Adherence of French GPs to chronic neuropathic pain clinical guidelines: results of a cross-sectional, randomized, "e" case-vignette survey.
<h4>Background and aims</h4>The French Pain Society published guidelines for neuropathic pain management in 2010. Our aim was to evaluate the compliance of GPs with these guidelines three years later.<h4>Methods</h4>We used "e" case vignette methodology for this non...
Guardado en:
| Autores principales: | , , , , , , |
|---|---|
| Formato: | article |
| Lenguaje: | EN |
| Publicado: |
Public Library of Science (PLoS)
2014
|
| Materias: | |
| Acceso en línea: | https://doaj.org/article/a9dbc06ab6114badac16fd22c4409b8b |
| Etiquetas: |
Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
|
| id |
oai:doaj.org-article:a9dbc06ab6114badac16fd22c4409b8b |
|---|---|
| record_format |
dspace |
| spelling |
oai:doaj.org-article:a9dbc06ab6114badac16fd22c4409b8b2021-11-18T08:22:29ZAdherence of French GPs to chronic neuropathic pain clinical guidelines: results of a cross-sectional, randomized, "e" case-vignette survey.1932-620310.1371/journal.pone.0093855https://doaj.org/article/a9dbc06ab6114badac16fd22c4409b8b2014-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/24747826/pdf/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background and aims</h4>The French Pain Society published guidelines for neuropathic pain management in 2010. Our aim was to evaluate the compliance of GPs with these guidelines three years later.<h4>Methods</h4>We used "e" case vignette methodology for this non interventional study. A national panel of randomly selected GPs was included. We used eight "e" case-vignettes relating to chronic pain, differing in terms of the type of pain (neuropathic/non neuropathic), etiology (cancer, postoperative pain, low back pain with or without radicular pain, diabetes) and symptoms. GPs received two randomly selected consecutive "e" case vignettes (with/without neuropathic pain). We analyzed their ability to recognize neuropathic pain and to prescribe appropriate first-line treatment.<h4>Results</h4>From the 1265 GPs in the database, we recruited 443 (35.0%), 334 of whom logged onto the web site (26.4%) and 319 (25.2%) of whom completed the survey. Among these GPs, 170 (53.3%) were aware of the guidelines, 136 (42.6%) were able to follow them, and 110 (34.5%) used the DN4 diagnostic tool. Sensitivity for neuropathic pain recognition was 87.8% (CI: 84.2%; 91.4%). However, postoperative neuropathic pain was less well diagnosed (77.9%; CI: 69.6%; 86.2%) than diabetic pain (95.2%; CI: 90.0%; 100.0%), cancer pain (90.6%; CI: 83.5%; 97.8%) and typical radicular pain (90.7%; CI: 84.9%; 96.5%). When neuropathic pain was correctly recognized, the likelihood of appropriate first-line treatment prescription was 90.6% (CI: 87.4%; 93.8%). The treatments proposed were pregabaline (71.8%), gabapentine (43.9%), amiptriptylline (23.2%) and duloxetine (18.2%). However, ibuprofen (11%), acetaminophen-codeine (29.5%) and clonazepam (10%) were still prescribed.<h4>Conclusions</h4>The compliance of GPs with clinical practice guidelines appeared to be satisfactory, but differed between etiologies.Valéria MartinezNadine AttalBertrand VanzoEric VicautJean Michel GautierDidier BouhassiraMichel Lantéri-MinetPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 9, Iss 4, p e93855 (2014) |
| institution |
DOAJ |
| collection |
DOAJ |
| language |
EN |
| topic |
Medicine R Science Q |
| spellingShingle |
Medicine R Science Q Valéria Martinez Nadine Attal Bertrand Vanzo Eric Vicaut Jean Michel Gautier Didier Bouhassira Michel Lantéri-Minet Adherence of French GPs to chronic neuropathic pain clinical guidelines: results of a cross-sectional, randomized, "e" case-vignette survey. |
| description |
