Evidence map›Paper›PMID 26041510›Full record

Trial reportArthritis care & research2015

Sleep, Pain Catastrophizing, and Central Sensitization in Knee Osteoarthritis Patients With and Without Insomnia.

Claudia M Campbell, Luis F Buenaver, Patrick Finan, Sara C Bounds, Mary Redding, Lea McCauley, Mercedes Robinson, Robert R Edwards, Michael T Smith

Abstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Arthritis care & research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 106 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
106citing papers in PubMed, 4 pooled it
8.6field-weighted citation impact, top 2% 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

106 citing papers in PubMed, 4 syntheses or guidelines pooled it, 209 citations in OpenAlex.

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46 more citing papers are in PubMed but not listed here.

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 2 institutions in 1 country.

Claudia M CampbellJohns Hopkins University, Baltimore, Maryland.
Luis F BuenaverJohns Hopkins University, Baltimore, Maryland.
Patrick FinanJohns Hopkins University, Baltimore, Maryland.
Sara C BoundsJohns Hopkins University, Baltimore, Maryland.
Mary ReddingJohns Hopkins University, Baltimore, Maryland.
Lea McCauleyJohns Hopkins University, Baltimore, Maryland.
Mercedes RobinsonJohns Hopkins University, Baltimore, Maryland.
Robert R EdwardsBrigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts.
Michael T SmithJohns Hopkins University, Baltimore, Maryland.
Johns Hopkins University · USHarvard University · US

Funding

Institute for Clinical and Translational ResearchUL1TR001079 · NCATS · JOHNS HOPKINS UNIVERSITY · PI FORD, DANIEL ERNEST · 2013 to 2017
$60.1M
Brain Mechanisms Underlying CBT-Related Reductions in FibromyalgiaR01AR064367 · NIAMS · BRIGHAM AND WOMEN'S HOSPITAL · PI EDWARDS, ROBERT R, NAPADOW, VITALY · 2014 to 2018
$4.0M
Sleep Disturbance, Central Pain Modulation, and Clinical Pain in OsteoarthritisR01AR054871 · NIAMS · JOHNS HOPKINS UNIVERSITY · PI SMITH, MICHAEL T · 2007 to 2011
$3.1M
Effects of Insomnia on Pain & Function in Osteoarthritis:The Role of InflammationR01AR059410 · NIAMS · JOHNS HOPKINS UNIVERSITY · PI SMITH, MICHAEL T · 2010 to 2013
$1.3M
Predicting Post-Operative Pain and Analgesic Use: The Role of Endogenous OpioidsK23NS070933 · NINDS · JOHNS HOPKINS UNIVERSITY · PI CAMPBELL, CLAUDIA MICHELLE · 2010 to 2014
$880k
NCATS NIH HHS UL1 TR001079NIAMS NIH HHS AR-059410NIAMS NIH HHS R01-AR-05487NIAMS NIH HHS R01 AR054871NIAMS NIH HHS R01 AR059410NIAMS NIH HHS R01 AR064367NINDS NIH HHS K23 NS070933NINDS NIH HHS K23-NS-070933
6 · The paper itself

Abstract

objectiveOsteoarthritis (OA), a chronic degenerative joint disorder, is characterized by joint pain. Emerging research demonstrates that a significant number of patients evidence central sensitization (CS), a hyperexcitability in nociceptive pathways, which is known to amplify and maintain clinical pain. The clinical correlates of CS in OA, however, are poorly understood. Insomnia is prevalent in older adults with OA, and recent experiments suggest associations between poor sleep and measures of CS. Catastrophizing, a potent predictor of pain outcomes, has also been associated with CS, but few studies have investigated possible interactions between catastrophizing, sleep, and CS.

methodsWe conducted a case-control study of 4 well-characterized groups of adults with insomnia and/or knee OA. A total of 208 participants completed multimodal sleep assessments (questionnaire, diary, actigraphy, and polysomnography) and extensive evaluation of pain using clinical measures and quantitative sensory testing to evaluate associations between CS, catastrophizing, and insomnia. Descriptive characterization of each measure is presented, with specific focus on sleep efficiency and CS.

resultsThe knee OA-insomnia group demonstrated the greatest degree of CS compared to controls. In the overall sample, we found that catastrophizing moderated the relationship between sleep efficiency and CS. Specifically those with low sleep efficiency and high catastrophizing scores reported increased levels of CS. In addition, CS was significantly associated with increased clinical pain.

conclusionThese findings highlight the importance of assessing sleep efficiency, CS, and catastrophizing in chronic pain patients and have important clinical implications for treatment planning.

Indexed as

Pain ThresholdAgedCase-Control StudiesCatastrophizationCentral Nervous System SensitizationChronic PainFemaleHumansMaleMiddle AgedOsteoarthritis, KneePain MeasurementPolysomnographyReference ValuesSeverity of Illness IndexSleep Initiation and Maintenance Disorders

Identifiers

PMID26041510
PMCPMC4580506
OpenAlexW1652075269

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.