Patients’ Global Impression of Change in the management of peripheral neuropathic pain: Clinical relevance and correlations in daily practice

Perrot, Serge; Lantéri‐Minet, Michel

doi:10.1002/ejp.1378

Cited by 154Pain Mechanisms and TreatmentsPain Management and TreatmentMusculoskeletal pain and rehabilitation

Patients’ Global Impression of Change in the management of peripheral neuropathic pain: Clinical relevance and correlations in daily practice

Perrot, Serge, Lantéri‐Minet, Michel·2019·European Journal of Pain

DOI 10.1002/ejp.1378

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Abstract

BACKGROUND: Patient-Reported Outcome (PRO) instruments have been developed to evaluate pain management in daily practice; the Patients' Global Impression of Change (PGIC) is particularly recommended by the Initiative on Methods, Measurement, and Pain Assessment in Clinical Trials. The prospective non-interventional multicenter PRO-QURE study aimed at assessing correlations between PGIC and pain measurements and treatment effects in patients followed in French pain centres. METHODS: Respectively, 495 and 379 patients with peripheral neuropathic pain initiating treatment with capsaicin 8% cutaneous patch(es) (female, 62.6%; mean age, 54.0 ± 14.8 years; post-surgical or traumatic pain, 52.7%; mean pain duration, 42.2 ± 54.1 months; DN4 score >4, 92.9%) completed the PGIC and several other PRO instruments before (baseline) and 3 months (M3) after treatment application. RESULTS: At M3, improvement ("much improved" or "very much improved") was observed in 23.0% of patients, associated with decreases of -3.0 ± 2.2, -2.5 ± 2.4, and -23.1 ± 19.7 in BPI pain intensity, BPI pain interference and NPSI total scores, respectively. The highest Spearman's rank correlation coefficients with PGIC were found for pain intensity (BPI: r = -0.479, p < 0.001), satisfaction with current state (Patient Acceptable Symptomatic State: r = 0.455, p < 0.001), and treatment effectiveness (TSQM: r = 0.431, p < 0.001); correlation coefficients were lower for all NPSI scores, BPI pain interference score, HAD scores and EQ-5D-3L index. CONCLUSIONS: In daily clinical practice, significant improvement in peripheral neuropathic pain, as assessed by PGIC scores, significantly correlated with changes in well-established measures of pain intensity, pain interference with activities of daily living, mood and quality of life, confirming its clinical interest as PRO measure in real-world conditions. SIGNIFICANCE: Clinically important improvement in peripheral neuropathic pain, as assessed by PGIC scores, significantly correlated with well-established measures of pain intensity, pain interference in daily life and treatment efficacy. This result, associated with the ease of administration and scoring, encourages the widespread use of the PGIC in daily practice.

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PGIC has shown clinical relevance in daily clinical practice.
“PGIC has also shown clinical relevance in daily clinical practice [67].”
From Pre- and post-operative psychological interventions to prevent pain and fatigue after breast cancer surgery (PREVENT): Protocol for a randomized controlled trial (2022) · cites this paper as [67]

