Evidence map›Paper›PMID 21876748›Full record

ArticlePloS one2011

Neurodegenerative properties of chronic pain: cognitive decline in patients with chronic pancreatitis.

Marijtje L A Jongsma, Simone A E Postma, Pierre Souren, Martijn Arns, Evian Gordon, Kris Vissers, Oliver Wilder-Smith, Clementina M van Rijn, Harry van Goor

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2011. 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
4.7field-weighted citation impact, top 6% 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, 62 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Pain-specific modulation of hippocampal activity and functional connectivity during visual encoding.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2013
    Trial
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Medical Management of Pain in Chronic Pancreatitis.Digestive diseases and sciences · 2017
    Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Psychological processing in chronic pain: a neural systems approach.Neuroscience and biobehavioral reviews · 2014
    Review
  20. Pain is associated with prospective memory dysfunction in multiple sclerosis.Journal of clinical and experimental neuropsychology · 2014
    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

9 authors at 3 institutions in 1 country.

Marijtje L A JongsmaDonders Centre for Cognition, Donders Institute for Brain, Cognition and Behaviour, Radboud University Nijmegen, Nijmegen, The Netherlands.
Simone A E Postma
Pierre Souren
Martijn Arns
Evian Gordon
Kris Vissers
Oliver Wilder-Smith
Clementina M van Rijn
Harry van Goor
Radboud University Nijmegen · NLRadboud University Medical Center · NLBrainclinics · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chronic pain has been associated with impaired cognitive function. We examined cognitive performance in patients with severe chronic pancreatitis pain. We explored the following factors for their contribution to observed cognitive deficits: pain duration, comorbidity (depression, sleep disturbance), use of opioids, and premorbid alcohol abuse. The cognitive profiles of 16 patients with severe pain due to chronic pancreatitis were determined using an extensive neuropsychological test battery. Data from three cognitive domains (psychomotor performance, memory, executive functions) were compared to data from healthy controls matched for age, gender and education. Multivariate multilevel analysis of the data showed decreased test scores in patients with chronic pancreatitis pain in different cognitive domains. Psychomotor performance and executive functions showed the most prominent decline. Interestingly, pain duration appeared to be the strongest predictor for observed cognitive decline. Depressive symptoms, sleep disturbance, opioid use and history of alcohol abuse provided additional explanations for the observed cognitive decline in some of the tests, but to a lesser extent than pain duration. The negative effect of pain duration on cognitive performance is compatible with the theory of neurodegenerative properties of chronic pain. Therefore, early and effective therapeutic interventions might reduce or prevent decline in cognitive performance, thereby improving outcomes and quality of life in these patients.

Indexed as

Chronic PainCognition DisordersDemographyExecutive FunctionFemaleHumansMaleMemoryMiddle AgedMultivariate AnalysisNerve DegenerationNeuropsychological TestsPancreatitis, ChronicPsychomotor Performance

Identifiers

PMID21876748
PMCPMC3158076
OpenAlexW1967552594

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.