Evidence map›Paper›PMID 10957931›Full record

ReviewCurrent gastroenterology reports2000

Recent developments in chest pain of undetermined origin.

S R Achem, K R DeVault

Registry-linked trialAbstract readReview
PubMed Publisher
In one paragraph

Review in Current gastroenterology reports, 2000. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00462241 (Non-cardiac Chest Pain Evaluation and Treatment Study), which is not on this map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00462241 nacompletednot on this mapstarted 2006, after this paper: background citation

Non-cardiac Chest Pain Evaluation and Treatment Study (CARPA) - Part 2: Treatment Study

TypeinterventionalSponsorClinical Locomotion ScienceRan2006 to 2008Enrolled115ConditionsMusculoskeletal Chest Pain, Non-cardiac Chest Pain, Undiagnosed Chest PainArmschiropractic treatment, Self-management
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Review
  6. Article
  7. Clinical distinct features of noncardiac chest pain in young patients.Journal of neurogastroenterology and motility · 2010
    Article
  8. Article
  9. Management of esophageal chest pain.Gastroenterology & hepatology · 2007
    Article
  10. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors at 2 institutions in 1 country.

S R AchemMayo School of Medicine, Mayo Clinic Jacksonville, FL 32224, USA. achem.sami@mayo.edu
K R DeVault
Jacksonville College · USMayo Clinic in Florida · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The syndrome of angina-like pain with normal epicardial coronary vessels is a very common and expensive clinical problem. Patients suffering from this condition frequently present a diagnostic challenge. Cardiac and musculoskeletal disorders must be excluded prior to identifying the esophagus as the source of pain. The term "chest pain of undetermined origin" (UCP) has been proposed to refer to this condition. Esophageal dysmotility was previously considered a major source for chest pain; however, recent studies indicate that esophageal reflux is the most common cause of esophageal pain. Two controlled trials of acid suppressive agents in patients with chest pain have shown that omeprazole provides effective pain relief for the majority of these individuals. Visceral hyperalgesia and psychologic disturbances are also commonly noted in patients with UCP. Much remains to be learned about the etiology of visceral hyperalgesia and the precise role of psychologic abnormalities in these patients. Until further information is available, treatment with imipramine or trazodone has been shown to offer effective relief of chest pain for subgroups of patients with UCP. Psychologic intervention is also valuable in the management of some patients. Studies of other therapeutic regimens continue to be conducted.

Indexed as

Angina PectorisAnti-Ulcer AgentsChest PainDiagnosis, DifferentialEsophageal DiseasesHumansMusculoskeletal DiseasesNociceptorsOmeprazoleAnti-Ulcer AgentsOmeprazole

Identifiers

PMID10957931
OpenAlexW2022287715

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.