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Hybrid effectiveness-implementation trial of guided relaxation and acupuncture for chronic sickle cell disease pain (GRACE): A protocol
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Effectiveness of adding pain neuroscience education to telerehabilitation in patients with carpal tunnel syndrome: A randomized controlled trial
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The NIH HEAL pain common data elements (CDE): a great start but a long way to the finish line
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Burst Spinal Cord Stimulation as Compared With L2 Dorsal Root Ganglion Stimulation in Pain Relief for Nonoperated Discogenic Low Back Pain: Analysis of Two Prospective Studies
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Narrative review of the efficacy and safety of the high-concentration (179mg) capsaicin patch in peripheral neuropathic pain with recommendations for clinical practice and future research
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Symptom subtypes of obstructive sleep apnea 10 years later: past, present, and future
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Topical capsaicin 8% patch in peripheral neuropathic pain: Efficacy and quality of life
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Telehealth Engaged Music for Pain Outcomes: A Music and Imagery Proof-of-concept Study with Veterans
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Twelve-month results from a randomized controlled trial comparing differential target multiplexed spinal cord stimulation and conventional spinal cord stimulation in subjects with chronic refractory axial low back pain not eligible for spine surgery
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Efficacy and Safety of LX9211 for Relief of Diabetic Peripheral Neuropathic Pain (RELIEF-DPN 1): Results of a Double-Blind, Randomized, Placebo-Controlled, Proof-of-Concept Study
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Effect of the low glutamate diet on inflammatory cytokines in veterans with Gulf War Illness (GWI): A pilot study
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Frequency Rhythmic Electrical Modulation System (FREMS) to alleviate painful diabetic peripheral neuropathy: A pilot, randomised controlled trial (The FREMSTOP study)
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Acupuncture in diabetic peripheral neuropathy—protocol for the randomized, multicenter ACUDPN trial
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PROCESS Trial: Effect of Duloxetine Premedication for Postherpetic Neuralgia Within 72 Hours of Herpes Zoster Reactivation—A Randomized Controlled Trial
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Acute Effects of In-Hospital Resistance Training on Clinical Outcomes in Patients Undergoing Total Knee Arthroplasty
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Cryoneurolysis versus radiofrequency ablation outcome on pain experience in chronic low back pain (COPE): a single-blinded randomised controlled trial
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The design and rationale of the Biomarkers for Evaluating Spine Treatments trial: a sequential multiple assignment randomized trial
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Edible cannabis for chronic low back pain: associations with pain, mood, and intoxication
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Advances in the pathophysiology and treatment of diabetic peripheral neuropathy
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Enhancing upper extremity muscle strength in individuals with spinal cord injury using low-intensity blood flow restriction exercise
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Estimating minimal, moderate, and marked clinically important differences for patient reported outcome measure in randomised controlled trial
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Efficacy of extracorporeal shockwave therapy in the treatment of postherpetic neuralgia
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Measurement Properties of 2 Novel PROs, the Pompe Disease Symptom Scale and Pompe Disease Impact Scale, in the COMET Study
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Improving Health for Older Adults With Pain Through Engagement: Protocol for Tailoring and Open Pilot Testing of a Mind-Body Activity Program Delivered Within Shared Medical Visits in an Underserved Community Clinic
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A prospective, multicenter, open-label study of the clinical efficacy of tapentadol extended-release in the treatment of cancer-related pain and improvement in the quality of life of opioid-naïve or opioid-resistant patients
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A prospective study of BurstDR™ spinal cord stimulation for non‐operated discogenic low back pain
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Precise management system for chronic intractable pain patients implanted with spinal cord stimulation based on a remote programming platform: study protocol for a randomized controlled trial (PreMaSy study)
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Psychological, Pain, and Disability Factors Influencing the Perception of Improvement/Recovery from Physiotherapy in Patients with Chronic Musculoskeletal Pain: A Cross-Sectional Study
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Use of patient-reported global assessment measures in clinical trials of chronic pain treatments: ACTTION systematic review and considerations
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UK Medical Cannabis Registry: An Analysis of Outcomes of Medical Cannabis Therapy for Hypermobility‐Associated Chronic Pain
