Leeds Assessment of Neuropathic Symptoms and Signs (LANSS): Difference between revisions
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The LANSS can be used in any patient presenting with chronic pain. Conditions that often have a neuropathic component include: | The LANSS can be used in any patient presenting with chronic pain. Conditions that often have a neuropathic component include: | ||
* Human Immune-deficiency virus (HIV) | |||
* Phantom limb pain | * Phantom limb pain | ||
* Cancer | * Cancer | ||
* Diabetic neuropathies | * Diabetic neuropathies | ||
* Peripheral neuropathies | * Peripheral neuropathies | ||
* | * Central nervous system lesions (stroke, multiple sclerosis, spinal cord injury) | ||
* Complex regional pain syndrome | * Complex regional pain syndrome | ||
* Chronic low back pain | * Chronic low back pain | ||
== Method of Use == | == Method of Use == | ||
'''LANSS:''' Contains 5 symptoms items and 2 clinical examination items<ref name=":0" /> | '''LANSS:''' Contains 5 symptoms items and 2 clinical examination items<ref name=":0" />. For the clinical examination, a cotton wool and 23 gauge needle is required. A score of 12 or above is indicative of predominantly neuropathic pain. | ||
'''S-LANSS:''' A 7-item self-reported questionnaire without a clinical assessment component. It's accuracy is slightly improved when used in an interview format (rather than self-completed)<ref name=":1" />. | '''S-LANSS:''' A 7-item self-reported questionnaire without a clinical assessment component. It's accuracy is slightly improved when used in an interview format (rather than self-completed)<ref name=":1" />. | ||
== Evidence == | == Evidence == | ||
It is important to consider clinical judgement and clinical findings in combination with screening tools - screening tools fail to identify about 10-20% of patients with neuropathic pain<ref name=":2">Bennett MI, Attal N, Backonja MM, Baron R, Bouhassira D, Freynhagen R, Scholz J, Tölle TR, Wittchen HU, Jensen TS. Using screening tools to identify neuropathic pain. Pain. 2007 Feb 1;127(3):199-203.</ref> | Although some studies report good psychometric properties for the LANSS, a systematic review concluded that only the specificity of the LANSS is satisfactory<ref>Mathieson S, Maher CG, Terwee CB, De Campos TF, Lin CW. Neuropathic pain screening questionnaires have limited measurement properties. A systematic review. Journal of clinical epidemiology. 2015 Aug 1;68(8):957-66.</ref>. It is important to consider clinical judgement and clinical findings in combination with screening tools - screening tools fail to identify about 10-20% of patients with neuropathic pain<ref name=":2">Bennett MI, Attal N, Backonja MM, Baron R, Bouhassira D, Freynhagen R, Scholz J, Tölle TR, Wittchen HU, Jensen TS. Using screening tools to identify neuropathic pain. Pain. 2007 Feb 1;127(3):199-203.</ref>. | ||
=== LANSS === | === LANSS === | ||
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* '''Turkish:''' The Turkish translation of the S-LANSS has been validated for use<ref>Koc R, Erdemoglu AK. Validity and reliability of the Turkish Self-administered Leeds Assessment of Neuropathic Symptoms and Signs (S-LANSS) questionnaire. Pain Medicine. 2010 Jul 1;11(7):1107-14.</ref> | * '''Turkish:''' The Turkish translation of the S-LANSS has been validated for use<ref>Koc R, Erdemoglu AK. Validity and reliability of the Turkish Self-administered Leeds Assessment of Neuropathic Symptoms and Signs (S-LANSS) questionnaire. Pain Medicine. 2010 Jul 1;11(7):1107-14.</ref> | ||
* Greek, Portuguese, Spanish, Korean and Brazilian Portuguese versions have also been developed and tested in single studies - overall the psychometric properties of the translated versions were less than for the original versions<ref>Fagbohun TR. Systematic Review on the psychometric, reliability and validity properties of translated neuropathic pain screening tools (DN4, LANSS and PDQ) 1 January 2005 - 19 July 2019. International Journal of Medicine and Medical Research. 2021;7(1):51-67.</ref>. | |||
== Links == | |||
[https://gplearning.racgp.org.au/content/BUPA/Pain_Mgmt/gp57/LANSS_Pain_Scale.pdf '''LANSS Pain Scale'''] - English | |||
'''[https://bpac.org.nz/BPJ/2016/May/docs/s-lanss.pdf S-LANSS Pain Score]''' - English | |||
'''[https://bpac.org.nz/BPJ/2016/May/docs/s-lanss.pdf S-LANSS Pain Score]''' | |||
== References == | == References == | ||
<references /> | <references /> | ||
Revision as of 10:28, 26 July 2023
This article or area is currently under construction and may only be partially complete. Please come back soon to see the finished work! (26/07/2023)
Original Editor - Melissa Coetsee
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Objective[edit | edit source]
The LANSS was developed to provide a simple clinical tool that can be used to identify pain of predominantly neuropathic origin, thus distinguishing between neuropathic pain and nociceptive pain[1]. By identifying neuropathic pain mechanisms, more individualised treatment can follow. The LANSS was developed in 2001, and a self-report version, the S-LANSS was developed in 2005[2].
