Evidence map›Paper›PMID 31298464›Full record

ArticleHuman brain mapping2019

Shifting brain circuits in pain chronicity.

Andrew M Youssef, Monica Azqueta-Gavaldon, Katie E Silva, Nadia Barakat, Natalia Lopez, Farah Mahmud, Alyssa Lebel, Navil F Sethna, David Zurakowski, Laura E Simons and 2 more

Open access · greenAbstract read
In one paragraph

Article in Human brain mapping, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
1.4field-weighted citation impact, top 18% 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

16 citing papers in PubMed, 24 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

12 authors at 2 institutions in 1 country.

Andrew M YoussefCenter for Pain and the Brain, Department of Anesthesiology, Critical Care and Pain Medicine, Boston Children's Hospital, Boston, Massachusetts.ORCID 0000-0001-8025-3080
Monica Azqueta-GavaldonDepartment of Orthopedics, Physical Medicine and Rehabilitation, Medical Centre of University of Munich, Munich, Germany.
Katie E SilvaCenter for Pain and the Brain, Department of Anesthesiology, Critical Care and Pain Medicine, Boston Children's Hospital, Boston, Massachusetts.
Nadia BarakatCenter for Pain and the Brain, Department of Anesthesiology, Critical Care and Pain Medicine, Boston Children's Hospital, Boston, Massachusetts.
Natalia LopezCenter for Pain and the Brain, Department of Anesthesiology, Critical Care and Pain Medicine, Boston Children's Hospital, Boston, Massachusetts.
Farah MahmudCenter for Pain and the Brain, Department of Anesthesiology, Critical Care and Pain Medicine, Boston Children's Hospital, Boston, Massachusetts.
Alyssa LebelCenter for Pain and the Brain, Department of Anesthesiology, Critical Care and Pain Medicine, Boston Children's Hospital, Boston, Massachusetts.
Navil F SethnaCenter for Pain and the Brain, Department of Anesthesiology, Critical Care and Pain Medicine, Boston Children's Hospital, Boston, Massachusetts.
David ZurakowskiCenter for Pain and the Brain, Department of Anesthesiology, Critical Care and Pain Medicine, Boston Children's Hospital, Boston, Massachusetts.
Laura E SimonsDepartment of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, California.
Eduard KraftDepartment of Orthopedics, Physical Medicine and Rehabilitation, Medical Centre of University of Munich, Munich, Germany.
David BorsookCenter for Pain and the Brain, Department of Anesthesiology, Critical Care and Pain Medicine, Boston Children's Hospital, Boston, Massachusetts.ORCID 0000-0001-9825-0064
Boston Children's Hospital · USStanford Medicine · US

Funding

Imaging Pain and Analgesia: Mentoring in Basic and Applied ResearchK24NS064050 · NINDS · MCLEAN HOSPITAL · PI BORSOOK, DAVID · 2008 to 2017
$1.7M
CNS Plasticity in Pediatric Complex Regional Pain SyndromeR01NS065051 · NINDS · BOSTON CHILDREN'S HOSPITAL · PI BORSOOK, DAVID · 2010 to 2014
$1.6M
A neuroimaging perspective of pain-related fear in children with chronic painK23HD067202 · NICHD · BOSTON CHILDREN'S HOSPITAL · PI SIMONS, LAURA E · 2011 to 2015
$581k
Mayday FundNational Institute of Health K23HD067202National Institute of Health K24NS064050National Institute of Health R01NS065051NICHD NIH HHS K23 HD067202NINDS NIH HHS K24 NS064050NINDS NIH HHS R01 NS065051
6 · The paper itself

Abstract

The evaluation of brain changes to a specific pain condition in pediatric and adult patients allows for insights into potential mechanisms of pain chronicity and possibly long-term brain changes. Here we focused on the primary somatosensory system (SS) involved in pain processing, namely the ventroposterolateral thalamus (VPL) and the primary somatosensory cortex (SI). We evaluated, using MRI, three specific processes: (a) somatotopy of changes in the SS for different pain origins (viz., foot vs. arm); (b) differences in acute (ankle sprain versus complex regional pain syndrome-CRPS); and (c) differences of the effects of CRPS on SS in pediatric versus adult patients. In all cases, age- and sex-matched individuals were used as controls. Our results suggest a shift in concurrent gray matter density (GMD) and resting functional connectivity strengths (rFC) across pediatric and adult CRPS with (a) differential patterns of GMD (VPL) and rFC (SI) on SS in pediatric vs. adult patterns that are consistent with upper and lower limb somatotopical organization; and (b) widespread GMD alterations in pediatric CRPS from sensory, emotional and descending modulatory processes to more confined sensory-emotional changes in adult CRPS and rFC patterns from sensory-sensory alterations in pediatric populations to a sensory-emotional change in adult populations. These results support the idea that pediatric and adult CRPS are differentially represented and may reflect underlying differences in pain chronification across age groups that may contribute to the well-known differences between child and adult pain vulnerability and resilience.

Indexed as

AdolescentAdultAgedAge FactorsAnkle InjuriesCase-Control StudiesChildChronic PainConnectomeDisease SusceptibilityGray MatterHumansMagnetic Resonance ImagingMiddle AgedModels, NeurologicalMusculoskeletal Painadultarmbraincomplex regional painCRPSlegnervepediatricS1thalamus

Identifiers

PMID31298464
PMCPMC6865409
OpenAlexW2958951683

What OpenQuestion holds

Textmetadata
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.