Evidence map›Paper›PMID 26119642›Full record

SynthesisPain medicine (Malden, Mass.)2015

Chronic Pain in HIV-Infected Patients: Relationship to Depression, Substance Use, and Mental Health and Pain Treatment.

Lisa A Uebelacker, Risa B Weisberg, Debra S Herman, Genie L Bailey, Megan M Pinkston-Camp, Michael D Stein

Open access · bronzeAbstract readMeta-Analysis
In one paragraph

Synthesis in Pain medicine (Malden, Mass.), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 77 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
77citing papers in PubMed, 3 pooled it
5.5field-weighted citation impact, top 4% 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

77 citing papers in PubMed, 3 syntheses or guidelines pooled it, 116 citations in OpenAlex.

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17 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

6 authors at 3 institutions in 1 country.

Lisa A UebelackerButler Hospital, Providence, Rhode Island.
Risa B WeisbergDepartment of Psychiatry and Human Behavior, Alpert Medical School of Brown University, Providence, Rhode Island.
Debra S HermanButler Hospital, Providence, Rhode Island.
Genie L BaileyDepartment of Psychiatry and Human Behavior, Alpert Medical School of Brown University, Providence, Rhode Island.
Megan M Pinkston-CampDepartment of Psychiatry and Human Behavior, Alpert Medical School of Brown University, Providence, Rhode Island.
Michael D SteinButler Hospital, Providence, Rhode Island.
Brown University · USProvidence College · USButler Hospital · US

Funding

Translational ScienceP30AI042853 · NIAID · MIRIAM HOSPITAL · PI CURT G BECKWITH · 1998 to 2026
$51.7M
Treating Chronic Pain and Depression in HIV Patients in Primary Care SettingsR21NR013438 · NINR · BUTLER HOSPITAL (PROVIDENCE, RI) · PI STEIN, MICHAEL D, UEBELACKER, LISA A · 2012 to 2013
$383k
NIAID NIH HHS 2P30AI042853NIAID NIH HHS P30 AI042853NINR NIH HHS NR013438NINR NIH HHS R21 NR013438
6 · The paper itself

Abstract

objectiveAs the advent of highly active antiretroviral therapy, HIV has become a chronic disease for most individuals in developed countries. Chronic pain is a common occurrence for HIV-infected patients and has an impact on quality of life and antiretroviral adherence. The objective of this study was to examine relationships between chronic pain and depression, substance use, mental health treatment, and pain treatment in HIV-infected patients.

designCross-sectional study.

settingThree primary care sites where HIV+ patients receive treatment. SUBJECTS: Two hundred and thirty eight HIV-infected primary care patients.

methodsWe collected self-report and chart-review information on demographics, HIV clinical status, chronic pain, depression, substance use, mental health treatment, and pain treatment. We collected data between October 2012 and November 2013.

resultsOf the patients enrolled in this study, 107 reported no chronic pain, 24 reported mild chronic pain, and 107 reported moderate-severe chronic pain. Participants in the moderate-severe pain group were more likely to have high levels of depressive symptoms than those in the no chronic pain group. Similarly, there was a significant relationship between chronic pain status and interference with life activities due to pain. Participants with moderate-severe chronic pain were more likely to be taking an antidepressant medication than those with mild chronic pain, and more likely to be taking a prescription opioid than the other two groups. We did not find a significant relationship between problematic substance use and chronic pain status.

conclusionsDespite pharmacologic treatment, moderate-severe chronic pain and elevated depression symptoms are common among HIV-infected patients and frequently co-occur.

Indexed as

Activities of Daily LivingAdolescentAdultAgedAged, 80 and overChronic PainComorbidityDepressionFemaleHIV InfectionsHumansIncidenceMaleMental HealthMiddle AgedNew EnglandChronic PainDepressionHIV

Identifiers

PMID26119642
PMCPMC4486324
OpenAlexW1920791547

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.