Evidence map›Paper›PMID 24343286›Full record

ArticleAnesthesiology2013

Pain in 1,000 women treated for breast cancer: a prospective study of pain sensitivity and postoperative pain.

Mari A Kaunisto, Ritva Jokela, Minna Tallgren, Oleg Kambur, Emmi Tikkanen, Tiina Tasmuth, Reetta Sipilä, Aarno Palotie, Ann-Mari Estlander, Marjut Leidenius and 2 more

Registry-linked trialOpen access · bronzeAbstract read
PubMed Publisher
In one paragraph

Article in Anesthesiology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02487524 (Biomarkers of Neuropathic Pain in Women Treated for Breast Cancer), which is not on this map. Cited by 45 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 2 pooled it
7.3field-weighted citation impact, top 3% 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.

NCT02487524 nacompletednot on this mapstarted 2014, after this paper: background citation

Biomarkers of Neuropathic Pain in Women Treated for Breast Cancer

TypeinterventionalSponsorHelsinki University Central HospitalRan2014 to 2016Enrolled402ConditionsNeuropathic Pain, Breast CancerArmsCold water test, Autonomic nervous system monitoring, QST
3 · Its place in the literature

Who cites it

45 citing papers in PubMed, 2 syntheses or guidelines pooled it, 113 citations in OpenAlex.

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  7. A scoping review of pain and tobacco use among cancer survivors.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2025
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 3 institutions in 2 countries.

Mari A Kaunisto* Senior Researcher, Institute for Molecular Medicine Finland, University of Helsinki, Helsinki, Finland; and Folkhälsan Institute of Genetics, Folkhälsan Research Center. † Associate Professor, ‡ Student, ** Clinical Psychologist, Department of Anaesthesia and Intensive Care Medicine, ‖ Consultant in Oncology, Department of Oncology, †† Associate Professor, Department of Surgery, Helsinki University Central Hospital, Helsinki, Finland. § Student, ‡‡ Professor, Institute for Molecular Medicine Finland, University of Helsinki. # Professor, Institute for Molecular Medicine Finland, University of Helsinki; and Department of Human Genetics, Wellcome Trust Sanger Institute, Wellcome Trust Genome Campus, Hinxton, Cambridge, United Kingdom. §§ Professor, Department of Anaesthesia, Intensive Care Medicine, Emergency Medicine and Pain Medicine, Helsinki University Central Hospital, Helsinki; and Institute of Clinical Medicine, University of Helsinki.
Ritva Jokela
Minna Tallgren
Oleg Kambur
Emmi Tikkanen
Tiina Tasmuth
Reetta Sipilä
Aarno Palotie
Ann-Mari Estlander
Marjut Leidenius
Samuli Ripatti
Eija A Kalso
University Health Care System · USMarymount University · USIntensive Care Foundation · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis article describes the methods and results of the early part (experimental pain tests and postoperative analgesia) of a study that assesses genetic and other factors related to acute pain and persistent pain after treatment of breast cancer in a prospective cohort of 1,000 women.

methodsOne thousand consenting patients were recruited to the study. Before surgery (breast resection or mastectomy with axillary surgery), the patients filled in questionnaires about health, life style, depression (Beck Depression Inventory), and anxiety (State-Trait Anxiety Inventory). They were also exposed to experimental tests measuring heat (43° and 48°C, 5 s) and cold (2-4°C) pain intensity and tolerance. Anesthesia was standardized with propofol and remifentanil, and postoperative analgesia was optimized with i.v. oxycodone.

resultsThe patients showed significant interindividual variation in heat and cold pain sensitivity and cold pain tolerance. There was a strong correlation between the experimental pain measures across the tests. Presence of chronic pain, the number of previous operations, and particularly state anxiety were related to increased pain sensitivity. Previous smoking correlated with decreased heat pain sensitivity. These factors explained 4-5% of the total variance in pain sensitivity in these tests. Oxycodone consumption during 20 h was significantly higher in patients who had axillary clearance. Oxycodone consumption had only a weak correlation with the experimental pain measures.

conclusionsContact heat and cold pressure tests identify variability in pain sensitivity which is modified by factors such as anxiety, chronic pain, previous surgery, and smoking. High levels of anxiety are connected to increased pain sensitivity in experimental and acute postoperative pain.

Indexed as

AdultAgedAnalgesics, OpioidAnesthesiaBreast NeoplasmsCohort StudiesCold TemperatureFemaleFollow-Up StudiesHot TemperatureHumansMastectomyMiddle AgedOxycodonePainPain MeasurementAnalgesics, OpioidOxycodone

Identifiers

PMID24343286
OpenAlexW2013079369

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.