Detecting pain severity with full cup test in painful diabetic peripheral neuropathy

ERGÜN, Ufuk; ALPUA, Murat; YILDIZ, Ayşe; SAY, Bahar; DURMAZ ARIKAN, Şenay; TURGAL, Ebru

doi:10.14744/agri.2019.82653

Detecting pain severity with full cup test in painful diabetic peripheral neuropathy

Bahar SAY, (Kırıkkale Üniversitesi, Tıp Fakültesi, Nöroloji Anabilim Dalı, Kırıkkale, Türkiye)

Ufuk ERGÜN, (Kırıkkale Üniversitesi, Tıp Fakültesi, Nöroloji Anabilim Dalı, Kırıkkale, Türkiye)

Ayşe YILDIZ, (Kırıkkale Üniversitesi, Tıp Fakültesi, Nöroloji Anabilim Dalı, Kırıkkale, Türkiye)

Murat ALPUA, (Kırıkkale Üniversitesi, Tıp Fakültesi, Nöroloji Anabilim Dalı, Kırıkkale, Türkiye)

Şenay DURMAZ ARIKAN, (Kırıkkale Üniversitesi, Tıp Fakültesi, Endokrinoloji ve Metabolizma Anabilim Dalı, Kırıkkale, Türkiye)

Ebru TURGAL (Hitit Üniversitesi, Tıp Fakültesi, Biyoistatistik Anabilim Dalı, Çorum, Türkiye)

Ağrı

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Yıl: 2020 Cilt: 32 Sayı: 2 Sayfa Aralığı: 85 - 90 Metin Dili: İngilizce DOI: 10.14744/agri.2019.82653 İndeks Tarihi: 03-11-2020

Detecting pain severity with full cup test in painful diabetic peripheral neuropathy

Öz:

Objectives: The aim of this study was to test the utility and validity of the full cup test (FCT) to assess the severity of pain insubjects with painful diabetic peripheral neuropathy (PDPN).Methods: Subjects with diabetic PDPN were enrolled for this prospective, cross-sectional study. Other causes of PDPN andsubjects with cognitive impairment were excluded. The diagnosis of neuropathic pain was made using the results of a physicalexamination and the Douleur Neuropathique 4 questionnaire. Pain severity was assessed with a FCT and a visual analog scale(VAS) administered before and after treatment. The correlation of FCT with VAS was evaluated to examine validity.Results: A total of 43 (33 female, 10 male) subjects were included. The mean age was 61.9±8.25 years and the mean diseaseduration was 13.02±7.6 years. Type I diabetes mellitus (DM) was present in 2 (4.7%) subjects and Type II DM in 41 (95.3%)subjects. The mean glycated hemoglobin level was 8.9±1.9 mmol/mol. When the mean VAS and FCT scores were analyzed,the results were 6.7±2.05 and 66.35±23.2, respectively, pretreatment and 4.6±2.2 and 41.36±23.5 posttreatment, which wereboth statistically significant (p<0.001, p<0.001). The mean control period was 23.4 days (min–max: 15-30 days). The VAS andFCT scores in pretreatment and posttreatment demonstrated a high positive correlation (rs=0.86, p<0.001; rs=0.843, p<0.001).Conclusion: The FCT can be useful to detect pain severity in PDPN.

Anahtar Kelime:

Ağrılı diyabetik periferal nöropatide dolu bardak testi ile ağrı şiddetinin belirlenmesi

Öz:

