Table 1.
Assessment Tools for Pediatric Neuropathic Pain
Tool | Proposed Target Population | Advantages/Disadvantages | ||
---|---|---|---|---|
I. Screening Tools | ||||
1. Pediatric-modified Total Neuropathy Score 3 sets of symptom questions 5 physical examination signs |
Children aged 5–18 years with chemotherapy-induced peripheral neuropathy | Good reliability and internal consistency Good for screening and assessment Not as sensitive to change over time Clinical significance of scores is unclear |
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II. Assessment Tools | ||||
2. Adolescent Pediatric Pain Tool Body outline Word graphic rating scale List of 67 symptom descriptors |
Children aged 8–17 years with acute pain (hospitalized or not) | Good validity, reliable in a variety of pain conditions Quickly completed Multidimensional approach to pain Not well studied in chronic or complex pain |
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3. Pediatric Pain Questionnaire 10-cm Visual Analog Scale 46 symptom descriptors Pain location |
Children aged 5–18 years Primarily used in patients with juvenile rheumatoid arthritis and sickle-cell anemia | Derived from the well-studied McGill Pain Questionnaire Well-established evidence of validity Takes 15 min to complete |
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4. Abu-Saad Pediatric Pain Assessment Tool 10-cm Visual Analog Scale 32 symptom descriptors |
Children aged 5–17 years with disease-related pain or undergoing surgery | Assesses multiple aspects of pain, including triggers and medication type/amount Good internal consistency Less supportive evidence than for other tools |
Reproduced with permission from [34] - The assessment tools were validated for pain in children; they may be helpful for NP because they assess the pain characteristics