Evidence map›Paper›PMID 28340108›Full record

ArticlePain medicine (Malden, Mass.)2017

Cigarette Smoking and Musculoskeletal Pain Severity Among Male and Female Afghanistan/Iraq Era Veterans.

Kimberly T Green, Sarah M Wilson, Paul A Dennis, Jennifer J Runnals, Rebecca A Williams, Lori A Bastian, Jean C Beckham, Eric A Dedert, Harold S Kudler, Kristy Straits-Tröster and 2 more

2 registry-linked trialsOpen access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Pain medicine (Malden, Mass.), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
4.8field-weighted citation impact, top 6% 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.

NCT01723163 nacompletednot on this map

Abstinence Reinforcement Therapy (ART) for Rural Veteran Smokers

TypeinterventionalSponsorVA Office of Research and DevelopmentRan2013 to 2017Enrolled310ConditionsVeteran, Smoking CessationArmsAbstinence Reinforcement Therapy (ART), Telephone Counseling and NRT
NCT02971137 nacompletednot on this map

Pain-related Anxiety Intervention for Smokers With Chronic Pain: A Comparative Effectiveness Trial of Smoking Cessation Counseling for Veterans

TypeinterventionalSponsorVA Office of Research and DevelopmentRan2017 to 2022Enrolled371ConditionsSmoking, Pain, Smoking CessationArmsSmoking Cessation plus CBI, Smoking Cessation Standard
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Observational
  4. Article
  5. Article
  6. Factors Associated With Quitting Smoking During Pregnancy Among Women Veterans.Women's health issues : official publication of the Jacobs Institute of Women's Health
    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

12 authors at 5 institutions in 1 country.

Kimberly T GreenDepartment of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC, USA.
Sarah M WilsonVA Mid-Atlantic Region Mental Illness Research, Education and Clinical Center (MIRECC), Durham, NC, USA.
Paul A DennisDurham VA Medical Center, Durham, NC, USA.
Jennifer J RunnalsVA Mid-Atlantic Region Mental Illness Research, Education and Clinical Center (MIRECC), Durham, NC, USA.
Rebecca A WilliamsDepartment of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC, USA.
Lori A BastianDepartment of Internal Medicine, Yale University, New Haven, CT, USA.
Jean C BeckhamVA Mid-Atlantic Region Mental Illness Research, Education and Clinical Center (MIRECC), Durham, NC, USA.
Eric A DedertDurham VA Medical Center, Durham, NC, USA.
Harold S KudlerVA Mid-Atlantic Region Mental Illness Research, Education and Clinical Center (MIRECC), Durham, NC, USA.
Kristy Straits-TrösterVA Mid-Atlantic Region Mental Illness Research, Education and Clinical Center (MIRECC), Durham, NC, USA.
Jennifer M GierischCenter for Health Services Research in Primary Care, Durham VA Medical Center, NC, USA.
Patrick S CalhounVA Mid-Atlantic Region Mental Illness Research, Education and Clinical Center (MIRECC), Durham, NC, USA.
Duke Medical Center · USDurham VA Medical Center · USDuke University Hospital · USDurham VA Health Care System · USYale University · US

Funding

Mobile contingency management for smoking cessation in returning US VeteransR01CA196304 · NCI · DUKE UNIVERSITY · PI CALHOUN, PATRICK S. · 2015 to 2018
$1.8M
CSR&D Research Career Scientist AwardIK6BX003777 · VA · DURHAM VA MEDICAL CENTER · PI BECKHAM, JEAN C. · 2017 to 2023
–
BLRD VA IK6 BX003777NCI NIH HHS R01 CA196304
6 · The paper itself

Abstract

objectiveCigarette smoking and musculoskeletal pain are prevalent among Department of Veterans Affairs (VA) health care system users. These conditions frequently co-occur; however, there is limited empirical information specific to Afghanistan/Iraq era veterans. The present study sought to examine gender differences in the association between cigarette smoking and moderate to severe musculoskeletal pain in US veterans with Afghanistan/Iraq era service.

methodsA random sample of 5,000 veterans with service after November 11, 2001, participated in a survey assessing health care needs and barriers to care. One thousand ninety veterans completed the survey assessing post-traumatic stress disorder (PTSD) symptoms, depressive symptoms, and current pain severity. Multivariate logistic regression was used to examine the association between gender, cigarette smoking status, and current moderate to severe musculoskeletal pain.

resultsFindings indicated a significant gender by smoking interaction on moderate/severe musculoskeletal pain, adjusting for age, self-reported race/ethnicity and weight status, combat exposure, probable PTSD, depressive symptoms, service-connected injury during deployment, and VA health care service utilization. Deconstruction of the interaction indicated that female veteran smokers, relative to female nonsmokers, had increased odds of endorsing moderate to severe musculoskeletal pain (odds ratio [OR] = 2.73, 95% confidence interval [CI] = 1.16-6.41), whereas this difference was nonsignificant for male veterans (OR = 1.03, 95% CI = 0.69-1.56).

conclusionsSurvey data from Operation Enduring Freedom/Operation Iraqi Freedom veterans suggest an association between current smoking, gender, and moderate to severe musculoskeletal pain. The stronger relationship between smoking and pain in women supports the need for interventional and longitudinal research that can inform gender-based risk factors for pain in veteran cigarette smokers.

Indexed as

AdultAfghan Campaign 2001-Cigarette SmokingFemaleHumansIraq War, 2003-2011MaleMiddle AgedMusculoskeletal PainPrevalenceSex DistributionVeteransCigarette SmokingMilitary VeteransPersistent Pain

Identifiers

PMID28340108
PMCPMC6051440
OpenAlexW2721631571

What OpenQuestion holds

Textmetadata
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.