Amaç: Dolu bardak testinin (DBT) ağrılı diyabetik periferal nöropati (ADPN)’de kullanımını ve geçerliliğini test etmek. Gereç ve Yöntem: Bu kesitsel ve prospektif çalışmaya ADPN olan olgular alındı. Çalışma popülasyonunda periferal nöropati yapacak diğer nedenler ve kognitif yetmezlik dışlandı. Periferik nöropati tanısı muayene ve Douleur Neuropathique 4 (DN4) anketi kullanılarak gösterildi. Ağrı şiddeti tedavi öncesi ve sonrasında DBT ve Vizüel Analog Skala (VAS) ile değerlendirildi. Geçerlilik için DBT’nin VAS ile korelasyonuna bakıldı. Bulgular: Çalışmaya 43 (33 kadın, 10 erkek) olgu alındı. Ortalama yaş 61.9±8.25, ortalama hastalık süresi 13.02±7.6 yıldı. Tip I DM 2 (%4.7) olguda, Tip II DM 41 (%95.3) olguda mevcuttu. HbA1c düzeyi ortalama 8.9±1.9 mmol/mol’du. Ağrı şiddetinin değerlendirilmesinde kullanılan VAS ve DBT tedavi öncesi ve sonrası karşılaştırıldığında ortalama skorlar tedavi öncesinde 6.7±2.05, 66.35±23.2, tedavi sonrasında ise 4.6±2.2, 41.36±23.5 bulundu. Sonuçlar istatistiksel olarak anlamlıydı (p<0.001, p<0.001). Olgularda ortalama kontrol süresi 23.4 (minimum–maksimum: 15–30) gün oldu. Ağrı şiddet ölçeği DBT, tedavi öncesi ve sonrasında VAS ile yüksek korele bulundu (rs =0.86, p<0.001; rs =0.843, p<0.001). Sonuç: Dolu bardak testi ADPN’de ağrı şiddetini belirlemede kullanışlı olabilir.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	SAY B, ERGÜN U, YILDIZ A, ALPUA M, DURMAZ ARIKAN Ş, TURGAL E (2020). Detecting pain severity with full cup test in painful diabetic peripheral neuropathy. , 85 - 90. 10.14744/agri.2019.82653
Chicago	SAY Bahar,ERGÜN Ufuk,YILDIZ Ayşe,ALPUA Murat,DURMAZ ARIKAN Şenay,TURGAL Ebru Detecting pain severity with full cup test in painful diabetic peripheral neuropathy. (2020): 85 - 90. 10.14744/agri.2019.82653
MLA	SAY Bahar,ERGÜN Ufuk,YILDIZ Ayşe,ALPUA Murat,DURMAZ ARIKAN Şenay,TURGAL Ebru Detecting pain severity with full cup test in painful diabetic peripheral neuropathy. , 2020, ss.85 - 90. 10.14744/agri.2019.82653
AMA	SAY B,ERGÜN U,YILDIZ A,ALPUA M,DURMAZ ARIKAN Ş,TURGAL E Detecting pain severity with full cup test in painful diabetic peripheral neuropathy. . 2020; 85 - 90. 10.14744/agri.2019.82653
Vancouver	SAY B,ERGÜN U,YILDIZ A,ALPUA M,DURMAZ ARIKAN Ş,TURGAL E Detecting pain severity with full cup test in painful diabetic peripheral neuropathy. . 2020; 85 - 90. 10.14744/agri.2019.82653
IEEE	SAY B,ERGÜN U,YILDIZ A,ALPUA M,DURMAZ ARIKAN Ş,TURGAL E "Detecting pain severity with full cup test in painful diabetic peripheral neuropathy." , ss.85 - 90, 2020. 10.14744/agri.2019.82653
ISNAD	SAY, Bahar vd. "Detecting pain severity with full cup test in painful diabetic peripheral neuropathy". (2020), 85-90. https://doi.org/10.14744/agri.2019.82653

APA	SAY B, ERGÜN U, YILDIZ A, ALPUA M, DURMAZ ARIKAN Ş, TURGAL E (2020). Detecting pain severity with full cup test in painful diabetic peripheral neuropathy. Ağrı, 32(2), 85 - 90. 10.14744/agri.2019.82653
Chicago	SAY Bahar,ERGÜN Ufuk,YILDIZ Ayşe,ALPUA Murat,DURMAZ ARIKAN Şenay,TURGAL Ebru Detecting pain severity with full cup test in painful diabetic peripheral neuropathy. Ağrı 32, no.2 (2020): 85 - 90. 10.14744/agri.2019.82653
MLA	SAY Bahar,ERGÜN Ufuk,YILDIZ Ayşe,ALPUA Murat,DURMAZ ARIKAN Şenay,TURGAL Ebru Detecting pain severity with full cup test in painful diabetic peripheral neuropathy. Ağrı, vol.32, no.2, 2020, ss.85 - 90. 10.14744/agri.2019.82653
AMA	SAY B,ERGÜN U,YILDIZ A,ALPUA M,DURMAZ ARIKAN Ş,TURGAL E Detecting pain severity with full cup test in painful diabetic peripheral neuropathy. Ağrı. 2020; 32(2): 85 - 90. 10.14744/agri.2019.82653
Vancouver	SAY B,ERGÜN U,YILDIZ A,ALPUA M,DURMAZ ARIKAN Ş,TURGAL E Detecting pain severity with full cup test in painful diabetic peripheral neuropathy. Ağrı. 2020; 32(2): 85 - 90. 10.14744/agri.2019.82653
IEEE	SAY B,ERGÜN U,YILDIZ A,ALPUA M,DURMAZ ARIKAN Ş,TURGAL E "Detecting pain severity with full cup test in painful diabetic peripheral neuropathy." Ağrı, 32, ss.85 - 90, 2020. 10.14744/agri.2019.82653
ISNAD	SAY, Bahar vd. "Detecting pain severity with full cup test in painful diabetic peripheral neuropathy". Ağrı 32/2 (2020), 85-90. https://doi.org/10.14744/agri.2019.82653