Evidence map›Paper›PMID 30261907›Full record

ArticleArthritis research & therapy2018

Neuropathic-like knee pain and associated risk factors: a cross-sectional study in a UK community sample.

Gwen Sascha Fernandes, Ana Marie Valdes, David Andrew Walsh, Weiya Zhang, Michael Doherty

Registry-linked trialAbstract read
In one paragraph

Article in Arthritis research & therapy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02098070 (Knee Pain and Related Health in the Community Study), which is not on this map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT02098070 unknown statusnot on this map

Knee Pain and Related Health in the Community Study

TypeobservationalSponsorUniversity of NottinghamRan2014 to 2018Enrolled40,000ConditionsKnee Osteoarthritis
3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  19. Influence of increased pain sensitivity on patient-reported outcomes following total knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022
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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.

Gwen Sascha FernandesAcademic Rheumatology, Division of Rheumatology, Orthopedics and Dermatology, Nottingham City Hospital, University of Nottingham, Clinical Sciences Building, Nottingham, NG5 1PB, UK.
Ana Marie ValdesAcademic Rheumatology, Division of Rheumatology, Orthopedics and Dermatology, Nottingham City Hospital, University of Nottingham, Clinical Sciences Building, Nottingham, NG5 1PB, UK.
David Andrew WalshAcademic Rheumatology, Division of Rheumatology, Orthopedics and Dermatology, Nottingham City Hospital, University of Nottingham, Clinical Sciences Building, Nottingham, NG5 1PB, UK.
Weiya ZhangAcademic Rheumatology, Division of Rheumatology, Orthopedics and Dermatology, Nottingham City Hospital, University of Nottingham, Clinical Sciences Building, Nottingham, NG5 1PB, UK. weiya.zhang@nottingham.ac.uk.
Michael DohertyAcademic Rheumatology, Division of Rheumatology, Orthopedics and Dermatology, Nottingham City Hospital, University of Nottingham, Clinical Sciences Building, Nottingham, NG5 1PB, UK.

Funding

Arthritis Research UK 20194Arthritis Research UK 20777
6 · The paper itself

Abstract

backgroundNeuropathic-like knee pain (NKP) is often reported in individuals with knee pain (KP), but the contribution of specific central and peripheral risk factors to NKP has not been studied previously. The aims of the present study were to determine the prevalence of NKP in a community-derived sample with KP and to identify risk factors associated with NKP.

methodsA cross-sectional study was undertaken (n = 9506) in the East Midlands community among responders (aged 40+ years) to a postal questionnaire. Questions included KP severity (numerical rating scale) and type (neuropathic versus nociceptive) using the modified painDETECT questionnaire, as well as age, body mass index (BMI), significant knee injury, widespread pain, pain catastrophising and fatigue. Multinomial regression analysis was used to determine ORs and 95% CIs. Risk factors were categorised into central and peripheral, and proportional risk contribution (PRC) and 95% CI were estimated using ROC.

resultsKP was reported in 28.2% of responders, of whom 13.65% had NKP (i.e., 3.9% of the total population). Women reported more NKP. After adjustment for age, gender, BMI and pain severity, definite NKP showed associations (aOR, 95% CI) with fibromyalgia (4.07, 2.49-6.66), widespread pain (1.93, 1.46-2.53), nodal osteoarthritis (1.80, 1.28-2.53), injury (1.50, 1.12-2.00), pain catastrophising (5.37, 2.93-9.84) and fatigue (5.37, 3.08-9.35) compared with non-NKP participants. Although only central risk factors contributed to NKP (PRC 8%, 95% CI 2.5-12.5 for central vs. PRC 3%, 95% CI -0.25 to 7.5 for peripheral), both central and peripheral risk factors contributed equally to non-NKP (PRC 10%, 95% CI 5-20 for both).

conclusionsNKP appears to be driven largely by central risk factors and may require different prevention/treatment strategies.

trial registrationClinicalTrials.gov , NCT02098070 . Registered on 27 March 2014.

Indexed as

Residence CharacteristicsAdultAgedAged, 80 and overArthralgiaCross-Sectional StudiesFemaleHumansKnee JointMaleMiddle AgedNeuralgiaPain MeasurementRisk FactorsSelf ReportUnited KingdomAnxietyDepressionNeuropathic painOsteoarthritisPain catastrophisingRisk factors

Identifiers

PMID30261907
PMCPMC6161431

What OpenQuestion holds

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LicenceCC BY
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.