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    Treatment Outcomes in Trigeminal Neuralgia-A Systematic Review of Domains, Dimensions and Measures.

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    Authors
    Nova, Carolina Venda
    Zakrzewska, Joanna M
    Baker, Sarah R
    Riordain, Richeal Ni
    Issue Date
    2020-01-27
    Keywords
    BNI, The Barrow Neurology Institute Pain Intensity Scale
    BPI, Brief Pain Inventory
    COS, Core Outcome Set
    MVD, Microvascular decompression
    Outcome measures
    QOL, Quality of life
    systematic review
    TN, Trigeminal neuralgia
    Treatment outcomes
    Trigeminal neuralgia
    VAS, Visual analogue scale
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    Journal
    World neurosurgery: X
    URI
    http://hdl.handle.net/10147/629734
    DOI
    10.1016/j.wnsx.2020.100070
    PubMed ID
    32123867
    Abstract
    Background: Trigeminal neuralgia (TN) is a painful disorder characterized by sudden electric shock-like pain. It is a rare condition for which multiple treatments are available, including medical and surgical. The best treatment option is yet to be defined, and this is related to the lack of definition in the treatment outcomes and outcome measures. The aim of this systematic review was to summarize all the outcomes and outcomes measures that have been published to date and highlight variability in their use. Methods: We have conducted a literature search using a wide range of databases (1946-2019 for medical and 2008-2019 for surgical treatment), for all intervention studies in TN. Four hundred and sixty-seven studies were selected for data extraction on TN classification, data collection method, intervention, and treatment outcomes mapped to the Initiative on Methods, Measurement, and Pain Assessment in Clinical Trials (IMMPACT guidelines). Results: Most studies collected data on pain (n = 459) and side effects (n = 386) domains; however, very few collected data on the impact of treatment on physical (n = 46) and emotional functioning (n = 17) and on patient satisfaction (n = 35). There was high variability on outcome measures used for pain relief (n = 10), pain intensity (n = 9), and frequency of pain episodes (n = 3). Conclusions: A clear definition of what are the important outcomes for patients with TN is essential. The choice of standardized outcome measures allowing for consistent reporting in TN treatment will allow for comparison of studies and facilitate treatment choice for patients and clinicians thus, improving health outcomes and reducing health care cost. Keywords: BNI, The Barrow Neurology Institute Pain Intensity Scale; BPI, Brief Pain Inventory; COS, Core Outcome Set; MVD, Microvascular decompression; Outcome measures; QOL, Quality of life; Systematic review; TN, Trigeminal neuralgia; Treatment outcomes; Trigeminal neuralgia; VAS, Visual analogue scale.
    Item Type
    Article
    Other
    Language
    en
    EISSN
    2590-1397
    ae974a485f413a2113503eed53cd6c53
    10.1016/j.wnsx.2020.100070
    Scopus Count
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    Cork University Dental Hospital

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