Intended Population[edit | edit source]
The LANSS can be used in any patient presenting with chronic pain. Conditions that often have a neuropathic component include:
- Human Immune-deficiency virus (HIV)
- Phantom limb pain
- Cancer
- Diabetic neuropathies
- Peripheral neuropathies
- Central nervous system lesions (stroke, multiple sclerosis, spinal cord injury)
- Complex regional pain syndrome
- Chronic low back pain
Method of Use[edit | edit source]
LANSS: Contains 5 symptoms items and 2 clinical examination items[1]. For the clinical examination, a cotton wool and 23 gauge needle is required. A score of 12 or above is indicative of predominantly neuropathic pain.
S-LANSS: A 7-item self-reported questionnaire without a clinical assessment component. It's accuracy is slightly improved when used in an interview format (rather than self-completed)[2].
Evidence[edit | edit source]
Although some studies report good psychometric properties for the LANSS, a systematic review concluded that only the specificity of the LANSS is satisfactory[3]. It is important to consider clinical judgement and clinical findings in combination with screening tools - screening tools fail to identify about 10-20% of patients with neuropathic pain[4].
LANSS[edit | edit source]
The LANSS has been tested and validated in several settings/conditions (including cancer pain and chronic low back pain)[4]
S-LANSS[edit | edit source]
- Internal consistency and convergent validity was demonstrated with its development[2]
- Sensitivity: Ranges from 52-78%[2][5]
Additional Languages[edit | edit source]
- Turkish: The Turkish translation of the S-LANSS has been validated for use[6]
- Greek, Portuguese, Spanish, Korean and Brazilian Portuguese versions have also been developed and tested in single studies - overall the psychometric properties of the translated versions were less than for the original versions[7].
Links[edit | edit source]
LANSS Pain Scale - English
S-LANSS Pain Score - English
References[edit | edit source]
- ↑ 1.0 1.1 Bennett M. The LANSS Pain Scale: the Leeds assessment of neuropathic symptoms and signs. Pain. 2001 May 1;92(1-2):147-57.
- ↑ 2.0 2.1 2.2 2.3 Bennett MI, Smith BH, Torrance N, Potter J. The S-LANSS score for identifying pain of predominantly neuropathic origin: validation for use in clinical and postal research. The Journal of Pain. 2005 Mar 1;6(3):149-58.
- ↑ Mathieson S, Maher CG, Terwee CB, De Campos TF, Lin CW. Neuropathic pain screening questionnaires have limited measurement properties. A systematic review. Journal of clinical epidemiology. 2015 Aug 1;68(8):957-66.
- ↑ 4.0 4.1 4.2 4.3 Bennett MI, Attal N, Backonja MM, Baron R, Bouhassira D, Freynhagen R, Scholz J, Tölle TR, Wittchen HU, Jensen TS. Using screening tools to identify neuropathic pain. Pain. 2007 Feb 1;127(3):199-203.
- ↑ Weingarten TN, Watson JC, Hooten WM, Wollan PC, Melton III LJ, Locketz AJ, Wong GY, Yawn BP. Validation of the S-LANSS in the community setting. Pain. 2007 Nov 1;132(1-2):189-94.
- ↑ Koc R, Erdemoglu AK. Validity and reliability of the Turkish Self-administered Leeds Assessment of Neuropathic Symptoms and Signs (S-LANSS) questionnaire. Pain Medicine. 2010 Jul 1;11(7):1107-14.
- ↑ Fagbohun TR. Systematic Review on the psychometric, reliability and validity properties of translated neuropathic pain screening tools (DN4, LANSS and PDQ) 1 January 2005 - 19 July 2019. International Journal of Medicine and Medical Research. 2021;7(1):51-67.
