Evidence map›Paper›PMID 31270360›Full record

ArticleScientific reports2019

Apparent Effects of Opioid Use on Neural Responses to Reward in Chronic Pain.

Katherine T Martucci, Kelly H MacNiven, Nicholas Borg, Brian Knutson, Sean C Mackey

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 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 12% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Pooled it
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  5. Enhanced motor network engagement during reward gain anticipation in fibromyalgia.Cortex; a journal devoted to the study of the nervous system and behavior · 2024
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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 3 institutions in 1 country.

Katherine T MartucciDepartment of Anesthesiology, Perioperative and Pain Medicine, Division of Pain Medicine, Stanford University School of Medicine, Stanford, California, USA. katherine.martucci@duke.edu.
Kelly H MacNivenDepartment of Psychology, Symbiotic Project on Affective Neuroscience Laboratory, Stanford University, Stanford, California, USA.
Nicholas BorgDepartment of Psychology, Symbiotic Project on Affective Neuroscience Laboratory, Stanford University, Stanford, California, USA.
Brian KnutsonDepartment of Psychology, Symbiotic Project on Affective Neuroscience Laboratory, Stanford University, Stanford, California, USA.ORCID http://orcid.org/0000-0002-7669-426X
Sean C MackeyDepartment of Anesthesiology, Perioperative and Pain Medicine, Division of Pain Medicine, Stanford University School of Medicine, Stanford, California, USA.
Stanford University · USDuke University · USStanford Medicine · US

Funding

Neuroimaging and Mentoring in Translational Pain ResearchK24DA029262 · NIDA · STANFORD UNIVERSITY · PI MACKEY, SEAN C · 2010 to 2019
$1.9M
The Impact of Opioids on Chronic Pain: Clinical Research and Career Training in Spinal Cord fMRI and Brain Reward SystemsR00DA040154 · NIDA · DUKE UNIVERSITY · PI MARTUCCI, KATHERINE THERESA · 2018 to 2021
$827k
The Impact of Opioids on Chronic Pain: Clinical Research and Career Training in Spinal Cord fMRI and Brain Reward SystemsK99DA040154 · NIDA · STANFORD UNIVERSITY · PI MARTUCCI, KATHERINE THERESA · 2015 to 2017
$350k
6 · The paper itself

Abstract

Neural responses to incentives are altered in chronic pain and by opioid use. To understand how opioid use modulates the neural response to reward/value in chronic pain, we compared brain functional magnetic resonance imaging (fMRI) responses to a monetary incentive delay (MID) task in patients with fibromyalgia taking opioids (N = 17), patients with fibromyalgia not taking opioids (N = 17), and healthy controls (N = 15). Both groups of patients with fibromyalgia taking and not taking opioids had similar levels of pain, psychological measures, and clinical symptoms. Neural responses in the nucleus accumbens to anticipated reward and non-loss outcomes did not differ from healthy controls in either fibromyalgia group. However, neural responses in the medial prefrontal cortex differed, such that patients with fibromyalgia not taking opioids demonstrated significantly altered responses to anticipated rewards and non-loss outcomes compared to healthy controls, but patients with fibromyalgia taking opioids did not. Despite limitations including the use of additional non-opioid medications by fibromyalgia patients taking opioids, these preliminary findings suggest relatively "normalized" neural responses to monetary incentives in chronic pain patients who take opioids versus those who do not.

Indexed as

MotivationAnalgesics, OpioidAnticipation, PsychologicalBrain MappingCase-Control StudiesChronic PainFemaleFibromyalgiaHumansNeural PathwaysOpioid-Related DisordersPrefrontal CortexAnalgesics, Opioid

Identifiers

PMID31270360
PMCPMC6610070
OpenAlexW2954307934

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.