Patient Subgroups and Predictors of Improvement in Chronic Neuropathic Pain: A Trajectory‐Based Analysis

This study highlights the value of trajectory analysis in identifying subgroups of patients with chronic neuropathic pain (NP) who exhibit different patterns of treatment response. Only a minority of patients-approximately 23% for both pain intensity and pain interference-demonstrated meaningful improvement. Lower baseline pain intensity and interference emerged as key predictors of better outcomes, while strong opioid use was associated with persistent severe pain. These findings underscore the importance of trajectory-based approaches for understanding the course of NP and for guiding more personalised and effective management in multidisciplinary care settings.

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Publication Details

Journal
European Journal of Pain
Published
2025-09-24
DOI
https://doi.org/10.1002/ejp.70137
Citations
2
Primary Topic
Musculoskeletal pain and rehabilitation
Type
article
Field-Weighted Citation Impact
2.79
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article

Patient Subgroups and Predictors of Improvement in Chronic Neuropathic Pain: A Trajectory‐Based Analysis

Bruno Pereira, M. Gabrielle Pagé, Manon Choinière, Xavier Moisset
2 citations
European Journal of Pain
Musculoskeletal pain and rehabilitation
2.79
article

Patient Subgroups and Predictors of Improvement in Chronic Neuropathic Pain: A Trajectory‐Based Analysis

Bruno Pereira, M. Gabrielle Pagé, Manon Choinière, Xavier Moisset
article en
2 citations

Abstract

This study highlights the value of trajectory analysis in identifying subgroups of patients with chronic neuropathic pain (NP) who exhibit different patterns of treatment response. Only a minority of patients-approximately 23% for both pain intensity and pain interference-demonstrated meaningful improvement. Lower baseline pain intensity and interference emerged as key predictors of better outcomes, while strong opioid use was associated with persistent severe pain. These findings underscore the importance of trajectory-based approaches for understanding the course of NP and for guiding more personalised and effective management in multidisciplinary care settings.

European Journal of PainVol. 29(10)
Inserm (FR), University of Clermont Auvergne (FR), Centre Hospitalier Universitaire de Clermont-Ferrand (FR), Centre Hospitalier de l’Université de Montréal (CA), Clermont Université (FR), Université de Montréal (CA)
Openalex Percentile: Top 9%
Musculoskeletal pain and rehabilitation
2.79
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