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Neuropathic pain in the general population: A systematic review of epidemiological studies

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van Hecke, O., Austin, Sophie K., Khan, Rafi A., Smith, B. H., Torrance, N.·2014·Pain

Abstract

Most patients with neuropathic pain symptoms present and are managed in primary care, with only a minority being referred for specialist clinical assessment and diagnoses. Previous reviews have focused mainly on specific neuropathic pain conditions based in specialist settings. This is the first systematic review of epidemiological studies of neuropathic pain in the general population. Electronic databases were searched from January 1966 to December 2012, and studies were included where the main focus was on neuropathic pain prevalence and/or incidence, either as part of a specific neuropathic pain-related condition or as a global entity in the general population. We excluded studies in which data were extracted from pain or other specialist clinics or focusing on specific population subgroups. Twenty-one articles were identified and underwent quality assessment and data extraction. Included studies differed in 3 main ways: method of data retrieval, case ascertainment tool used, and presentation of prevalence/incidence rates. This heterogeneity precluded any meta-analysis. We categorised comparable incidence and prevalence rates into 2 main subgroups: (1) chronic pain with neuropathic characteristics (range 3-17%), and (2) neuropathic pain associated with a specific condition, including postherpetic neuralgia (3.9-42.0/100,000 person-years [PY]), trigeminal neuralgia (12.6-28.9/100,000 PY), painful diabetic peripheral neuropathy (15.3-72.3/100,000 PY), glossopharyngeal neuralgia (0.2-0.4/100,000 PY). These differences highlight the importance of a standardised approach for identifying neuropathic pain in future epidemiological studies. A best estimate of population prevalence of pain with neuropathic characteristics is likely to lie between 6.9% and 10%.

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Metadata

Authors
van Hecke, O., Austin, S. K., Khan, R. A., Smith, B. H., & Torrance, N.
Venue
Pain
Published
2014-04
Volume
155
Issue
4
Pages
654-662
ISSN
0304-3959 (ISSN-L)
OpenAlex
W2127894556
Cited by
1,602
References
11
FWCI
5.81
Type
journal article
Language
en
Open access
green

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CoChat. (2026). Citation check: Neuropathic pain in the general population: A systematic review of epidemiological studies. https://app.cochat.ai/papers/10.1016/j.pain.2013.11.013
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van Hecke, O., Austin, S. K., Khan, R. A., Smith, B. H., & Torrance, N. (2014). Neuropathic pain in the general population: A systematic review of epidemiological studies. Pain. https://doi.org/10.1016/j.pain.2013.11.013

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