Evidence map›Paper›PMID 30543173›Full record

ArticleCurrent Alzheimer research2019

The Temporal Relationship between Pain Intensity and Pain Interference and Incident Dementia.

Ali Ezzati, Cuiling Wang, Mindy J Katz, Carol A Derby, Andrea R Zammit, Molly E Zimmerman, Jelena M Pavlovic, Martin J Sliwinski, Richard B Lipton

Abstract read
In one paragraph

Article in Current Alzheimer research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed, 2 pooled it
3.9field-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.

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

47 citing papers in PubMed, 2 syntheses or guidelines pooled it, 73 citations in OpenAlex.

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  18. Mechanisms of comorbidity between Alzheimer's disease and pain.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Review
  19. Role of NLRP3 Inflammasome in Chronic Pain and Alzheimer's Disease-A Review.Journal of biochemical and molecular toxicology · 2025
    Review
  20. 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

9 authors at 2 institutions in 1 country.

Ali EzzatiSaul B. Korey Department of Neurology, Albert Einstein College of Medicine, Bronx, NY 10461, United States.
Cuiling WangDepartment of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, NY 10461, United States.
Mindy J KatzSaul B. Korey Department of Neurology, Albert Einstein College of Medicine, Bronx, NY 10461, United States.
Carol A DerbySaul B. Korey Department of Neurology, Albert Einstein College of Medicine, Bronx, NY 10461, United States.
Andrea R ZammitSaul B. Korey Department of Neurology, Albert Einstein College of Medicine, Bronx, NY 10461, United States.
Molly E ZimmermanSaul B. Korey Department of Neurology, Albert Einstein College of Medicine, Bronx, NY 10461, United States.
Jelena M PavlovicSaul B. Korey Department of Neurology, Albert Einstein College of Medicine, Bronx, NY 10461, United States.
Martin J SliwinskiDepartment of Human Development and Family Studies, Pennsylvania State University, University Park, Pennsylvania, PA, United States.
Richard B LiptonSaul B. Korey Department of Neurology, Albert Einstein College of Medicine, Bronx, NY 10461, United States.
Albert Einstein College of Medicine · USPennsylvania State University · US

Funding

Vascular Structure and Function in Cognitive AgingP01AG003949 · NIA · YESHIVA UNIVERSITY · PI CAROL A. DERBY · 1985 to 2026
$73.9M
Stress, Unconstructive Repetitive Thought and Cognitive AgingR01AG039409 · NIA · PENNSYLVANIA STATE UNIVERSITY, THE · PI SLIWINSKI, MARTIN J · 2011 to 2015
$2.5M
The relation of migraine to daily hormone patterns and menopausal stageK23AG049466 · NIA · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI PAVLOVIC, JELENA · 2016 to 2021
$918k
Application of latent and integrative approaches to understand the spectrum of cognitive agingK01AG054700 · NIA · RUSH UNIVERSITY MEDICAL CENTER · PI ZAMMIT, ANDREA ROSE · 2017 to 2021
$653k
Creation of the Einstein Aging Study Data WarehouseR03AG045474 · NIA · ALBERT EINSTEIN COLLEGE OF MEDICINE · PI KATZ, MINDY · 2013 to 2013
$84k
NIA NIH HHS K01 AG054700NIA NIH HHS K23 AG049466NIA NIH HHS P01 AG003949NIA NIH HHS R01 AG039409NIA NIH HHS R03 AG045474
6 · The paper itself

Abstract

backgroundChronic pain is common among older adults and is associated with cognitive dysfunction based on cross-sectional studies. However, the longitudinal association between chronic pain and incident dementia in community-based samples is unknown.

objectiveWe aimed to evaluate the association of pain intensity and pain interference with incident dementia in a community-based sample of older adults.

methodsParticipants were 1,114 individuals 70 years of age or older from Einstein Aging Study (EAS), a longitudinal cohort study of community-dwelling older adults in the Bronx County, NY. The primary outcome measure was incident dementia, diagnosed using DSM-IV criteria. Pain intensity and interference in the month prior to first annual visit were measured using items from the SF-36 questionnaire. Pain intensity and pain interference were assessed as predictors of time to incident dementia using Cox proportionate hazards models while controlling for potential confounders.

resultsAmong participants, 114 individuals developed dementia over an average 4.4 years (SD=3.1) of follow-up. Models showed that pain intensity had no significant effect on time to developing dementia, whereas higher levels of pain interference were associated with a higher risk of dementia. In the model that included both pain intensity and interference as predictors of incident dementia, pain interference had a significant effect on incident dementia, and pain intensity remained non-significant.

conclusionAs a potential remediable risk factor, the mechanisms linking pain interference to cognitive decline merit further exploration.

Indexed as

AgedAged, 80 and overDementiaFemaleFollow-Up StudiesHumansLongitudinal StudiesMalePainPain MeasurementProspective StudiesRisk FactorsTime FactorsAlzheimer's diseasedementiaPain intensitypain interferenceremediable risk factor.

Identifiers

PMID30543173
PMCPMC6484854
OpenAlexW2905385265

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.