The validation and cross-cultural adaptation of the PainDETECT questionnaire in osteoarthritis-related pain
Abstract Background Patients with knee osteoarthritis (KOA) often experience persistent pain and functional impairment after total knee arthroplasty (TKA), which presents challenges for pain management. Accurate preoperative assessment of pain characteristics is crucial for tailoring individualized...
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BMC
2025-01-01
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| Series: | Journal of Orthopaedic Surgery and Research |
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| Online Access: | https://doi.org/10.1186/s13018-025-05510-y |
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| author | Xiaofeng Chang Shuxin Yao Jie Wei Lei Shang Chao Xu Jianbing Ma |
| author_facet | Xiaofeng Chang Shuxin Yao Jie Wei Lei Shang Chao Xu Jianbing Ma |
| author_sort | Xiaofeng Chang |
| collection | DOAJ |
| description | Abstract Background Patients with knee osteoarthritis (KOA) often experience persistent pain and functional impairment after total knee arthroplasty (TKA), which presents challenges for pain management. Accurate preoperative assessment of pain characteristics is crucial for tailoring individualized treatment plans. The PainDETECT Questionnaire has been widely used to identify neuropathic components in chronic pain and has been validated for its reliability and validity across various cultural contexts. However, a culturally adapted version tailored to Chinese patients is currently lacking. This study aims to translate and culturally adapt PainDETECT for Chinese patients and evaluate its validity in TKA patients in China. Methods This study followed international guidelines to translate and adapt the PainDETECT Questionnaire (PDQ) into Chinese (PDQ-CV). A cohort of 241 knee osteoarthritis (KOA) patients completed the PDQ-CV, Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), EuroQol-5 Dimensions-5 Levels (EQ-5D-5 L), and Central Sensitization Inventory Chinese Version (CSI-CV). We assessed internal consistency using Cronbach’s alpha and test-retest reliability via intraclass correlation coefficient (ICC). Construct and structural validity were evaluated through Pearson correlations and factor analyses. Results The PDQ-CV demonstrated good acceptability among KOA patients, with no floor or ceiling effects observed. Internal consistency was high (Cronbach’s α = 0.896), and test-retest reliability was excellent (ICC = 0.994; 95% CI: 0.943–1.045). The PDQ-CV total score showed significant positive correlations with WOMAC (r = 0.589, P < 0.01), EQ-5D-5 L (r = 0.533, P < 0.01), and CSI-CV (r = 0.776, P < 0.01). Exploratory factor analysis (EFA) extracted two primary factors, corresponding to the sensory dimension (52.1% variance) and the affective dimension (16.3% variance), explaining a total variance of 68.4%. Conclusion The PDQ-CV demonstrated good feasibility, reliability, and validity in Chinese KOA patients, supporting its use in clinical practice and providing a foundation for future research. |
| format | Article |
| id | doaj-art-42e241f4a3674617ad78edf58b8db8f8 |
| institution | Kabale University |
| issn | 1749-799X |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Orthopaedic Surgery and Research |
| spelling | doaj-art-42e241f4a3674617ad78edf58b8db8f82025-01-26T12:43:33ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2025-01-012011810.1186/s13018-025-05510-yThe validation and cross-cultural adaptation of the PainDETECT questionnaire in osteoarthritis-related painXiaofeng Chang0Shuxin Yao1Jie Wei2Lei Shang3Chao Xu4Jianbing Ma5Department of Knee Joint Surgery, Honghui Hospital, Xi’an Jiaotong UniversityDepartment of Knee Joint Surgery, Honghui Hospital, Xi’an Jiaotong UniversityState Key Laboratory of Cancer Biology, Department of Pathology, The First Affiliated Hospital of Air Force Military Medical UniversityDepartment of Health Statistics, Faculty of Preventive Medicine, the Air Force Military Medical UniversityDepartment of Knee Joint Surgery, Honghui Hospital, Xi’an Jiaotong UniversityDepartment of Knee Joint Surgery, Honghui Hospital, Xi’an Jiaotong UniversityAbstract Background Patients with knee osteoarthritis (KOA) often experience persistent pain and functional impairment after total knee arthroplasty (TKA), which presents challenges for pain management. Accurate preoperative assessment of pain characteristics is crucial for tailoring individualized treatment plans. The PainDETECT Questionnaire has been widely used to identify neuropathic components in chronic pain and has been validated for its reliability and validity across various cultural contexts. However, a culturally adapted version tailored to Chinese patients is currently lacking. This study aims to translate and culturally adapt PainDETECT for Chinese patients and evaluate its validity in TKA patients in China. Methods This study followed international guidelines to translate and adapt the PainDETECT Questionnaire (PDQ) into Chinese (PDQ-CV). A cohort of 241 knee osteoarthritis (KOA) patients completed the PDQ-CV, Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), EuroQol-5 Dimensions-5 Levels (EQ-5D-5 L), and Central Sensitization Inventory Chinese Version (CSI-CV). We assessed internal consistency using Cronbach’s alpha and test-retest reliability via intraclass correlation coefficient (ICC). Construct and structural validity were evaluated through Pearson correlations and factor analyses. Results The PDQ-CV demonstrated good acceptability among KOA patients, with no floor or ceiling effects observed. Internal consistency was high (Cronbach’s α = 0.896), and test-retest reliability was excellent (ICC = 0.994; 95% CI: 0.943–1.045). The PDQ-CV total score showed significant positive correlations with WOMAC (r = 0.589, P < 0.01), EQ-5D-5 L (r = 0.533, P < 0.01), and CSI-CV (r = 0.776, P < 0.01). Exploratory factor analysis (EFA) extracted two primary factors, corresponding to the sensory dimension (52.1% variance) and the affective dimension (16.3% variance), explaining a total variance of 68.4%. Conclusion The PDQ-CV demonstrated good feasibility, reliability, and validity in Chinese KOA patients, supporting its use in clinical practice and providing a foundation for future research.https://doi.org/10.1186/s13018-025-05510-yKnee osteoarthritisPainDETECT questionnairePain assessmentCross-cultural adaptationPsychometricsTotal knee arthroplasty |
| spellingShingle | Xiaofeng Chang Shuxin Yao Jie Wei Lei Shang Chao Xu Jianbing Ma The validation and cross-cultural adaptation of the PainDETECT questionnaire in osteoarthritis-related pain Journal of Orthopaedic Surgery and Research Knee osteoarthritis PainDETECT questionnaire Pain assessment Cross-cultural adaptation Psychometrics Total knee arthroplasty |
| title | The validation and cross-cultural adaptation of the PainDETECT questionnaire in osteoarthritis-related pain |
| title_full | The validation and cross-cultural adaptation of the PainDETECT questionnaire in osteoarthritis-related pain |
| title_fullStr | The validation and cross-cultural adaptation of the PainDETECT questionnaire in osteoarthritis-related pain |
| title_full_unstemmed | The validation and cross-cultural adaptation of the PainDETECT questionnaire in osteoarthritis-related pain |
| title_short | The validation and cross-cultural adaptation of the PainDETECT questionnaire in osteoarthritis-related pain |
| title_sort | validation and cross cultural adaptation of the paindetect questionnaire in osteoarthritis related pain |
| topic | Knee osteoarthritis PainDETECT questionnaire Pain assessment Cross-cultural adaptation Psychometrics Total knee arthroplasty |
| url | https://doi.org/10.1186/s13018-025-05510-y |
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