Evidence map›Paper›PMID 20067548›Full record

ArticleNeurogastroenterology and motility2010

Investigation of esophageal sensation and biomechanical properties in functional chest pain.

I Nasr, A Attaluri, S Hashmi, H Gregersen, S S C Rao

Open access · greenAbstract read
In one paragraph

Article in Neurogastroenterology and motility, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
5.7field-weighted citation impact, top 4% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 55 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Review
  6. Review
  7. Diagnosis and Management of Functional Chest Pain in the Rome IV Era.Journal of neurogastroenterology and motility · 2019
    Review
  8. Review
  9. Can Acute Stress Cause Esophageal Hypersensitivity in Healthy Individuals?Journal of neurogastroenterology and motility · 2017
    Article
  10. Article
  11. How to Diagnose and Treat Functional Chest Pain.Current treatment options in gastroenterology · 2016
    Review
  12. Review
  13. Feasibility and acceptability of esophageal-directed hypnotherapy for functional heartburn.Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus · 2016
    Article
  14. Mechanisms of the adenosine A2A receptor-induced sensitization of esophageal C fibers.American journal of physiology. Gastrointestinal and liver physiology · 2016
    Article
  15. Hypnotherapy for Esophageal Disorders.The American journal of clinical hypnosis · 2015
    Article
  16. Article
  17. Article
  18. Advances in motility testing--current and novel approaches.Nature reviews. Gastroenterology & hepatology · 2013
    Review
  19. Article
  20. Noncardiac chest pain: epidemiology, natural course and pathogenesis.Journal of neurogastroenterology and motility · 2011
    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

5 authors at 2 institutions in 2 countries.

I NasrDepartment of Internal Medicine, University of Iowa Carver College of medicine, Iowa City, IA, USA.
A Attaluri
S Hashmi
H Gregersen
S S C Rao
University of Iowa · USAalborg University Hospital · DK

Funding

Novel Treatment Strategies for Constipation and Role of Brain-Gut axisR01DK057100 · NIDDK · UNIVERSITY OF IOWA · PI RAO, SATISH SC · 2000 to 2011
$2.7M
NIDDK NIH HHS R01 DK057100
6 · The paper itself

Abstract

backgroundThere is limited and conflicting data regarding the role of esophageal hypersensitivity in the pathogenesis of functional chest pain (FCP). We examined esophageal sensori-motor properties, mechanics, and symptoms in subjects with FCP.

methodsEsophageal balloon distension test was performed using impedance planimetry in 189 (m/f = 57/132) consecutive subjects with non-cardiac, non-reflux chest pain, and 36 (m/f = 16/20) healthy controls. The biomechanical and sensory properties of subjects with and without esophageal hypersensitivity were compared with controls. The frequency, intensity, and duration of chest pain were assessed. KEY

resultsOne hundred and forty-three (75%) subjects had esophageal hypersensitivity and 46 (25%) had normal sensitivity. Typical chest pain was reproduced in 105/143 (74%) subjects. Subjects with hypersensitivity demonstrated larger cross-sectional area (P < 0.001), decreased esophageal wall strain (P < 0.001) and distensibility (P < 0.001), and lower thresholds for perception (P < 0.01), discomfort (P < 0.01), and pain (P < 0.01) compared to those without hypersensitivity or healthy controls. Chest pain scores (mean +/- SD) for frequency, intensity and duration were 2.5 +/- 0.3, 2.2 +/- 0.2, and 2.2 +/- 0.2, respectively, and were similar between the two patient groups. CONCLUSIONS & INFERENCES: Seventy-five per cent of subjects with FCP demonstrate esophageal hypersensitivity. Visceral hyperalgesia and sensori-motor dysfunction of the esophagus play a key role in the pathogenesis of chest pain.

Indexed as

Sensory ThresholdsAdultAgedAnalysis of VarianceBiomechanical PhenomenaCatheterizationChest PainElectric ImpedanceEsophageal DiseasesEsophagusFemaleHumansHypersensitivityMaleManometryMiddle Aged

Identifiers

PMID20067548
PMCPMC2949059
OpenAlexW2023292670

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.