Evidence map›Paper›PMID 26907660›Full record

ArticleJournal of pediatric hematology/oncology2016

Clinical Interpretation of Quantitative Sensory Testing as a Measure of Pain Sensitivity in Patients With Sickle Cell Disease.

Amanda M Brandow, Julie A Panepinto

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Journal of pediatric hematology/oncology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03899246 (Safety and Feasibility of High-Dose Topical Capsaicin for the Treatment of Neuropathic Pain in Pediatric Sickle Cell Disease), which is not on this map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
2.8field-weighted citation impact, top 10% 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.

NCT03899246 phase1completednot on this mapstarted 2019, after this paper: background citation

Safety and Feasibility of High-Dose Topical Capsaicin for the Treatment of Neuropathic Pain in Pediatric Sickle Cell Disease

TypeinterventionalSponsorChildren's Hospital of MichiganRan2019 to 2020Enrolled10ConditionsNeuropathic Pain, Sickle Cell DiseaseArmsEight Percent Topical Capsaicin
3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 39 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Pain in sickle cell disease: current and potential translational therapies.Translational research : the journal of laboratory and clinical medicine · 2021
    Review
  10. Article
  11. Neuropathic pain in sickle cell disease: measurement and management.Hematology. American Society of Hematology. Education Program · 2020
    Review
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. 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

2 authors at 1 institution in 1 country.

Amanda M Brandow*Section of Pediatric Hematology/Oncology †Department of Pediatrics, Medical College of Wisconsin ‡Children's Research Institute, Children's Hospital of Wisconsin, Milwaukee, WI.
Julie A Panepinto
Children's Hospital of Wisconsin · US

Funding

Sickle Cell ScholarU54HL090503 · NHLBI · MEDICAL COLLEGE OF WISCONSIN · PI HILLERY, CHERYL A · 2008 to 2011
$3.0M
Peripheral Sensitization as a Novel Mechanism for Pain in Sickle Cell DiseaseK23HL114636 · NHLBI · MEDICAL COLLEGE OF WISCONSIN · PI BRANDOW, AMANDA M · 2013 to 2017
$752k
NHLBI NIH HHS K23 HL114636NHLBI NIH HHS U54 HL090503
6 · The paper itself

Abstract

Patients with sickle cell disease (SCD) display significantly lower mean/median thermal and mechanical pain thresholds compared with controls. This suggests impaired pain sensitivity where stimuli produce exaggerated pain. Despite these mean/median differences, clinicians need to understand if patients meet criteria for impaired pain sensitivity. We defined thresholds for impaired cold, heat, and mechanical pain sensitivity in SCD patients. Using quantitative sensory testing (QST) we assessed cold, heat, and mechanical pain thresholds in SCD patients and African American controls aged 7 years and above. Impaired pain sensitivity was defined as: (1) cold pain threshold 1 SD above control median threshold; (2) heat pain threshold 1 SD below control median threshold; and (3) mechanical pain threshold 1 SD below control median threshold. Fifty-five SCD patients and 57 controls participated in this study. Impaired pain sensitivity thresholds were: (1) cold: 17.01°C, (2) heat: 43.91°C, and (3) mechanical: 4.42 g. Impaired cold pain sensitivity was the most common finding (63.6%), then heat (60%), and mechanical (38.2%). Impaired pain sensitivity to ≥1 testing modalities occurred in 81.8% of SCD patients. Determining impaired pain sensitivity thresholds increases clinical utility of QST. QST could be a screening tool to phenotype SCD pain, an outcome for pain interventional trials, or guide pain neurobiology investigations.

Indexed as

Pain ThresholdAdolescentAnemia, Sickle CellCase-Control StudiesChildCold TemperatureCross-Sectional StudiesFemaleHot TemperatureHumansMaleMechanical PhenomenaPain MeasurementSensory ThresholdsYoung Adult

Identifiers

PMID26907660
PMCPMC4856159
OpenAlexW2315492154

What OpenQuestion holds

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Read underepoch 390

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.