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A Single-Blind, Randomized, Placebo Controlled Study to Evaluate the Benefits and Safety of Endourage Targeted Wellness Formula C Sublingual +Drops in People with Post-Acute Coronavirus Disease 2019 Syndrome
Young, T. P., Erickson, J. S., Hattan, S. L., Guzy, S., Hershkowitz, F., & Steward, M. D. (2022) · Cannabis and Cannabinoid Research · doi:10.1089/can.2022.0135 · Cited by 7 · see citing works
Targeted muscle reinnervation for treatment of neuropathic pain in non-amputees – Indications and outcomes
Raasveld, F. V., van Varsseveld, O. C., Hundepool, C. A., Zuidam, J. M., Winograd, J. M., Austen, W. G., Valerio, I. L., & Eberlin, K. R. (2025) · Journal of Plastic Reconstructive & Aesthetic Surgery · doi:10.1016/j.bjps.2025.04.026 · Cited by 6 · see citing works
Pelvic floor muscle training in women with urinary incontinence and pelvic organ prolapse: A protocol study
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Cryoneurolysis’ outcome on pain experience (COPE) in patients with low-back pain: study protocol for a single-blinded randomized controlled trial
Truong, K., Meier, K., Nikolajsen, L., van Tulder, M. W., Sørensen, J. C. H., & Rasmussen, M. M. (2021) · BMC Musculoskeletal Disorders · doi:10.1186/s12891-021-04320-7 · Cited by 6 · see citing works
Multidimensional pain profiling in people living with obesity and attending weight management services: a protocol for a longitudinal cohort study
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The Effect of Once-Daily Gabapentin Extended Release Formulation in Patients With Postamputation Pain
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Associations of long‐term clinical recovery and improved quality of life across ICD ‐11 chronic pain categories in a real‐world registry study
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UK medical cannabis registry: A clinical outcome analysis of medical cannabis therapy in chronic pain patients with and without co‐morbid sleep impairment
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Feasibility of a Mind–Body Activity Program for English- and Spanish-Speaking Older Adults With Chronic Pain Delivered Within Shared Medical Visits in a Community Clinic
McDermott, K. A., Szapary, C. L., Allen, E. M., Brewer, J. R., Vonderheide, C. C., Giraldo‐Santiago, N., Levey, N., Camera, D. E. L., Pasinski, R., Greenberg, J., et al. (2025) · The Gerontologist · doi:10.1093/geront/gnaf124 · Cited by 5 · see citing works
VER-01 Shows Enhanced Gastrointestinal Tolerability, Superior Pain Relief, and Improved Sleep Quality Compared to Opioids in Treating Chronic Low Back Pain: A Randomized Phase 3 Clinical Trial
Meißner, W., Argoff, C., Sator, S., Schoder, V., & Karst, M. (2025) · Pain and Therapy · doi:10.1007/s40122-025-00773-z · Cited by 5 · see citing works
Exploring a New Cueing Device in People Who Experience Freezing of Gait: Acceptance of a Study Design
Wilhelm, A., Riedl, T., Paumann, C., & Janssen, J. (2022) · Parkinson s Disease · doi:10.1155/2022/1631169 · Cited by 5 · see citing works
Evaluating Digital Rehabilitation Outcomes in Chronic Musculoskeletal Conditions Across Non-Obesity, Obesity, and Severe Obesity
Pereira, A. C., Janela, D., Areias, A. C., Molinos, M., Tong, X., Bento, V., Yanamadala, V., Cohen, S. P., Correia, F. D., & Costa, F. M. T. A. (2025) · Journal of Pain Research · doi:10.2147/jpr.s499846 · Cited by 5 · see citing works
Efficacy and Safety of Electro-Thumbtack Needle Therapy for Patients With Chronic Neck Pain: Protocol for a Randomized, Sham-Controlled Trial
Shi, H., Wang, X., Yan, Y., Zhu, L., Chen, Y., Gao, S., & Liu, Z. (2022) · Frontiers in Medicine · doi:10.3389/fmed.2022.872362 · Cited by 5 · see citing works
Internet-Delivered Dialectical Behavioral Therapy Skills Training for Chronic Pain: Protocol for a Randomized Controlled Trial
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Clinical usability study of a home-based self-administration transcranial direct current stimulation for primary dysmenorrhea: A randomized controlled trial
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The PATCH trial: 5% lidocaine‐medicated plaster for trigeminal neuralgia—Results of a multicentric, enriched enrollment, randomized withdrawal, double‐blind, vehicle‐controlled, parallel‐group study
Zhao, C., Shrestha, N., Ren, H., Zhang, B., Shen, Y., Lan, M., Wu, D., Wang, B., Fan, B., & Luo, F. (2024) · Headache The Journal of Head and Face Pain · doi:10.1111/head.14814 · Cited by 4 · see citing works
A multimodal intervention of manual therapy, exercise, and psychological management for painful diabetic neuropathy: intervention development and feasibility trial protocol
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Adjunctive Incremental Pregabalin Therapy Leads to Better Pain Relief in Patients With Chronic Pancreatitis
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Impacts of touch massage on the experience of patients with chronic pain: A non-randomized cluster clinical trial
Rodrigues, M. G. D. R., Pauly, C. B., Boegli, M., Curtin, F., Anex, A., Cekic, S., Luthy, C., Desmeules, J. A., & Cedraschi, C. (2023) · Advances in Integrative Medicine · doi:10.1016/j.aimed.2023.09.004 · Cited by 5 · see citing works
A clinical audit in a UK-based acupuncture private practice: assessing patient demographics, outcomes and experience
LOWE, N. J., Permyakova, N. V., & Dutton, R. (2024) · Acupuncture in Medicine · doi:10.1177/09645284241248470 · Cited by 4 · see citing works
Responsiveness and Minimal Clinically Important Difference of the Chinese Version of the Motor Function Measure-32 in Children and Adolescents with Duchenne Muscular Dystrophy
Huang, M., Chen, T., Wang, Y., Zhou, C., Cao, J., & Lu, X. (2021) · Developmental Neurorehabilitation · doi:10.1080/17518423.2021.2020352 · Cited by 4 · see citing works
