Neuropathic pain in Mali: The current situation, comprehensive hypothesis, which therapeutic strategy for Africa?

Africa Chronic pain DN4 questionnaire Integrative medicine Mali Neuropathic pain Pain management

Journal

eNeurologicalSci
ISSN: 2405-6502
Titre abrégé: eNeurologicalSci
Pays: Netherlands
ID NLM: 101667077

Informations de publication

Date de publication:
Mar 2021
Historique:
received: 02 03 2020
revised: 23 12 2020
accepted: 31 12 2020
entrez: 4 2 2021
pubmed: 5 2 2021
medline: 5 2 2021
Statut: epublish

Résumé

According to the taxonomy of the International Association for the Study of Pain (IASP 2011), neuropathic pain (NeuP) is defined as " This was a retrospective and cross-sectional study, carried out in two phases: (1) compilation of the files of patients according to the ICD-11, over a period of 24 months (2) a second prospective phase regarding the Knowledge, Attitudes, and Practices (KAP) of general practitioners and neurologists in regard to NeuP. The focus of the first phase of the study was the files of the patients who had undergone a consultation at the Gabriel Touré UHC. The second phase of the study focused on the general practitioners (Community Health Centers (comHC) of Bamako) and neurologists (Malian or not). Over the period of the study, 7840 patients were seen in consultation in the Department of Neurology, of whom 903 for NeuP, thus amounting to a NeuP frequency of 11.5%. Women accounted for 58.9% (532/903), with a sex ratio of 1.4. Using a comparative normal law, the difference in frequency was statistically significant between males and females ( This work confirms that NeuP is encountered frequently in current practice, and its optimal management will involve specific training of carers and improvement of access to the medications recommended in this indication. In light of this issue, we revisit the debate regarding the concept of essential medications and the relevance of taking into account effective medications for the treatment of NeuP.

Identifiants

pubmed: 33537467
doi: 10.1016/j.ensci.2021.100312
pii: S2405-6502(21)00004-6
pmc: PMC7841313
doi:

Types de publication

Journal Article Review

Langues

eng

Pagination

100312

Informations de copyright

© 2021 The Author(s).

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Auteurs

Youssoufa Maiga (Y)

Department of Neurology, Gabriel Touré Teaching Hospital, Bamako, Mali.
Faculty of Medicine, University of Technical Sciences and Technologies, Bamako, Mali.
Laboratoire de Thérapeutique (EA3826), Faculté de Médecine de Nantes, Nantes, France.

Oumar Sangho (O)

Faculty of Medicine, University of Technical Sciences and Technologies, Bamako, Mali.

Fatoumata Konipo (F)

Faculty of Medicine, University of Technical Sciences and Technologies, Bamako, Mali.

Seybou Diallo (S)

Department of Neurology, Gabriel Touré Teaching Hospital, Bamako, Mali.
Faculty of Medicine, University of Technical Sciences and Technologies, Bamako, Mali.

Souleymane Dit Papa Coulibaly (SDP)

Faculty of Medicine, University of Technical Sciences and Technologies, Bamako, Mali.

Modibo Sangare (M)

Faculty of Medicine, University of Technical Sciences and Technologies, Bamako, Mali.

Yann Péréon (Y)

Laboratoire d'Explorations Fonctionnelles, Centre de Référence Maladies Neuromusculaires Atlantique-Occitanie-Caraïbes, Hôtel-Dieu, CHU de Nantes, France.

Bernard Giumelli (B)

Faculté de Chirurgie Dentaire, Université de Nantes, France.

Martin Sanou (M)

Faculté de Chirurgie Dentaire, Université de Nantes, France.

Awa Coulibaly (A)

Department of Neurology, Gabriel Touré Teaching Hospital, Bamako, Mali.

Salimata Diallo (S)

Department of Neurology, Gabriel Touré Teaching Hospital, Bamako, Mali.

Mariam Daou (M)

Department of Neurology, Gabriel Touré Teaching Hospital, Bamako, Mali.

Zoumana Traoré (Z)

Service de Neurologie, Hôpital du, Mali, Bamako.

Mohamed Albakaye (M)

Department of Neurology, Gabriel Touré Teaching Hospital, Bamako, Mali.

Hamar A Traoré (HA)

Faculty of Medicine, University of Technical Sciences and Technologies, Bamako, Mali.

Cheick Oumar Guinto (CO)

Faculty of Medicine, University of Technical Sciences and Technologies, Bamako, Mali.

Madani Ouologem (M)

Service de Neurologie, Hôpital du, Mali, Bamako.

Callixte Kuate-Tegueu (C)

Département de Médecine Interne et Spécialités, FMSB, Université de Yaoundé 1, Cameroon.

Didier Bouhassira (D)

INSERM E-332, Centre d'Evaluation et de Traitement de la Douleur, Ambroise Paré Hospital, 9, avenue Charles de Gaulle, 92 100 Boulogne-Billancourt, France.

Robert Cowan (R)

Department of Neurology, Stanford University, California, USA.

Julien Nizard (J)

Laboratoire de Thérapeutique (EA3826), Faculté de Médecine de Nantes, Nantes, France.
Centre Fédératif Douleur Soins Palliatifs et Support, Laboratoire de Thérapeutique, CHU Nantes, Nantes, France.

Classifications MeSH