Evidence map›Paper›PMID 26310180›Full record

Trial reportJournal of neuroscience methods2015

Demarcation of secondary hyperalgesia zones: Punctate stimulation pressure matters.

Thomas K Ringsted, Casper Enghuus, Morten A Petersen, Mads U Werner

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of neuroscience methods, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 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

7 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Article
  6. Article
  7. 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

4 authors.

Thomas K RingstedNeuroscience Center, Rigshospitalet, Copenhagen University Hospitals, Multidisciplinary Pain Center 7612, Rigshospitalet, Blegdamsvej 9, 2100 Copenhagen, Denmark. Electronic address: thomaskringsted@hotmail.com.
Casper EnghuusNeuroscience Center, Rigshospitalet, Copenhagen University Hospitals, Multidisciplinary Pain Center 7612, Rigshospitalet, Blegdamsvej 9, 2100 Copenhagen, Denmark.
Morten A PetersenResearch Unit, Department of Palliative Care, Bispebjerg Hospital, Copenhagen University Hospitals, Copenhagen, Denmark.
Mads U WernerNeuroscience Center, Rigshospitalet, Copenhagen University Hospitals, Multidisciplinary Pain Center 7612, Rigshospitalet, Blegdamsvej 9, 2100 Copenhagen, Denmark.

Funding

Long-term activation of spinal opioid analgesia after inflammationR01DA037621 · NIDA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI TAYLOR, BRADLEY K. · 2015 to 2019
$3.4M
NIDA NIH HHS DA37621NIDA NIH HHS R01 DA037621
6 · The paper itself

Abstract

backgroundSecondary hyperalgesia is increased sensitivity in normal tissue near an injury, and it is a measure of central sensitization reflecting injury-related effects on the CNS. Secondary hyperalgesia areas (SHAs), usually assessed by polyamide monofilaments, are important outcomes in studies of analgesic drug effects in humans. However, since the methods applied in demarcating the secondary hyperalgesia zone seem inconsistent across studies, we examined the effect of a standardized approach upon the measurement of SHA following a first degree burn injury (BI). NEW

methodThe study was a two-observer, test-retest study with the two sessions separated by 6wk. An observer-blinded design adjusted to examine day-to-day and observer-to-observer variability in SHA was used. In 23 healthy volunteers (12 females/11 males) a BI was induced by a contact thermode (47.0°C, 420s, 2.5×5.0cm(2)). The SHA, demarcated by polyamide monofilaments (bending force: 0.2, 69 and 2569mN) and a "weighted-pin" stimulator (512mN), were assessed 45 to 75min after each BI.

resultsA random effect, linear mixed model demonstrated a logarithmic correlation between elicited skin pressures (mN/mm(2)) and the SHAs (P<0.0001). No day-to-day or observer-to-observer differences in SHAs were observed. Intraclass correlation coefficients, in the range of 0.51 to 0.84, indicated a moderate to almost perfect reliability between observers. COMPARISON WITH EXISTING

methodsNo standardized approach in SHA-assessment has hitherto been presented.

conclusionsThis is the first study to demonstrate that demarcation of secondary hyperalgesia zones depends on the developed pressure of the punctate stimulator used.

Indexed as

PressureBurnsFemaleHot TemperatureHumansHyperalgesiaMalePhysical StimulationReproducibility of ResultsSingle-Blind MethodYoung AdultBurn injuryMechanical hyperalgesiaMonofilamentsPunctate hyperalgesiaSecondary hyperalgesiaSensitization

Identifiers

PMID26310180
PMCPMC4651781

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Registered trials

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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.