Evidence map›Paper›PMID 28163776›Full record

ArticleBioPsychoSocial medicine2017

Tolerable pain reduces gastric fundal accommodation and gastric motility in healthy subjects: a crossover ultrasonographic study.

Hideaki Hasuo, Hiroaki Kusunoki, Kenji Kanbara, Tetsuya Abe, Naoko Yunoki, Ken Haruma, Mikihiko Fukunaga

Open access · goldAbstract read
In one paragraph

Article in BioPsychoSocial medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
2.4field-weighted citation impact, top 12% 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

3 citing papers in PubMed, 14 citations in OpenAlex.

  1. Trial
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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

7 authors at 3 institutions in 1 country.

Hideaki HasuoDepartment of Psychosomatic Medicine, Kansai Medical University, Shinmachi 2-5-1, Hirakata, Osaka Japan.
Hiroaki KusunokiDepartment of General Medicine, Kawasaki Medical Univesrity, Matsushima 577, Kurashiki, Okayama Japan.
Kenji KanbaraDepartment of Psychosomatic Medicine, Kansai Medical University, Shinmachi 2-5-1, Hirakata, Osaka Japan.
Tetsuya AbeDepartment of Psychosomatic Medicine, Kansai Medical University, Shinmachi 2-5-1, Hirakata, Osaka Japan.
Naoko YunokiDepartment of Internal Medicine, Akaiwa Medical Association Hospital, Shimoichi 187-1, Akaiwa, Okayama Japan.
Ken HarumaDepartment of General Medicine, Kawasaki Medical Univesrity, Matsushima 577, Kurashiki, Okayama Japan.
Mikihiko FukunagaDepartment of Psychosomatic Medicine, Kansai Medical University, Shinmachi 2-5-1, Hirakata, Osaka Japan.
Kansai Medical University · JPKawasaki Medical School · JPJapan Medical Association · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundObstacles to pain management include patients' reluctance to inform healthcare provides about their pain, and differences in the pain management aims between patients and healthcare providers. The objective of this study was to evaluate whether tolerable pain influences gastric fundal accommodation and gastric motility in healthy subjects.

methodsWe undertook a crossover comparison study to evaluate gastric fundal accommodation and gastric motility in 74 healthy subjects in the presence or absence of tolerable pain. The intensity of tolerable pain was defined as the upper limit of pain compatible with comfortable daily life. Pain was generated by clipping a clothes pin to the ear lobe, and the intensity of pain was adjusted by inserting the gauze between the ear lobe and the pin. Gastric fundal accommodation and gastric motility were assessed by external ultrasonography. The cross-sectional area of the proximal stomach was measured after subjects had taken 100 mL-liquid meals four times, then the amplitude and frequency of antral contractions were measured.

resultsThe median numerical rating scale of tolerable pain was 3 (interquartile rang 2-4). Gastric fundal accommodation, gastric motility and gastric emptying were all significantly impaired by tolerable pain (

conclusionsEven tolerable pain can reduce gastric fundal accommodation and gastric motility, which could result in anorexia or decreased quality of life. Our findings provide important insights into pain management education for patients tolerating pain and healthcare providers encouraging patients to tolerate pain. This study was registered retrospectively.

Indexed as

Gastric fundal accommodationGastric motilityPain managementTolerable painUltrasonography

Identifiers

PMID28163776
PMCPMC5286732
OpenAlexW2583844869

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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.