019-09-04 00:00:00

  • Chronic pain in hypermobility syndrome and Ehlers-Danlos syndrome (hypermobility type): it is a challenge.

    abstract::Generalized joint hypermobility (GJH) is highly prevalent among patients diagnosed with chronic pain. When GJH is accompanied by pain in ≥4 joints over a period ≥3 months in the absence of other conditions that cause chronic pain, the hypermobility syndrome (HMS) may be diagnosed. In addition, GJH is also a clinical s...

    journal_title:Journal of pain research

    pub_type: 杂志文章,评审

    doi:10.2147/JPR.S64251

    authors: Scheper MC,de Vries JE,Verbunt J,Engelbert RH

    更新日期:2015-08-20 00:00:00

  • Assessing the reporting quality in randomized controlled trials of acupuncture for postherpetic neuralgia using the CONSORT statement and STRICTA guidelines.

    abstract:Background:This study evaluates the reporting quality of randomized controlled trials (RCTs) on acupuncture use for the treatment of postherpetic neuralgia and explores related factors. Methods:The following six databases PubMed, Embase, Cochrane Library, VIP, CNKI, and SinoMed, were systematically searched from their...

    journal_title:Journal of pain research

    pub_type: 杂志文章

    doi:10.2147/JPR.S210471

    authors: Liu K,Zeng J,Pei W,Chen S,Luo Z,Lu L,Lin G

    更新日期:2019-07-29 00:00:00