Chronic inflammatory demyelinating polyradiculoneuropathy: Diagnostic problems in clinical practice in Serbia
Basta, I. Z., Delić, N., Gunjić, I., Ždraljević, M., Kačar, A., Božović, I., & Perić, S. (2023) · Journal of the Peripheral Nervous System · doi:10.1111/jns.12537 · Cited by 4 · see citing works
Measuring treatment response to chronic inflammatory demyelinating polyneuropathy in clinical practice: More than just asking
Allen, J. A. (2021) · Muscle & Nerve · doi:10.1002/mus.27325 · Cited by 4 · see citing works
Treatment of Established Chemotherapy-Induced Neuropathy with N-Palmitoylethanolamide: A Randomized, Double-Blind Phase II Pilot Study
Davis, M. P., Ulrich, A., Segal, R. A., Gudena, V. K., Ruddy, K. J., D’Andre, S. D., Giridhar, K. V., Vasireddy, V. K., Agarwal, R., Azzouqa, A., et al. (2024) · Cancers · doi:10.3390/cancers16244244 · Cited by 3 · see citing works
The Patient-Centered Approach in Rheumatologic Painful Diseases: A Narrative Review
Perrot, S., Matamala, A. M., Hanna, M., & Varrassi, G. (2022) · Cureus · doi:10.7759/cureus.22244 · Cited by 3 · see citing works
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Trial protocol for a multicenter randomized controlled trial to assess the efficacy and safety of intravenous ketamine for chronic daily headaches: the “KetHead” trial
Hoydonckx, Y., Singh, M., Gilron, I., Khan, J. S., Narouze, S., Dahan, A., Curtis, K., Cao, X., Kara, J., & Bhatia, A. (2023) · Trials · doi:10.1186/s13063-023-07186-3 · Cited by 3 · see citing works
Positive Impact of a New Compressive Garment in Patients with Genital Lymphedema: OLYMPY Study
Mestre, S., Vignes, S., Malloizel‐Delaunay, J., Abba, S., Villet, S., Picolet, A., Vicaut, É., & Quéré, I. (2024) · Lymphatic Research and Biology · doi:10.1089/lrb.2023.0055 · Cited by 3 · see citing works
A clinical audit of patient outcomes in real-world acupuncture practice
LOWE, N. J., Permyakova, N. V., & Dutton, R. (2024) · Acupuncture in Medicine · doi:10.1177/09645284241248471 · Cited by 3 · see citing works
Defining clinically meaningful thresholds for forced vital capacity in patients with neuromuscular disorders: Lessons learned from the COMET study in Pompe disease
Berger, K. I., Ivanescu, C., Msihid, J., Periquet, M., Hamed, A., Haack, K. A., Zhou, T., van der Beek, N. A. M. E., Boentert, M., Pulikottil-Jacob, R., et al. (2025) · Journal of Neuromuscular Diseases · doi:10.1177/22143602251332829 · Cited by 3 · see citing works
Perioperative patient-controlled regional analgesia versus patient-controlled intravenous analgesia for patients with critical limb ischaemia: a study protocol for a randomised controlled trial
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Pain Reduction With AbobotulinumtoxinA for the Treatment of Hallux Valgus in Adult Participants: Results of a Randomized and Placebo-Controlled Phase 2 Trial
Armstrong, D. G., DiDomenico, L. A., Baravarian, B., Parekh, S. G., Volteau, M., & Silva, R. (2022) · The Journal of Foot & Ankle Surgery · doi:10.1053/j.jfas.2022.07.002 · Cited by 3 · see citing works
Clusters of Responders and Predictive Factors for Response to Supplementation with Boswellia, Turmeric, and Red Algae Extracts in Painful Knee Osteoarthritis: A Prospective Observational Study Using an Arsenal of Patient-Centered Measures
Abdellah, S. A., Gal, C., Leblanc, A. L., Trouvin, A., & Perrot, S. (2021) · Open Access Rheumatology Research and Reviews · doi:10.2147/oarrr.s287078 · Cited by 3 · see citing works
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The evaluation of clinical outcomes assessments and digital health technologies in clinical trials for obesity
GOETZ, I. A., Sutter, C., Abraham, T. H., Kanu, C., Boye, K. S., & Symonds, T. L. (2025) · Journal of Patient-Reported Outcomes · doi:10.1186/s41687-025-00841-0 · Cited by 2 · see citing works
A comprehensive review of scientifically reported phytochemicals to manage allodynia in chronic diabetes complications
Devroy, P., Das, D., Bala, A., & Mukherjee, A. K. (2025) · Journal of Pharmacy and Pharmacology · doi:10.1093/jpp/rgaf012 · Cited by 2 · see citing works
Combined Use of Peripheral Nerve Surgery and Peripheral Nerve Stimulation in Patients With Refractory Neuropathic Pain
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Protocol for a hybrid type 1 effectiveness-implementation trial of a mind-body activity program for older adults with chronic pain in a medically underserved area: The iHOPE study
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Changes in pain intensity and healthrelated quality of life (HRQOL) in patients with peripheral neuropathic pain after treatment with 8% capsaicin patch – results from a nordic prospective observational study
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Treatment Impact on Patient-Reported Outcomes in Peripheral Neuropathic Pain: Comparing Single Intervention With Topical High-Concentration Capsaicin to Daily Oral Pregabalin
Viel, E., Eerdekens, M., & Kandaswamy, P. (2021) · Pain Physician · doi:10.36076/ppj.2021.24.453 · Cited by 11 · see citing works
Topical capsaicin 8% patch in peripheral neuropathic pain: Efficacy and quality of life
Santos, M. P., Lemos, F., Gomes, J., Romão, J. M., & Veiga, D. (2023) · British Journal of Pain · doi:10.1177/20494637231201502 · Cited by 13 · see citing works
Capsaicin 8% Dermal Patch for Neuropathic Pain in a Pain Unit
Ausín-Crespo, M. D., Castro, E. M.-D., Roldán-Cuartero, J., de la Beldad-Diez, M. L., Salcedo-Gámez, M. Á., & Tong, H. Y. (2022) · Pain Management Nursing · doi:10.1016/j.pmn.2021.12.005 · Cited by 12 · see citing works
Treatment with topical capsaicin: Experience from a pain clinic
Rørbæk, M., Ventzel, L., & Gottrup, H. (2012) · Scandinavian Journal of Pain · doi:10.1016/j.sjpain.2012.05.064 · Cited by 3 · see citing works