<h4>Background and aims</h4>The French Pain Society published guidelines for neuropathic pain management in 2010. Our aim was to evaluate the compliance of GPs with these guidelines three years later.<h4>Methods</h4>We used "e" case vignette methodology for this non interventional study. A national panel of randomly selected GPs was included. We used eight "e" case-vignettes relating to chronic pain, differing in terms of the type of pain (neuropathic/non neuropathic), etiology (cancer, postoperative pain, low back pain with or without radicular pain, diabetes) and symptoms. GPs received two randomly selected consecutive "e" case vignettes (with/without neuropathic pain). We analyzed their ability to recognize neuropathic pain and to prescribe appropriate first-line treatment.<h4>Results</h4>From the 1265 GPs in the database, we recruited 443 (35.0%), 334 of whom logged onto the web site (26.4%) and 319 (25.2%) of whom completed the survey. Among these GPs, 170 (53.3%) were aware of the guidelines, 136 (42.6%) were able to follow them, and 110 (34.5%) used the DN4 diagnostic tool. Sensitivity for neuropathic pain recognition was 87.8% (CI: 84.2%; 91.4%). However, postoperative neuropathic pain was less well diagnosed (77.9%; CI: 69.6%; 86.2%) than diabetic pain (95.2%; CI: 90.0%; 100.0%), cancer pain (90.6%; CI: 83.5%; 97.8%) and typical radicular pain (90.7%; CI: 84.9%; 96.5%). When neuropathic pain was correctly recognized, the likelihood of appropriate first-line treatment prescription was 90.6% (CI: 87.4%; 93.8%). The treatments proposed were pregabaline (71.8%), gabapentine (43.9%), amiptriptylline (23.2%) and duloxetine (18.2%). However, ibuprofen (11%), acetaminophen-codeine (29.5%) and clonazepam (10%) were still prescribed.<h4>Conclusions</h4>The compliance of GPs with clinical practice guidelines appeared to be satisfactory, but differed between etiologies. |
| format |
article |
| author |
Valéria Martinez Nadine Attal Bertrand Vanzo Eric Vicaut Jean Michel Gautier Didier Bouhassira Michel Lantéri-Minet |
| author_facet |
Valéria Martinez Nadine Attal Bertrand Vanzo Eric Vicaut Jean Michel Gautier Didier Bouhassira Michel Lantéri-Minet |
| author_sort |
Valéria Martinez |
| title |
Adherence of French GPs to chronic neuropathic pain clinical guidelines: results of a cross-sectional, randomized, "e" case-vignette survey. |
| title_short |
Adherence of French GPs to chronic neuropathic pain clinical guidelines: results of a cross-sectional, randomized, "e" case-vignette survey. |
| title_full |
Adherence of French GPs to chronic neuropathic pain clinical guidelines: results of a cross-sectional, randomized, "e" case-vignette survey. |
| title_fullStr |
Adherence of French GPs to chronic neuropathic pain clinical guidelines: results of a cross-sectional, randomized, "e" case-vignette survey. |
| title_full_unstemmed |
Adherence of French GPs to chronic neuropathic pain clinical guidelines: results of a cross-sectional, randomized, "e" case-vignette survey. |
| title_sort |
adherence of french gps to chronic neuropathic pain clinical guidelines: results of a cross-sectional, randomized, "e" case-vignette survey. |
| publisher |
Public Library of Science (PLoS) |
| publishDate |
2014 |
| url |
https://doaj.org/article/a9dbc06ab6114badac16fd22c4409b8b |
| work_keys_str_mv |
AT valeriamartinez adherenceoffrenchgpstochronicneuropathicpainclinicalguidelinesresultsofacrosssectionalrandomizedecasevignettesurvey AT nadineattal adherenceoffrenchgpstochronicneuropathicpainclinicalguidelinesresultsofacrosssectionalrandomizedecasevignettesurvey AT bertrandvanzo adherenceoffrenchgpstochronicneuropathicpainclinicalguidelinesresultsofacrosssectionalrandomizedecasevignettesurvey AT ericvicaut adherenceoffrenchgpstochronicneuropathicpainclinicalguidelinesresultsofacrosssectionalrandomizedecasevignettesurvey AT jeanmichelgautier adherenceoffrenchgpstochronicneuropathicpainclinicalguidelinesresultsofacrosssectionalrandomizedecasevignettesurvey AT didierbouhassira adherenceoffrenchgpstochronicneuropathicpainclinicalguidelinesresultsofacrosssectionalrandomizedecasevignettesurvey AT michellanteriminet adherenceoffrenchgpstochronicneuropathicpainclinicalguidelinesresultsofacrosssectionalrandomizedecasevignettesurvey |
| _version_ |
1718421880179785728 |