Observational studyArchives of physical medicine and rehabilitation2015
Pain Sensitivity and Pain Catastrophizing Are Associated With Persistent Pain and Disability After Lumbar Spine Surgery.
Observational study in Archives of physical medicine and rehabilitation, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05461092 (Regional Nerve Blocks to Improve Analgesia and Recovery in Older Adults Undergoing Spinal Fusion), which is not on this map. Cited by 43 papers, 3 of them syntheses that pooled 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.
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.
Regional Nerve Blocks to Improve Analgesia and Recovery in Older Adults Undergoing Spinal Fusion
Who cites it
43 citing papers in PubMed, 3 syntheses or guidelines pooled it, 90 citations in OpenAlex.
- Effectiveness of preoperative cognitive behavioral therapy for patients undergoing lumbar spine fusion surgery: A systematic review focusing on patient-reported outcomes.Neurosurgical review · 2026Pooled it
- Pooled it
- Are Psychosocial Factors Associated With Patient-reported Outcome Measures in Patients With Rotator Cuff Tears? A Systematic Review.Clinical orthopaedics and related research · 2018Pooled it
- Effects of Positive Psychotherapy-Based Education on Pain, Psychological Resilience, and Mental Well-Being After Lumbar Canal Stenosis Surgery: A Randomized Controlled Trial.Brain and behavior · 2025Trial
- Fear of movement was associated with sedentary behaviour 12 months after lumbar fusion surgery in patients with low back pain and degenerative disc disorder.BMC musculoskeletal disorders · 2023Trial
- Psychosocial Mechanisms of Cognitive-Behavioral-Based Physical Therapy Outcomes After Spine Surgery: Preliminary Findings From Mediation Analyses.Physical therapy · 2020Trial
- "My Surgical Success": Effect of a Digital Behavioral Pain Medicine Intervention on Time to Opioid Cessation After Breast Cancer Surgery-A Pilot Randomized Controlled Clinical Trial.Pain medicine (Malden, Mass.) · 2019Trial
- Preemptive analgesia after lumbar spine surgery by pregabalin and celecoxib: a prospective study.Drug design, development and therapy · 2019Trial
- Psychologic readiness for adult spinal deformity surgery: practical screening and optimization pathways.Spine deformity · 2026Review
- Pain Catastrophizing in Orthopedic Surgery: A Bibliometric Analysis of Global Research Trends, Collaborative Networks, and Clinical Implications (2001-2026).Orthopedic reviews · 2026Article
- Parental upheaval experienced in childhood and its effect on pain-related cognitions across the lifespan: an exploratory investigation.Frontiers in pain research (Lausanne, Switzerland) · 2026Article
- Therapeutic effects of PDGF-AB/BB against cellular senescence in human intervertebral disc.eLife · 2025Article
- The Effect of Combining Transcranial Direct Current Stimulation and Pain Neuroscience Education in Patients With Chronic Low Back Pain and High Pain Catastrophizing: An Exploratory Clinical, Cognitive, and fMRI Study.Brain and behavior · 2025Article
- Impact of Undergoing Thoracolumbar Surgery on Patient Psychosocial Profiles.Global spine journal · 2025Article
- Article
- The relationship of pain catastrophizing with postoperative patient-reported outcome measures in adults with pre-arthritic hip disease.Journal of hip preservation surgery · 2024Article
- Predicting Postoperative Pain and Opioid Use with Machine Learning Applied to Longitudinal Electronic Health Record and Wearable Data.Applied clinical informatics · 2024Article
- Peri-operative mental health and pain after surgery: cause, consequence or coincidence?Anaesthesia · 2024Article
- A Mixed Methods Approach to Explore the Experience of Pain and Its Management in People with Parkinson's Disease.Parkinson's disease · 2024Article
- Preoperative risk factors for nonsatisfaction after lumbar interbody fusion.Brain & spine · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 3 institutions in 1 country.
Funding
Abstract
objectiveTo examine whether pain sensitivity and pain catastrophizing are associated with persistent pain and disability after lumbar spine surgery.
designProspective observational cohort study.
settingAcademic medical center.
participantsPatients (N=68; mean age, 57.9±13.1y; 40 women [58.8%]) undergoing spine surgery for a degenerative condition from March 1, 2012 to April 30, 2013 were assessed 6 weeks, 3 months, and 6 months after surgery.
interventionsNot applicable.
main outcome measuresThe main outcome measures were persistent back pain intensity, pain interference, and disability. Patients with persistent back pain intensity, pain interference, or disability were identified as those patients reporting Brief Pain Inventory scores ≥4 and Oswestry Disability Index scores ≥21 at all postoperative time points.
resultsFrom 6 weeks to 6 months after surgery, approximately 12.9%, 24.2%, and 46.8% of patients reported persistent back pain intensity, pain interference, or disability, respectively. Increased pain sensitivity at 6 weeks was associated with having persistent back pain intensity (odds ratio [OR], 2.0; 95% confidence interval [CI], 1.0-4.1) after surgery. Increased pain catastrophizing at 6 weeks was associated with having persistent back pain intensity (OR, 1.1; 95% CI, 1.0-1.2), pain interference (OR, 1.1; 95% CI, 1.0-1.2), and disability (OR, 1.3; 95% CI, 1.1-1.4). An interaction effect was not found between pain sensitivity and pain catastrophizing on persistent outcomes (P>.05).
conclusionsThe findings suggest the importance of early postoperative screening for pain sensitivity and pain catastrophizing to identify patients at risk for poor postoperative pain intensity, pain interference, and/or disability outcomes. Future research should consider the benefit of targeted therapeutic strategies for patients with these postoperative prognostic factors.
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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.