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Pain Research and Management
Volume 2019, Article ID 2091960, 9 pages
https://doi.org/10.1155/2019/2091960
Review Article

Quality of Life in Painful Peripheral Neuropathies: A Systematic Review

1The Medical School, University of Sheffield, Sheffield, UK
2Paolo Procacci Foundation, Via Tacito 7, Roma, Italy
3Department of MESVA, University of L’Aquila, L’Aquila, Italy
4Athens Medical Centre, Athens, Greece
5Medical School, University of Cyprus, Nicosia, Cyprus
6Academic Department of Neurosciences, Sheffield Teaching Hospitals NHS Trust, Sheffield, UK

Correspondence should be addressed to Panagiotis Zis; moc.liamg@sizsikat

Received 30 January 2019; Revised 18 April 2019; Accepted 28 April 2019; Published 23 May 2019

Academic Editor: Marina De Tommaso

Copyright © 2019 Ayesha Girach et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Objective. Neuropathic pain is a common presenting complaint of patients with peripheral neuropathy (PN) and is considered one of the most disabling neuropathic symptoms, with detrimental effects on patients’ quality of life (QoL). The aim of this review was to overview the current literature that focuses on QoL in painful PN of various aetiologies. We sought to clarify the direct effect of pain and its treatment on patients’ QoL. Methodology. A systematic computer-based literature search was conducted using the PubMed database to search for papers on QoL in painful PN. Information was extracted regarding prevalence, demographics, and response to treatment where relevant. Results. We identified 66 articles eligible for inclusion. The vast majority of studies () focused on patients with diabetic PN. Other aetiologies of painful PN where QoL has been studied to date include gluten, immune-mediated, HIV, chemotherapy-induced, and chronic idiopathic axonal polyneuropathy. Pharmacological treatment is the mainstay in managing pain and has a direct positive and independent effect on the overall QoL. Other nonpharmacological approaches can also be of benefit, either alone or as adjuvant treatments, and are discussed. Conclusion. The findings demonstrate that QoL is impaired in painful PN and should not be neglected in clinical practice. Patients’ pain management and subsequent impact on QoL should routinely be assessed and monitored.