Evidence map›Paper›PMID 30778114›Full record

ArticleScientific reports2019

Persistent autonomic dysfunction and bladder sensitivity in primary dysmenorrhea.

Folabomi A Oladosu, Kevin M Hellman, Paula J Ham, Laura E Kochlefl, Avisek Datta, Ellen F Garrison, Nicole D Steiner, Genevieve E Roth, Frank F Tu

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
3.1field-weighted citation impact, top 9% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Impact of Endometriosis on Life-Course Potential: A Narrative Review.International journal of general medicine · 2021
    Review
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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

9 authors at 1 institution in 1 country.

Folabomi A OladosuDepartment of Obstetrics and Gynecology, NorthShore University HealthSystem, Evanston IL, 60201, USA.ORCID 0000-0001-9077-9799
Kevin M HellmanDepartment of Obstetrics and Gynecology, NorthShore University HealthSystem, Evanston IL, 60201, USA. khellman@northshore.org.
Paula J HamDepartment of Obstetrics and Gynecology, NorthShore University HealthSystem, Evanston IL, 60201, USA.
Laura E KochleflDepartment of Obstetrics and Gynecology, NorthShore University HealthSystem, Evanston IL, 60201, USA.
Avisek DattaNorthShore Research Institute, NorthShore University HealthSystem, Evanston IL, 60201, USA.
Ellen F GarrisonDepartment of Obstetrics and Gynecology, NorthShore University HealthSystem, Evanston IL, 60201, USA.
Nicole D SteinerDepartment of Obstetrics and Gynecology, NorthShore University HealthSystem, Evanston IL, 60201, USA.
Genevieve E RothDepartment of Obstetrics and Gynecology, NorthShore University HealthSystem, Evanston IL, 60201, USA.
Frank F TuDepartment of Obstetrics and Gynecology, NorthShore University HealthSystem, Evanston IL, 60201, USA.
NorthShore University HealthSystem · US

Funding

Deciphering the hormonal and nociceptive mechanisms underlying bladder painR01DK100368 · NIDDK · ENDEAVOR HEALTH CLINICAL OPERATIONS · PI Frank Fu-sheng Tu · 2014 to 2026
$5.2M
NIDDK NIH HHS R01 DK100368
6 · The paper itself

Abstract

Menstrual pain, also known as dysmenorrhea, is a leading risk factor for bladder pain syndrome (BPS). A better understanding of the mechanisms that predispose dysmenorrheic women to BPS is needed to develop prophylactic strategies. Abnormal autonomic regulation, a key factor implicated in BPS and chronic pain, has not been adequately characterized in women with dysmenorrhea. Thus, we examined heart rate variability (HRV) in healthy (n = 34), dysmenorrheic (n = 103), and BPS participants (n = 23) in their luteal phase across a bladder-filling task. Both dysmenorrheic and BPS participants reported increased bladder pain sensitivity when compared to controls (p's < 0.001). Similarly, dysmenorrheic and BPS participants had increased heart rate (p's < 0.01), increased diastolic blood pressure (p's < 0.01), and reduced HRV (p's < 0.05) when compared to controls. Dysmenorrheic participants also exhibited little change in heart rate between maximum bladder capacity and after micturition when compared to controls (p = 0.013). Our findings demonstrate menstrual pain's association with abnormal autonomic activity and bladder sensitivity, even two weeks after menses. Our findings of autonomic dysfunction in both early episodic and chronic visceral pain states points to an urgent need to elucidate the development of such imbalance, perhaps beginning in adolescence.

Indexed as

AdultAutonomic Nervous SystemBlood PressureCase-Control StudiesDysmenorrheaFemaleHeart RateHumansPain MeasurementPain ThresholdUrinary BladderUrinationYoung Adult

Identifiers

PMID30778114
PMCPMC6379479
OpenAlexW2915032723

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.