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Table 1 Summary of evaluation for a patient

From: Prevention of post-mastectomy neuropathic pain with memantine: study protocol for a randomized controlled trial

Visit

Screening/informed consent

Surgery (mastectomy)

Hospital stay

Follow-up

Follow-up

Follow-up

Day of visit

D0-15

D0

D0 to D0 + 15

D0 + 15

D0 + 3 months

D0 + 6 months

Filling of questionnaires

1- Pain

 

Numerical Scale

+

-

+

+

+

+

DN4

+

-

-

+

+

+

NPSI

-

-

-

+

+

+

BPI

-

-

-

-

+

+

McGill pain questionnaire

-

-

-

-

+

+

2- Cognition

 

Trail Making Test

+

-

-

+

+

+

Digit Symbol Substitution Test

+

-

-

+

+

+

3- Quality of life

 

SF-36

+

-

-

+

+

+

4- Sleep

 

Leeds questionnaire

+

-

-

+

+

+

5- Anxiety/Depression

 

HAD scale

+

-

-

-

+

+

6- Concomitant medication recording

 

Treatments (analgesics, antidepressants, etc.)

+

+

+

+

+

+

  1. +, Questionnaire performed; -, questionnaire not carried out; BPI, Brief Pain Inventory; DN4, Neuropathic Pain in 4 questions; HAD scale, Hospital Anxiety and Depression Scale; NPSI, Neuropathic Pain Symptom Inventory; SF-36, Short-Form-36.