Evidence map›Paper›PMID 26945673›Full record

ArticleArthritis care & research2016

Biopsychosocial Influence on Shoulder Pain: Influence of Genetic and Psychological Combinations on Twelve-Month Postoperative Pain and Disability Outcomes.

Steven Z George, Samuel S Wu, Margaret R Wallace, Michael W Moser, Thomas W Wright, Kevin W Farmer, Warren H Greenfield, Yunfeng Dai, Hua Li, Roger B Fillingim

Open access · greenAbstract read
In one paragraph

Article in Arthritis care & research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 3 pooled it
3.5field-weighted citation impact, top 8% 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

16 citing papers in PubMed, 3 syntheses or guidelines pooled it, 27 citations in OpenAlex.

  1. Pooled it
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  14. Should high-power posing be integrated in physical therapy?Journal of physical therapy science · 2017
    Article
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  16. Higher order thinking about differential diagnosis.Brazilian journal of physical therapy
    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

10 authors at 1 institution in 1 country.

Steven Z GeorgeUniversity of Florida, Gainesville. szgeorge@phhp.ufl.edu.
Samuel S WuUniversity of Florida, Gainesville.
Margaret R WallaceUniversity of Florida Genetics Institute, University of Florida, Gainesville.
Michael W MoserUniversity of Florida, Gainesville.
Thomas W WrightUniversity of Florida, Gainesville.
Kevin W FarmerUniversity of Florida, Gainesville.
Warren H GreenfieldUniversity of Florida, Gainesville.
Yunfeng DaiUniversity of Florida, Gainesville.
Hua LiUniversity of Florida Genetics Institute, University of Florida, Gainesville.
Roger B FillingimUniversity of Florida, Gainesville.
University of Florida · US

Funding

University of Florida Older Americans Independence Center (OAIC)P30AG028740 · NIA · UNIVERSITY OF FLORIDA · PI Peihua Qiu · 2007 to 2026
$22.8M
Biopsychosocial Influence on Shoulder PainR01AR055899 · NIAMS · UNIVERSITY OF FLORIDA · PI GEORGE, STEVEN Z · 2008 to 2020
$5.5M
NIAMS NIH HHS R01 AR055899NIA NIH HHS P30 AG028740
6 · The paper itself

Abstract

objectiveTo identify novel combinations of genetic and psychological factors that predicted 12-month postoperative pain and disability outcomes following arthroscopic shoulder surgery.

methodsA prospective presurgical cohort (n = 150) was recruited to complete validated psychological questionnaires and have their DNA collected from saliva. DNA was genotyped for a priori selected genes involved with pain modulation (ADRB2, OPRM1, AVPR1A, GCH1, and KCNS1) and inflammation (IL1B, TNF/LTA, and IL6). The outcome measures of interest were the Brief Pain Inventory and Disabilities of the Arm, Shoulder, and Hand questionnaire. Followup for the cohort was at 3, 6, and 12 months postoperatively. After controlling for age, sex, race, and preoperative status, genetic and psychological factors were entered as main effects and interaction terms in separate general linear models for predicting postoperative pain and disability outcomes.

resultsSeven interactions involving pain-modulatory genes were identified. Three provided strong statistical evidence for different outcomes, including KCNS1 and kinesiophobia for preoperative pain intensity, ADRB2 and depressive symptoms for postoperative course, and GCH1 and anxiety symptoms for 12-month pain-intensity outcome. Ten interactions involving inflammatory genes were identified. Three provided strong statistical evidence for the 12-month postoperative course outcome, including 2 different IL6 single-nucleotide polymorphism and pain catastrophizing, and IL6 and depressive symptoms.

conclusionThe current study identified novel genetic and psychological interactions that can be used in future studies to further understand the development of persistent postoperative pain and investigate the effectiveness of tailored treatment.

Indexed as

AdolescentAdultAgedAged, 80 and overAnxietyArthroscopyCatastrophizationDepressionDisability EvaluationFemaleFollow-Up StudiesGTP CyclohydrolaseHumansInterleukin-6MaleMiddle AgedADRB2 protein, humanGTP CyclohydrolaseIL6 protein, humanInterleukin-6KCNS1 protein, humanPotassium Channels, Voltage-GatedReceptors, Adrenergic, beta-2

Identifiers

PMID26945673
PMCPMC5011032
OpenAlexW2531840880

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.