Evidence map›Paper›PMID 26620965›Full record

ArticlePancreatology : official journal of the International Association of Pancreatology (IAP) ... [et al.]

Mechanism, assessment and management of pain in chronic pancreatitis: Recommendations of a multidisciplinary study group.

Michelle A Anderson, Venkata Akshintala, Kathryn M Albers, Stephen T Amann, Inna Belfer, Randall Brand, Suresh Chari, Greg Cote, Brian M Davis, Luca Frulloni and 13 more

Open access · greenAbstract read
In one paragraph

Article in Pancreatology : official journal of the International Association of Pancreatology (IAP) ... [et al.]. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 1 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

44 citing papers in PubMed, 1 synthesis or guideline pooled it, 98 citations in OpenAlex.

  1. Pooled it
  2. Observational
  3. Review
  4. Analgesic Management of Chronic Pancreatitis.Digestive diseases and sciences · 2026
    Review
  5. Personalizing treatment of pancreatitis-associated chronic pain: the need for an integrated omics approach.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2026
    Review
  6. Opioid dependence in patients with pain in chronic pancreatitis an emerging problem.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2025
    Review
  7. The Mechanism of HDAC2 Inhibitors on Chronic Pancreatitis Pain.Journal of neurological surgery reports · 2025
    Article
  8. Article
  9. Pain in chronic pancreatitis: What can we do today?World journal of methodology · 2024
    Review
  10. Article
  11. Review
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. An ethical analysis of endoscopic therapy decision-making in patients with refractory substance use disorder and chronic pancreatitis.Pancreatology : official journal of the International Association of Pancreatology (IAP) ... [et al.] · 2022
    Review
  20. Review
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

23 authors at 12 institutions in 3 countries.

Michelle A AndersonDepartment of Medicine, University of Michigan, Ann Arbor, MI, USA.
Venkata AkshintalaDepartment of Medicine, University of Pittsburgh, Pittsburgh, PA, USA.
Kathryn M AlbersDepartment of Neurobiology, University of Pittsburgh, Pittsburgh, PA, USA.
Stephen T AmannNorth Mississippi Medical Center, Tupelo, MS, USA.
Inna BelferDepartment of Anesthesiology, University of Pittsburgh, Pittsburgh, PA, USA.
Randall BrandDepartment of Medicine, University of Pittsburgh, Pittsburgh, PA, USA.
Suresh ChariDepartment of Medicine, Mayo Clinic, Rochester, MN, USA.
Greg CoteDepartment of Medicine, Medical University of South Carolina, Charleston, SC, USA.
Brian M DavisDepartment of Neurobiology, University of Pittsburgh, Pittsburgh, PA, USA.
Luca FrulloniDepartment of Medicine, University of Verona, Verona, Italy.
Andres GelrudDepartment of Medicine, University of Chicago, Chicago, IL, USA.
Nalini GudaDepartment of Gastroenterology, Aurora St. Luke's Medical Center, Milwaukee, WI, USA.
Abhinav HumarDepartment of Surgery, University of Pittsburgh, Pittsburgh, PA, USA.
Rodger A LiddleDepartment of Medicine, Duke University, Durham, NC, USA.
Adam SlivkaDepartment of Medicine, University of Pittsburgh, Pittsburgh, PA, USA.
Rachelle Stopczynski GuptaDepartment of Medicine, University of Pittsburgh, Pittsburgh, PA, USA.
Eva SzigethyDepartment of Psychiatry, University of Pittsburgh, Pittsburgh, PA, USA.
Jyothsna TalluriDepartment of Medicine, University of Pittsburgh, Pittsburgh, PA, USA.
Wahid WassefDepartment of Medicine, University of Massachusetts, Worcester, MA, USA.
C Mel WilcoxDepartment of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA.
John WindsorDepartment of Surgery, University of Auckland, Auckland, New Zealand.
Dhiraj YadavDepartment of Medicine, University of Pittsburgh, Pittsburgh, PA, USA.
David C WhitcombDepartment of Medicine, University of Pittsburgh, Pittsburgh, PA, USA; Department of Cell Biology & Molecular Physiology, University of Pittsburgh, Pittsburgh, PA, USA; Department of Human Genetics, University of Pittsburgh, Pittsburgh, PA, USA. Electronic address: whitcomb@pitt.edu.
University of Pittsburgh · USAurora St. Luke's Medical Center · USDuke University · USMayo Clinic in Arizona · USMedical University of South Carolina · USNorth Mississippi Medical Center · USUniversity of Alabama at Birmingham · USUniversity of Auckland · NZUniversity of Chicago · USUniversity of Massachusetts Chan Medical School · USUniversity of Michigan · USUniversity of Verona · IT

