Evidence map›Paper›PMID 22906061›Full record

Trial reportBMC musculoskeletal disorders2012

A phase III randomized three-arm trial of physical therapist delivered pain coping skills training for patients with total knee arthroplasty: the KASTPain protocol.

Daniel L Riddle, Francis J Keefe, Dennis Ang, Khaled J, Levent Dumenci, Mark P Jensen, Matthew J Bair, Shelby D Reed, Kurt Kroenke

Registry-linked trialAbstract readClinical Trial, Phase IIIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in BMC musculoskeletal disorders, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01620983 (Knee Arthroplasty Pain Coping Skills Training), which is not on this map. Cited by 27 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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.

NCT01620983 nacompletednot on this map

Knee Arthroplasty Pain Coping Skills Training (KASTPain): A Randomized Trial

TypeinterventionalSponsorVirginia Commonwealth UniversityRan2012 to 2018Enrolled402ConditionsKnee OsteoarthritisArmsPain Coping Skills Training, Arthritis Education, Usual Care
3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Preoperative education for hip or knee replacement.The Cochrane database of systematic reviews · 2014
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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.

Daniel L RiddleDepartments of Physical Therapy and Orthopaedic Surgery, Virginia Commonwealth University, Richmond, VA, USA. dlriddle@vcu.edu
Francis J Keefe
Dennis Ang
Khaled J
Levent Dumenci
Mark P Jensen
Matthew J Bair
Shelby D Reed
Kurt Kroenke

Funding

Knee Arthroplasity Pain Coping Training (KAST Pain): A Randomized TrialUM1AR062800 · NIAMS · VIRGINIA COMMONWEALTH UNIVERSITY · PI RIDDLE, DANIEL L · 2012 to 2016
$5.2M
NIAMS NIH HHS 1UM1AR062800
6 · The paper itself

Abstract

backgroundApproximately 20% of patients report persistent and disabling pain following total knee arthroplasty (TKA) despite an apparently normally functioning prosthesis. One potential risk factor for unexplained persistent pain is high levels of pain catastrophizing. We designed a three-arm trial to determine if a pain coping skills training program, delivered prior to TKA, effectively reduces function-limiting pain following the procedure in patients with high levels of pain catastrophizing. METHODS/

designThe trial will be conducted at four University-based sites in the US. A sample of 402 patients with high levels of pain catastrophizing will be randomly assigned to either a pain coping skills training arm, an arthritis education control arm or usual care. Pain coping skills will be delivered by physical therapists trained and supervised by clinical psychologist experts. Arthritis education will be delivered by nurses trained in the delivery of arthritis-related content. The primary outcome will be change in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Pain scale score 12 months following surgery. A variety of secondary clinical and economic outcomes also will be evaluated. DISCUSSION: The trial will be conducted at four University-based sites in the US. A sample of 402 patients with high levels of pain catastrophizing will be randomly assigned to either a pain coping skills training arm, an arthritis education control arm or usual care. Pain coping skills will be delivered by physical therapists trained and supervised by clinical psychologist experts. Arthritis education will be delivered by nurses trained in the delivery of arthritis-related content. The primary outcome will be change in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Pain scale score 12 months following surgery. A variety of secondary clinical and economic outcomes also will be evaluated.

Indexed as

Adaptation, PsychologicalPainPhysical Therapy ModalitiesArthroplasty, Replacement, KneeHumansPain ManagementPain MeasurementTreatment Outcome

Identifiers

PMID22906061
PMCPMC3517370

What OpenQuestion holds

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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.