Measuring the Impact of Trigeminal Neuralgia Pain: the Penn Facial Pain Scale-Revised

Overview

Journal J Pain Res

Publisher Dove Medical Press

Date 2018 Jun 13

PMID 29892203

Citations 11

Authors

Tara Symonds

Jason A Randall

Deborah L Hoffman

Joanna M Zakrzewska

William Gehringer

John Yk Lee

Affiliations

Soon will be listed here.

Abstract

Background And Objective: The Penn Facial Pain Scale (Penn-FPS) was originally developed as a supplemental module to the Brief Pain Inventory Pain Interference Index (BPI-PII) in order to fully assess the impact of trigeminal neuralgia (TN) pain on patients' health-related quality of life (HRQoL). The current objective is to create and establish the content validity of a new stand-alone version of the measure, the Penn-FPS-Revised (Penn-FPS-R).

Methods: Twenty participants (15 USA and 5 UK) with confirmed TN engaged in concept elicitation and cognitive debriefing interviews. These semi-structured interviews allowed participants to spontaneously describe the ways in which TN impacts on HRQoL and report on the extent to which the Penn-FPS and BPI-PII measure concepts are most relevant to them. Participants were also asked to report on the suitability of the instructions, recall period, and response options.

Results: Concept elicitation revealed nine themes involving TN restrictions on daily activities and HRQoL, including: "talking," "self-care," "eating," "eating hard foods/chewing foods," "daily activities," "activities with temperature change," "touching," "mood," and "relationships." Cognitive debriefing confirmed that all of the Penn-FPS concepts and some of the BPI-PII concepts ("mood," "general activities," and "relations with others") were relevant, although some items required edits to better capture individuals' experiences. The impact of temperature and/or weather on activities was also identified as an important concept that is not captured by the Penn-FPS or BPI-PII. Participants confirmed the acceptability of recall period, instructions, and response options. Results from the interviews were applied to create the Penn-FPS-R, a new brief outcome measure that assesses the impacts of TN most important to patients.

Conclusion: The Penn-FPS-R is a new 12-item HRQoL outcome measure with content validity that can be used to assess and monitor the impact of TN treatment interventions in both clinical practice and research.

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References

Zakrzewska J, Wu J, Mon-Williams M, Phillips N, Pavitt S . Evaluating the impact of trigeminal neuralgia. Pain. 2017; 158(6):1166-1174. DOI: 10.1097/j.pain.0000000000000853. View

Lee J, Chen H, Urban C, Hojat A, Church E, Xie S . Development of and psychometric testing for the Brief Pain Inventory-Facial in patients with facial pain syndromes. J Neurosurg. 2010; 113(3):516-23. DOI: 10.3171/2010.1.JNS09669. View

Sandhu S, Lee J . Measurement of Trigeminal Neuralgia Pain: Penn Facial Pain Scale. Neurosurg Clin N Am. 2016; 27(3):327-36. DOI: 10.1016/j.nec.2016.02.003. View

Tolle T, Dukes E, Sadosky A . Patient burden of trigeminal neuralgia: results from a cross-sectional survey of health state impairment and treatment patterns in six European countries. Pain Pract. 2006; 6(3):153-60. DOI: 10.1111/j.1533-2500.2006.00079.x. View

. Classification of chronic pain. Descriptions of chronic pain syndromes and definitions of pain terms. Prepared by the International Association for the Study of Pain, Subcommittee on Taxonomy. Pain Suppl. 1986; 3:S1-226. View

Katusic S, Beard C, Bergstralh E, Kurland L . Incidence and clinical features of trigeminal neuralgia, Rochester, Minnesota, 1945-1984. Ann Neurol. 1990; 27(1):89-95. DOI: 10.1002/ana.410270114. View

. World Medical Association Declaration of Helsinki. Ethical principles for medical research involving human subjects. Bull World Health Organ. 2001; 79(4):373-4. PMC: 2566407. View

Sandhu S, Halpern C, Vakhshori V, Mirsaeedi-Farahani K, Farrar J, Lee J . Brief pain inventory--facial minimum clinically important difference. J Neurosurg. 2014; 122(1):180-90. DOI: 10.3171/2014.8.JNS132547. View

Cleeland C, Ryan K . Pain assessment: global use of the Brief Pain Inventory. Ann Acad Med Singap. 1994; 23(2):129-38. View

10.

Dieleman J, Kerklaan J, Huygen F, Bouma P, Sturkenboom M . Incidence rates and treatment of neuropathic pain conditions in the general population. Pain. 2008; 137(3):681-688. DOI: 10.1016/j.pain.2008.03.002. View

11.

Chen H, Lee J . The measurement of pain in patients with trigeminal neuralgia. Clin Neurosurg. 2011; 57:129-33. View

12.

Adams H, Pendleton C, Latimer K, Cohen-Gadol A, Carson B, Quinones-Hinojosa A . Harvey Cushing's case series of trigeminal neuralgia at the Johns Hopkins Hospital: a surgeon's quest to advance the treatment of the 'suicide disease'. Acta Neurochir (Wien). 2011; 153(5):1043-50. DOI: 10.1007/s00701-011-0975-8. View

13.

Hall G, Carroll D, Parry D, McQuay H . Epidemiology and treatment of neuropathic pain: the UK primary care perspective. Pain. 2006; 122(1-2):156-62. DOI: 10.1016/j.pain.2006.01.030. View

14.

Allsop M, Twiddy M, Grant H, Czoski-Murray C, Mon-Williams M, Mushtaq F . Diagnosis, medication, and surgical management for patients with trigeminal neuralgia: a qualitative study. Acta Neurochir (Wien). 2015; 157(11):1925-33. PMC: 4604507. DOI: 10.1007/s00701-015-2515-4. View