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Validity Test of an Alternative Method of Quantitative Pain Assessment (MAPKN) in Assessing Intensity of Nociceptive Pain, Mixed Pain, and Neuropathic Pain

Rahmi Gafur, Susi Aulina, Audry Devisanty Wuysang, Irfan Idris, Ashari Bahar, Nurussyariah Hammado, Muhammad Yunus Amran
https://doi.org/10.35877/454RI.asci1793

Abstract

Pain is a health problem phenomenon that most often brings patients to see a doctor. Pain intensity is the most often domain which assessed in clinical and research settings. Loeser suggests that four elements need to be considered when evaluating patients with pain. Based on the biopsychosocial approach and the concept of pain from Loeser, a pain assessment was made and called "Alternative Method of Quantitative Pain Assessment (MAPKN)". This study was conducted on 415 pain patients consisting of 163 nociceptive pain, 119 mixed pain, and 133 neuropathic pain. In the nociceptive pain group, MAPKN showed sensitivity 92.59%, specificity 96.43%, AUC 0,959 and a p value <0.001. In the mixed pain group, MAPKN showed sensitivity 98.17%, specificity 80.00%, AUC 0,836 and a p -value of 0.001. In the neuropathic pain group, MAPKN showed sensitivity 92.06%, specificity of 85.71%, AUC 0,951 and a p<0.001. The AUC value of 0.959 (96%) indicates that the diagnostic value of the MAPKN score in assessing pain intensity in the nociceptive pain group is excellent (>90%-100%). AUC value of 0.836 (83%) indicates that the diagnostic value of the MAPKN score in assessing pain intensity in the mixed pain group is good (> 80%-90%). The AUC value of 0.951 (95%) indicates that the diagnostic value of the MAPKN score in assessing pain intensity in the neuropathic pain group is excellent (>90%-100%). This is in accordance with research conducted by Eka Pranata 2004 that MAPKN has strong discriminant validity in assessing pain intensity. MAPKN is valid and has excellent diagnostic value in assessing nociceptive and neuropathic pain intensity, MAPKN is valid and has good diagnostic value in assessing mixed pain intensity.

 

Keywords

Validity; Pain; MAPKN; NRS

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References (17)

  1. Atisook, R., Euasobhon, P., Saengsanon, A., & Jensen, M. P. (2021). Validity and Utility of Four Pain Intensity Measures for Use in International Research. Journal of Pain Research, Volume 14, 1129–1139. https://doi.org/10.2147/JPR.S303305
  2. Bartley, E. J., & Fillingim, R. B. (2013). Sex differences in pain: A brief review of clinical and experimental findings. British Journal of Anaesthesia, 111(1), 52–58. https://doi.org/10.1093/bja/aet127
  3. Baskozos, G., Hébert, H. L., Pascal, M. M. V., Themistocleous, A. C., Macfarlane, G. J., Wynick, D., Bennett, D. L. H., & Smith, B. H. (2023). Epidemiology of neuropathic pain: An analysis of prevalence and associated factors in UK Biobank. PAIN Reports, 8(2), e1066. https://doi.org/10.1097/PR9.0000000000001066
  4. Clear E. (2022) Acute pain assesment. Nurs general practice; 13-16
  5. Dahlan MS. (2018) Penelitian Diagnostik, Validitas & Reliabilitas Seri 5 Edisi 2. PT Epidemiologi Indonesia. Jakarta. p 20-22
  6. Hadi, M. A., McHugh, G. A., & Closs, S. J. (2019). Impact of Chronic Pain on Patients’ Quality of Life: A Comparative Mixed-Methods Study. Journal of Patient Experience, 6(2), 133–141. https://doi.org/10.1177/2374373518786013
  7. Inoue, S., Taguchi, T., Yamashita, T., Nakamura, M., & Ushida, T. (2017). The prevalence and impact of chronic neuropathic pain on daily and social life: A nationwide study in a Japanese population. European Journal of Pain, 21(4), 727–737. https://doi.org/10.1002/ejp.977
  8. Keefe, F. J., Lefebvre, J. C., Egert, J. R., Affleck, G., Sullivan, M. J., & Caldwell, D. S. (2000). The relationship of gender to pain, pain behavior, and disability in osteoarthritis patients: The role of catastrophizing. Pain, 87(3), 325–334. https://doi.org/10.1016/S0304-3959(00)00296-7
  9. Kutsal YG, Eyigor S, Dogan A, Zardoust S, et al. Neuropathic Pain in Elderly: A Multicenter Study. Turkish Journal of Geriatrics 2016;19(1):9-18
  10. Lautenbacher, S., Peters, J. H., Heesen, M., Scheel, J., & Kunz, M. (2017). Age changes in pain perception: A systematic-review and meta-analysis of age effects on pain and tolerance thresholds. Neuroscience & Biobehavioral Reviews, 75, 104–113. https://doi.org/10.1016/j.neubiorev.2017.01.039

How to Cite

Gafur, R., Susi Aulina, Wuysang, A. D., Idris, I., Bahar, A., Hammado, N., & Amran, M. Y. (2023). Validity Test of an Alternative Method of Quantitative Pain Assessment (MAPKN) in Assessing Intensity of Nociceptive Pain, Mixed Pain, and Neuropathic Pain. Journal of Applied Science, Engineering, Technology, and Education, 5(2), 140–149. https://doi.org/10.35877/454RI.asci1793