Cutoff Value for Short Form of Central Sensitization Inventory

被引:20
作者
Tanaka, Katsuyoshi [1 ]
Nishigami, Tomohiko [2 ,3 ]
Mibu, Akira [3 ]
Manfuku, Masahiro [4 ]
Yono, Satoko [1 ]
Yukioka, Masao [5 ]
Miki, Kenji [5 ,6 ,7 ]
机构
[1] Tanabe Orthopaed, Dept Rehabil, Osaka, Osaka, Japan
[2] Prefectural Univ Hiroshima, Fac Hlth & Welf, Dept Phys Therapy, Hiroshima, Japan
[3] Konan Womens Univ, Dept Nursing & Phys Therapy, Kobe, Hyogo, Japan
[4] Breast Care Sensyu Clin, Dept Rehabil, Osaka, Kishiwada, Japan
[5] Yukioka Hosp, Dept Rheumatol, Osaka, Osaka, Japan
[6] Osaka Yukioka Coll Hlth Sci, Fac Hlth Sci, Ibaraki, Osaka, Japan
[7] Hayaishi Hosp, Ctr Pain Management, Osaka, Osaka, Japan
关键词
short form of the Central Sensitization Inventory; musculoskeletal pain; fibromyalgia; cutoff score; LOW-BACK-PAIN; FIBROMYALGIA IMPACT QUESTIONNAIRE; CHRONIC POSTOPERATIVE PAIN; HEALTH-STATUS; SENSITIVITY; CLASSIFICATION; DISORDERS; VALIDITY; JAPANESE; OUTCOMES;
D O I
10.1111/papr.12850
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Objectives This study aimed to determine the optimal cutoff score of the 9-item short version of the CSI, the CSI-9, by comparing patients with central sensitivity syndrome (CSS) not only to healthy volunteers as with the original version, but also to patients with musculoskeletal (MSK) disorders. Methods All participants filled out the CSI, EuroQol 5-dimension, Brief Pain Inventory, and Pain Catastrophizing Scale questionnaires. To identify a clinically relevant cutoff score, receiver operating characteristic analyses were conducted. The area under the curve was used to examine the ability of the CSI-9 to distinguish patients with fibromyalgia (FM) from patients with MSK disorders and healthy individuals. Results Twenty-six participants with FM, 30 patients with MSK disorders, and 28 healthy individuals were included. We determined 2 cutoff scores: 20 for distinguishing patients with FM from patients with MSK disorders and 17 for distinguishing patients with FM from healthy individuals. These cutoff scores had good sensitivity (patients with MSK disorders, 92.3%; healthy individuals, 96.2%) and specificity (patients with MSK disorders, 93.3%; healthy individuals, 100%). In addition, the patients who scored above the cutoff of 20 points exhibited worse clinical symptoms (higher pain intensity, higher pain interference, higher Pain Catastrophizing Scale scores, and lower EuroQol 5-dimension scores) than those who scored below it. Furthermore, a significantly higher number of subjects who scored more than 20 on the CSI-9 had a history of 2 or more diagnoses of CSS. Conclusion The optimal CSI-9 cutoff score of 20 is beneficial to clinicians in the evaluation of central sensitization-related symptoms. The cutoff score helps to identify patients who need additional treatments, such as pain neuroscience education and cognitive behavioral therapy.
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收藏
页码:269 / 276
页数:8
相关论文
共 40 条
[1]   The Association Between Clinical Characteristics of Migraine and Brain GABA Levels: An Exploratory Study [J].
Aguila, Maria-Eliza R. ;
Rebbeck, Trudy ;
Leaver, Andrew M. ;
Lagopoulos, Jim ;
Brennan, Patrick C. ;
Hubscher, Markus ;
Refshauge, Kathryn M. .
JOURNAL OF PAIN, 2016, 17 (10) :1058-1067
[2]   Central Sensitization Inventory as a Predictor of Worse Quality of Life Measures and Increased Length of Stay Following Spinal Fusion [J].
Bennett, E. Emily ;
Walsh, Kevin M. ;
Thompson, Nicolas R. ;
Krishnaney, Ajit A. .
WORLD NEUROSURGERY, 2017, 104 :594-600
[3]  
BURCKHARDT CS, 1991, J RHEUMATOL, V18, P728
[4]  
Cleeland C. S., 1994, Annals Academy of Medicine Singapore, V23, P129
[5]   Central sensitization and changes in conditioned pain modulation in people with chronic nonspecific low back pain: a case-control study [J].
Correa, Juliana Barbosa ;
Pena Costa, Leonardo Oliveira ;
Bastos de Oliveira, Naiane Teixeira ;
Sluka, Kathleen A. ;
Liebano, Richard Eloin .
EXPERIMENTAL BRAIN RESEARCH, 2015, 233 (08) :2391-2399
[6]   Interpreting the clinical importance of treatment outcomes in chronic pain clinical trials: IMMPACT recommendations [J].
Dworkin, Robert H. ;
Turk, Dennis C. ;
Wyrwich, Kathleen W. ;
Beaton, Dorcas ;
Cleeland, Charles S. ;
Farrar, John T. ;
Haythornthwaite, Jennifer A. ;
Jensen, Mark P. ;
Kerns, Robert D. ;
Ader, Deborah N. ;
Brandenburg, Nancy ;
Burke, Laurie B. ;
Cella, David ;
Chandler, Julie ;
Cowan, Penny ;
Dimitrova, Rozalina ;
Dionne, Raymond ;
Hertz, Sharon ;
Jadad, Alejandro R. ;
Katz, Nathaniel P. ;
Kehlet, Henrik ;
Kramer, Lynn D. ;
Manning, Donald C. ;
McCormick, Cynthia ;
McDermott, Michael P. ;
McQuay, Henry J. ;
Patel, Sanjay ;
Porter, Linda ;
Quessy, Steve ;
Rappaport, Bob A. ;
Rauschkolb, Christine ;
Revickl, Dennis A. ;
Rothman, Margaret ;
Schmader, Kenneth E. ;
Stacey, Brett R. ;
Stauffer, Joseph W. ;
Von Stein, Thorsten ;
White, Richard E. ;
Witter, James ;
Zavislc, Stojan .
JOURNAL OF PAIN, 2008, 9 (02) :105-121
[7]  
Goubert D, 2017, PAIN PHYSICIAN, V20, P307
[8]   Principles and practical application of the receiver-operating characteristic analysis for diagnostic tests [J].
Greiner, M ;
Pfeiffer, D ;
Smith, RD .
PREVENTIVE VETERINARY MEDICINE, 2000, 45 (1-2) :23-41
[9]   Validity of the brief pain inventory for use in documenting the outcomes of patients with noncancer pain [J].
Keller, S ;
Bann, CM ;
Dodd, SL ;
Schein, J ;
Mendoza, TR ;
Cleeland, CS .
CLINICAL JOURNAL OF PAIN, 2004, 20 (05) :309-318
[10]   Influence of Centrally Mediated Symptoms on Postoperative Pain in Osteoarthritis Patients Undergoing Total Knee Arthroplasty: A Prospective Observational Evaluation [J].
Kim, Shin Hyung ;
Yoon, Kyung Bong ;
Yoon, Duck Mi ;
Yoo, Ji Hyun ;
Ahn, Ki Ryang .
PAIN PRACTICE, 2015, 15 (06) :E46-E53