Evidence map›Paper›PMID 30730481›Full record

Trial reportThe Journal of bone and joint surgery. American volume2019

Pain Coping Skills Training for Patients Who Catastrophize About Pain Prior to Knee Arthroplasty: A Multisite Randomized Clinical Trial.

Daniel L Riddle, Francis J Keefe, Dennis C Ang, James Slover, Mark P Jensen, Matthew J Bair, Kurt Kroenke, Robert A Perera, Shelby D Reed, Daphne McKee and 1 more

Registry-linked trialAbstract readComparative StudyMulticenter StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in The Journal of bone and joint surgery. American volume, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04814992 (Pre-op CBT to Reduce the Risk for Development of Chronic Post-surgical Pain in Patients Undergoing Total Knee Arthroplasty), which is not on this map. Cited by 48 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 8 pooled it
13.5field-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.

NCT04814992 nacompletednot on this mapstarted 2020, after this paper: background citation

Pre-op CBT to Reduce the Risk for Development of Chronic Post-surgical Pain in Patients Undergoing Total Knee Arthroplasty

TypeinterventionalSponsorUniversity of PennsylvaniaRan2020 to 2023Enrolled54ConditionsChronic Post-Surgical PainArmsComputer-Assisted Preoperative CBT Intervention (PAINTrainer)
3 · Its place in the literature

Who cites it

48 citing papers in PubMed, 8 syntheses or guidelines pooled it, 96 citations in OpenAlex.

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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

11 authors at 7 institutions in 1 country.

Daniel L RiddleDepartment of Physical Therapy, Orthopaedic Surgery and Rheumatology, West Hospital (D.L.R.), and Department of Biostatistics (R.A.P.), Virginia Commonwealth University, Richmond, Virginia.
Francis J KeefePain Prevention and Treatment Research, Department of Psychiatry and Behavioral Sciences (F.J.K. and D.M.), and Duke Clinical Research Institute (S.D.R.), Duke University, Durham, North Carolina.
Dennis C AngSection of Rheumatology, Department of Medicine, Wake Forest School of Medicine, Winston-Salem, North Carolina.
James SloverDepartment of Orthopaedic Surgery, New York University Medical Center, New York, NY.
Mark P JensenDepartment of Rehabilitation Medicine, University of Washington, Seattle, Washington.
Matthew J BairVA Center for Health Information and Communication, Indiana University School of Medicine, Indianapolis, Indiana.
Kurt KroenkeVA Center for Health Information and Communication, Indiana University School of Medicine, Indianapolis, Indiana.
Robert A PereraDepartment of Physical Therapy, Orthopaedic Surgery and Rheumatology, West Hospital (D.L.R.), and Department of Biostatistics (R.A.P.), Virginia Commonwealth University, Richmond, Virginia.
Shelby D ReedPain Prevention and Treatment Research, Department of Psychiatry and Behavioral Sciences (F.J.K. and D.M.), and Duke Clinical Research Institute (S.D.R.), Duke University, Durham, North Carolina.
Daphne McKeePain Prevention and Treatment Research, Department of Psychiatry and Behavioral Sciences (F.J.K. and D.M.), and Duke Clinical Research Institute (S.D.R.), Duke University, Durham, North Carolina.
Levent DumenciDepartment of Epidemiology and Biostatistics, Temple University, Philadelphia, Pennsylvania.
Duke University · USRegenstrief Institute · USVirginia Commonwealth University · USColumbia University Irving Medical Center · USTemple University · USUniversity of Washington · USWake Forest University · US

Funding

Research Supplement to Promote Diversity in Health Related ResearchUL1TR002649 · NCATS · VIRGINIA COMMONWEALTH UNIVERSITY · PI MOELLER, FREDERICK GERARD · 2018 to 2022
$19.1M
Center for Clinical and Translational ResearchUL1TR000058 · NCATS · VIRGINIA COMMONWEALTH UNIVERSITY · PI MOELLER, FREDERICK GERARD · 2012 to 2015
$12.5M
Knee Arthroplasity Pain Coping Training (KAST Pain): A Randomized TrialUM1AR062800 · NIAMS · VIRGINIA COMMONWEALTH UNIVERSITY · PI RIDDLE, DANIEL L · 2012 to 2016
$5.2M
NCATS NIH HHS UL1 TR000058NCATS NIH HHS UL1 TR002649NIAMS NIH HHS UM1 AR062800
6 · The paper itself

Abstract

backgroundPain catastrophizing has been identified as a prognostic indicator of poor outcome following knee arthroplasty. Interventions to address pain catastrophizing, to our knowledge, have not been tested in patients undergoing knee arthroplasty. The purpose of this study was to determine whether pain coping skills training in persons with moderate to high pain catastrophizing undergoing knee arthroplasty improves outcomes 12 months postoperatively compared with usual care or arthritis education.

methodsA multicenter, 3-arm, single-blinded, randomized comparative effectiveness trial was performed involving 5 university-based medical centers in the United States. There were 402 randomized participants. The primary outcome was the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Pain Scale, measured at baseline, 2 months, 6 months, and 12 months following the surgical procedure.

resultsParticipants were recruited from January 2013 to June 2016. In 402 participants, 66% were women and the mean age of the participants (and standard deviation) was 63.2 ± 8.0 years. Three hundred and forty-six participants (90% of those who underwent a surgical procedure) completed a 12-month follow-up. All 3 treatment groups had large improvements in 12-month WOMAC pain scores with no significant differences (p > 0.05) among the 3 treatment arms. No differences were found between WOMAC pain scores at 12 months for the pain coping skills and arthritis education groups (adjusted mean difference, 0.3 [95% confidence interval (CI), -0.9 to 1.5]) or between the pain coping and usual-care groups (adjusted mean difference, 0.4 [95% CI, -0.7 to 1.5]). Secondary outcomes also showed no significant differences (p > 0.05) among the 3 groups.

conclusionsAmong adults with pain catastrophizing undergoing knee arthroplasty, cognitive behaviorally based pain coping skills training did not confer pain or functional benefit beyond the large improvements achieved with usual surgical and postoperative care. Future research should develop interventions for the approximately 20% of patients undergoing knee arthroplasty who experience persistent function-limiting pain. LEVEL OF EVIDENCE: Therapeutic Level I. See Instructions for Authors for a complete description of levels of evidence.

Indexed as

Adaptation, PsychologicalPatient Education as TopicArthralgiaArthritisArthroplasty, Replacement, KneeCatastrophizationFemaleHumansMaleMiddle AgedOsteoarthritis, KneePain MeasurementPostoperative ComplicationsTreatment Outcome

Identifiers

PMID30730481
PMCPMC6791506
OpenAlexW2914665545

What OpenQuestion holds

Textmetadata
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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.