Evidence map›Paper›PMID 24376568›Full record

Trial reportPloS one2013

Altered cortical responsiveness to pain stimuli after high frequency electrical stimulation of the skin in patients with persistent pain after inguinal hernia repair.

Emanuel N van den Broeke, Lonneke Koeslag, Laura J Arendsen, Simon W Nienhuijs, Camiel Rosman, Clementina M van Rijn, Oliver H G Wilder-Smith, Harry van Goor

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 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.

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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. 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

8 authors.

Emanuel N van den BroekeDepartment of Anesthesiology, Pain & Palliative Medicine, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands.
Lonneke KoeslagDepartment of Surgery, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands.
Laura J ArendsenDepartment of Anesthesiology, Pain & Palliative Medicine, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands.
Simon W NienhuijsDepartment of Surgery, Catherina Hospital, Eindhoven, The Netherlands.
Camiel RosmanDepartment of Surgery, Canisius-Wilhelmina Hospital, Nijmegen, The Netherlands.
Clementina M van RijnDonders Institute for Brain, Cognition and Behavior, Radboud University Nijmegen, Nijmegen, The Netherlands.
Oliver H G Wilder-SmithDepartment of Anesthesiology, Pain & Palliative Medicine, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands.
Harry van GoorDepartment of Surgery, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHigh Frequency electrical Stimulation (HFS) of the skin induces enhanced brain responsiveness expressed as enhanced Event-Related Potential (ERP) N1 amplitude to stimuli applied to the surrounding unconditioned skin in healthy volunteers. The aim of the present study was to investigate whether this enhanced ERP N1 amplitude could be a potential marker for altered cortical sensory processing in patients with persistent pain after surgery. MATERIALS AND

methodsNineteen male patients; 9 with and 10 without persistent pain after inguinal hernia repair received HFS. Before, directly after and thirty minutes after HFS evoked potentials and the subjective pain intensity were measured in response to electric pain stimuli applied to the surrounding unconditioned skin.

resultsThe results show that, thirty minutes after HFS, the ERP N1 amplitude observed at the conditioned arm was statistically significantly larger than the amplitude at the control arm across all patients. No statistically significant differences were observed regarding ERP N1 amplitude between patients with and without persistent pain. However, thirty minutes after HFS we did observe statistically significant differences of P2 amplitude at the conditioned arm between the two groups. The P2 amplitude decreased in comparison to baseline in the group of patients with pain.

conclusionThe ERP N1 effect, induced after HFS, was not different between patients with vs. without persistent pain. The decreasing P2 amplitude was not observed in the patients without pain and also not in the previous healthy volunteer study and thus might be a marker for altered cortical sensory processing in patients with persistent pain after surgery.

Indexed as

Wound HealingAdultAgedBehaviorCerebral CortexConditioning, PsychologicalDemographyElectric StimulationEvoked PotentialsHernia, InguinalHumansMaleMiddle AgedPain MeasurementPain ThresholdPhysical Stimulation

Identifiers

PMID24376568
PMCPMC3871559

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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.