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AAAPT Diagnostic Criteria for Acute Neuropathic Pain

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DOI

  • Tina L. Doshi, Johns Hopkins University
  • ,
  • Robert H. Dworkin, University of Rochester
  • ,
  • Rosemary C. Polomano, University of Pennsylvania
  • ,
  • Daniel B. Carr, Tufts University
  • ,
  • Robert R. Edwards, Harvard University
  • ,
  • Nanna B. Finnerup
  • Roy L. Freeman, Harvard University
  • ,
  • Judith A. Paice, Northwestern University
  • ,
  • Steven J. Weisman, Medical College of Wisconsin
  • ,
  • Srinivasa N. Raja, Johns Hopkins University

OBJECTIVE: Acute neuropathic pain is a significant diagnostic challenge, and it is closely related to our understanding of both acute pain and neuropathic pain. Diagnostic criteria for acute neuropathic pain should reflect our mechanistic understanding and provide a framework for research on and treatment of these complex pain conditions. METHODS: The Analgesic, Anesthetic, and Addiction Clinical Trial Translations, Innovations, Opportunities, and Networks (ACTTION) public-private partnership with the U.S. Food and Drug Administration (FDA), the American Pain Society (APS), and the American Academy of Pain Medicine (AAPM) collaborated to develop the ACTTION-APS-AAPM Pain Taxonomy (AAAPT) for acute pain. A working group of experts in research and clinical management of neuropathic pain was convened. Group members used literature review and expert opinion to develop diagnostic criteria for acute neuropathic pain, as well as three specific examples of acute neuropathic pain conditions, using the five dimensions of the AAAPT classification of acute pain. RESULTS: AAAPT diagnostic criteria for acute neuropathic pain are presented. Application of these criteria to three specific conditions (pain related to herpes zoster, chemotherapy, and limb amputation) illustrates the spectrum of acute neuropathic pain and highlights unique features of each condition. CONCLUSIONS: The proposed AAAPT diagnostic criteria for acute neuropathic pain can be applied to various acute neuropathic pain conditions. Both the general and condition-specific criteria may guide future research, assessment, and management of acute neuropathic pain.

Original languageEnglish
JournalPain Medicine
Volume22
Issue3
Pages (from-to)616-636
Number of pages21
ISSN1526-2375
DOIs
Publication statusPublished - Mar 2021

Bibliographical note

Publisher Copyright:
© The Author(s) 2021. Published by Oxford University Press on behalf of the American Academy of Pain Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

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