Authors: Perrot, S., & Lantéri‐Minet, M.
Affiliations: Inserm (FR)
Corresponding author: Perrot, Serge
ORCID: Perrot, Serge
Lantéri‐Minet, Michel
Venue: European Journal of Pain
Publisher: Wiley
Published: 2019-03-18
Volume: 23
Issue: 6
Pages: 1117-1128
ISSN: 1090-3801 (ISSN-L)
1532-2149
DOI: 10.1002/ejp.1378
OpenAlex: W2917615682
Cited by: 154
References: 34
Citations by year: 2026: 18 · 2025: 26 · 2024: 30 · 2023: 24 · 2022: 22 · 2021: 22 · 2020: 9 · 2019: 3
FWCI: 9.60
Type: journal article
Language: en
Open access: closed
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations: European Journal of Pain (publishedVersion)
PubMed (publishedVersion)
Funders: Astellas Pharma
Topics: Health Sciences › Medicine › Physiology › Pain Mechanisms and Treatments
Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Treatment
Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
Keywords: peripheral neuropathic pain, patient-reported outcomes, pain intensity, pain interference, treatment effectiveness, quality of life, mood, patient acceptable symptom state, real-world evidence, treatment satisfaction, pain management outcomes
MeSH terms: Activities of Daily Living, Adult, Aged, Analgesics, Capsaicin, Female, Humans, Male, Middle Aged, Neuralgia, Pain Measurement, Prospective Studies, Quality of Life, Treatment Outcome, Pain Clinics, Transdermal Patch, Pain Management

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Patients’ Global Impression of Change in the management of peripheral neuropathic pain: Clinical relevance and correlations in daily practice

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