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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.