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dc.contributor.author
Listik, Clarice
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Listik, Eduardo
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santos, Flavia de Paiva
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Portela, Denise Maria Meneces Cury
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Perez Lloret, Santiago
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Araújo, Natália Rebeca de Alves
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Carvalho, Pedro Rubens Araújo
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Santos, Graziele Costa
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Limongi, João Carlos Papaterra
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Cardoso, Francisco
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Mylius, Veit
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Brugger, Florian
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Fernandes, Ana Mercia
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Barbosa, Egberto Reis
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Teixeira, Manoel Jacobsen
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Cury, Rubens Gisbert
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Andrade, Daniel Ciampi de
dc.date.available
2024-05-30T13:37:32Z
dc.date.issued
2023-07
dc.identifier.citation
Listik, Clarice; Listik, Eduardo; santos, Flavia de Paiva; Portela, Denise Maria Meneces Cury; Perez Lloret, Santiago; et al.; Development and Validation of the Dystonia-Pain Classification System: A Multicenter Study; John Wiley & Sons Ltd; Movement Disorders; 38; 7; 7-2023; 1163-1174
dc.identifier.issn
1531-8257
dc.identifier.uri
http://hdl.handle.net/11336/236563
dc.description.abstract
Background Dystonia is associated with disabling nonmotor symptoms like chronic pain (CP), which is prevalent in dystonia and significantly impacts the quality of life (QoL). There is no validated tool for assessing CP in dystonia, which substantially hampers pain management. Objective The aim was to develop a CP classification and scoring system for dystonia. Methods A multidisciplinary group was established to develop the Dystonia-Pain Classification System (Dystonia-PCS). The classification of CP as related or unrelated to dystonia was followed by the assessment of pain severity score, encompassing pain intensity, frequency, and impact on daily living. Then, consecutive patients with inherited/idiopathic dystonia of different spatial distribution were recruited in a cross-sectional multicenter validation study. Dystonia-PCS was compared to validated pain, mood, QoL, and dystonia scales (Brief Pain Inventory, Douleur Neuropathique-4 questionnaire, European QoL-5 Dimensions-3 Level Version, and Burke–Fahn–Marsden Dystonia Rating Scale). Results CP was present in 81 of 123 recruited patients, being directly related to dystonia in 82.7%, aggravated by dystonia in 8.8%, and nonrelated to dystonia in 7.5%. Dystonia-PCS had excellent intra-rater (Intraclass Correlation Coefficient - ICC: 0.941) and inter-rater (ICC: 0.867) reliability. In addition, pain severity score correlated with European QoL-5 Dimensions-3 Level Version's pain subscore (r = 0.635, P < 0.001) and the Brief Pain Inventory's severity and interference scores (r = 0.553, P < 0.001 and r = 0.609, P < 0.001, respectively). Conclusions Dystonia-PCS is a reliable tool to categorize and quantify CP impact in dystonia and will help improve clinical trial design and management of CP in patients affected by this disorder.
dc.format
application/pdf
dc.language.iso
eng
dc.publisher
John Wiley & Sons Ltd
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dc.rights
info:eu-repo/semantics/openAccess
dc.rights.uri
https://creativecommons.org/licenses/by-nc-nd/2.5/ar/
dc.subject
chronic pain
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dystonia
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non motor symptoms
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pain
dc.subject.classification
Neurología Clínica
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dc.subject.classification
Medicina Clínica
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dc.subject.classification
CIENCIAS MÉDICAS Y DE LA SALUD
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dc.title
Development and Validation of the Dystonia-Pain Classification System: A Multicenter Study
dc.type
info:eu-repo/semantics/article
dc.type
info:ar-repo/semantics/artículo
dc.type
info:eu-repo/semantics/publishedVersion
dc.date.updated
2024-05-13T10:30:21Z
dc.journal.volume
38
dc.journal.number
7
dc.journal.pagination
1163-1174
dc.journal.pais
Estados Unidos
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Fil: Listik, Clarice. Universidade Federal de Sao Paulo.; Brasil
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Fil: Listik, Eduardo. University of Alabama at Birmingahm; Estados Unidos
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Fil: santos, Flavia de Paiva. Hospital Geral de Fortaleza; Brasil
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Fil: Portela, Denise Maria Meneces Cury. Instituto de Ensino Superior do Piaui; Brasil
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Fil: Perez Lloret, Santiago. Universidad Abierta Interamericana. Vicerrectoria de Investigación. Centro de Altos Estudios En Ciencias Sociales.; Argentina. Universidad de Buenos Aires; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
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Fil: Araújo, Natália Rebeca de Alves. Instituto de Ensino Superior do Piaui; Brasil
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Fil: Carvalho, Pedro Rubens Araújo. Hospital Geral de Fortaleza; Brasil
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Fil: Santos, Graziele Costa. Universidade Federal de Sao Paulo; Brasil
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Fil: Limongi, João Carlos Papaterra. Universidade de Sao Paulo; Brasil
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Fil: Cardoso, Francisco. Universidade Federal de Minas Gerais; Brasil
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Fil: Mylius, Veit. Philipps University; Alemania. Center for Neurorehabilitation; Suiza
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Fil: Brugger, Florian. Kantonsspital St. Gallen; Suiza
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Fil: Fernandes, Ana Mercia. Universidade de Sao Paulo; Brasil
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Fil: Barbosa, Egberto Reis. Universidade de Sao Paulo; Brasil
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Fil: Teixeira, Manoel Jacobsen. Universidade Federal de Minas Gerais; Brasil
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Fil: Cury, Rubens Gisbert. Universidade de Sao Paulo; Brasil
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Fil: Andrade, Daniel Ciampi de. Universidade de Sao Paulo; Brasil. Aalborg University; Dinamarca
dc.journal.title
Movement Disorders
dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/doi/http://dx.doi.org/10.1002/mds.29423
dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/url/https://movementdisorders.onlinelibrary.wiley.com/doi/10.1002/mds.29423
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