Funding

University of Pittsburgh Clinical and Translational Science InstituteUL1TR000005 · NCATS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REIS, STEVEN E · 2012 to 2015
$50.8M
Pathogenic Mechanisms of PancreatitisR01DK064213 · NIDDK · DUKE UNIVERSITY · PI LIDDLE, RODGER A. · 2004 to 2017
$4.7M
Role of Neurogenic Inflammation in Pancreatic CancerR01CA177857 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI DAVIS, BRIAN M · 2013 to 2017
$2.1M
Evaluation of Pain in Chronic Pancreatitis using the NAPS2 cohortsR21DK098560 · NIDDK · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI WHITCOMB, DAVID CLEMENT · 2014 to 2015
$412k
PancreasFest 2013: Risk, Progression & Therapeutic Advances in Acute PancreatitisR13DK100242 · NIDDK · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI WHITCOMB, DAVID CLEMENT · 2013 to 2013
$15k
Pancreasfest 2012 Pancreatic Cancer: Risk, Early Detection, Diagnosis & TreatmentR13DK096904 · NIDDK · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI WHITCOMB, DAVID CLEMENT · 2012 to 2012
$15k
PancreasFest 2014: Risks and Mechanisms of Pancreatitis and Pancreatic DiabetesR13DK103527 · NIDDK · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI WHITCOMB, DAVID CLEMENT · 2014 to 2014
$15k
NCATS NIH HHS UL1 TR000005NCI NIH HHS R01 CA177857NIDDK NIH HHS DK09690NIDDK NIH HHS DK098560NIDDK NIH HHS DK100242NIDDK NIH HHS DK103527NIDDK NIH HHS R01 DK064213NIDDK NIH HHS R13 DK096904NIDDK NIH HHS R13 DK100242NIDDK NIH HHS R13 DK103527NIDDK NIH HHS R21 DK098560
6 · The paper itself

Abstract

descriptionPain in patients with chronic pancreatitis (CP) remains the primary clinical complaint and source of poor quality of life. However, clear guidance on evaluation and treatment is lacking.

methodsPancreatic Pain working groups reviewed information on pain mechanisms, clinical pain assessment and pain treatment in CP. Levels of evidence were assigned using the Oxford system, and consensus was based on GRADE. A consensus meeting was held during PancreasFest 2012 with substantial post-meeting discussion, debate, and manuscript refinement.

resultsTwelve discussion questions and proposed guidance statements were presented. Conference participates concluded: Disease Mechanism: Pain etiology is multifactorial, but data are lacking to effectively link symptoms with pathologic feature and molecular subtypes. Assessment of Pain: Pain should be assessed at each clinical visit, but evidence to support an optimal approach to assessing pain character, frequency and severity is lacking. MANAGEMENT: There was general agreement on the roles for endoscopic and surgical therapies, but less agreement on optimal patient selection for medical, psychological, endoscopic, surgical and other therapies.

conclusionsProgress is occurring in pain biology and treatment options, but pain in patients with CP remains a major problem that is inadequately understood, measured and managed. The growing body of information needs to be translated into more effective clinical care.

Indexed as

AnalgesicsHumansPainPancreatitis, ChronicPractice Guidelines as TopicAnalgesicsChronic painChronic pancreatitisInflammationPancreatic surgeryQuality of lifeTherapeutic endoscopy

Identifiers

PMID26620965
PMCPMC4761301
OpenAlexW2198215532

What OpenQuestion holds

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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.