Evidence map›Paper›PMID 30146044›Full record

ReviewInternational review of neurobiology2018

Clinical Use of Placebo Effects in Patients With Pain Disorders.

Regine Klinger, Julia Stuhlreyer, Marie Schwartz, Julia Schmitz, Luana Colloca

Open access · greenAbstract readReview
In one paragraph

Review in International review of neurobiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 2 pooled it
15.2field-weighted citation impact, top 1% 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

26 citing papers in PubMed, 2 syntheses or guidelines pooled it, 71 citations in OpenAlex.

  1. Placebo effects in low back pain: A systematic review and meta-analysis of the literature.European journal of pain (London, England) · 2021 · on this map
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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

5 authors at 2 institutions in 2 countries.

Regine KlingerDepartment of Anesthesiology, Section Pain Medicine and Pain Psychology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany. Electronic address: r.klinger@uke.de.
Julia StuhlreyerDepartment of Anesthesiology, Section Pain Medicine and Pain Psychology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Marie SchwartzDepartment of Anesthesiology, Section Pain Medicine and Pain Psychology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Julia SchmitzDepartment of Anesthesiology, Section Pain Medicine and Pain Psychology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Luana CollocaDepartment of Pain Translational Symptom Science, School of Nursing, University of Maryland, Baltimore, MD, United States; Department of Anesthesiology/Psychiatry, School of Medicine, University of Maryland, Baltimore, MD, United States; Center to Advance Chronic Pain Research, University of Maryland, Baltimore, MD, United States.
Universität Hamburg · DEUniversity of Maryland, Baltimore · US

Funding

Chronic orofacial pain: genetics, cognitive-emotional factors, and endogenous modulatory systemsR01DE025946 · NIDCR · UNIVERSITY OF MARYLAND BALTIMORE · PI COLLOCA, LUANA · 2016 to 2019
$2.1M
NIDCR NIH HHS R01 DE025946
6 · The paper itself

Abstract

The analgesic placebo effect is well documented by numerous studies. Many important influencing factors, however, are yet to be discovered. In the arena of placebo effects and clinical implications, expectancies play a central role. Expectancies are shaped by processes of classical and social learning as well as verbal instructions and are strongly related to emotional factors. Expectancies trigger a cascade of endogenous opioids and non-opioids, which alter the experience of pain. For clinical application it is important to know, that placebo research yields ethical possibilities to use placebo effects without deception and without using placebos. Since placebo effects contribute to responses to active analgesics, it is feasible to enhance patients' benefits from pain treatments by increasing the additional placebo effect. There are several possibilities to use the placebo effects via shaping and adapting information about analgesic medication and via associating medication intake with a positive context. A positive patient-clinician communication atmosphere is very important to generate clinically meaningful placebo effects in pain medicine.

Indexed as

Placebo EffectAnalgesicsHumansPainPlacebosAnalgesicsPlacebosAnalgesic placebo effectsClinical useExpectanciesMechanisms of placeboeffectsPainPain disordersPlacebo effectPlacebo hypoalgesia

Identifiers

PMID30146044
PMCPMC6175283
OpenAlexW2885677848

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.