Evidence map›Paper›PMID 31325065›Full record

ArticleClinical rheumatology2019

Neuropathic-like pain in psoriatic arthritis: evidence of abnormal pain processing.

Anoopama Ramjeeawon, Ernest Choy

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Clinical rheumatology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05223049 (Evaluation of Neuropathic Pain in Patients With Psoriatic Arthritis), which is not on this map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.7field-weighted citation impact, top 16% 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.

NCT05223049 completednot on this mapstarted 2022, after this paper: background citation

Evaluation of Neuropathic Pain in Patients With Psoriatic Arthritis

TypeobservationalSponsorBezmialem Vakif UniversityRan2022 to 2022Enrolled45ConditionsPsoriatic ArthritisArmspainDETECT questionnaire, Douleur Neuropathique 4 questionnaire (DN4), Short form-36, Spondyloarthritis Research Consortium of Canada Enthesitis Index (SPARCC), Numeric Rating Scale
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 28 citations in OpenAlex.

  1. Article
  2. Unravelling Fibromyalgia in Psoriatic Arthritis.Rheumatology and therapy · 2026
    Review
  3. Article
  4. Review
  5. Article
  6. Article
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  14. Review
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

2 authors at 2 institutions in 1 country.

Anoopama RamjeeawonSchool of Medicine, Cardiff University, Cardiff, UK.
Ernest ChoySchool of Medicine, Cardiff University, Cardiff, UK. ChoyEH@Cardiff.ac.uk.ORCID http://orcid.org/0000-0003-4459-8609
Cardiff University · GBTenovus Cancer Care · GB

Funding

Versus Arthritis 503123
6 · The paper itself

Abstract

objectivesThe primary objective was to investigate the prevalence of neuropathic-like pain in patients with psoriatic arthritis (PsA). Secondary outcomes were to investigate whether mood, fatigue, pain, disease severity and fibromyalgia are associated with neuropathic-like pain in PsA patients.

methodsPsA patients were assessed for fatigue, mood, pain, disease activity and fibromyalgia using questionnaires. Neuropathic-like pain was assessed by PainDetect.

resultsSixty-four patients with PsA were recruited from the Rheumatology Outpatient Department. Of the 64 patients recruited, 26.6% had 'likely neuropathic pain' and 21.9% had 'possible neuropathic-like pain' according to the PainDetect questionnaire. Patients with 'likely neuropathic pain' had higher disease activity, health assessment questionnaire, patient global self-assessment score, tender and swollen joint counts, dactylitis, enthesitis, pain severity and interference with day-to-day activities, fatigue severity and impact, fibromyalgia, anxiety and depression than 'unlikely neuropathic pain' patients (p < 0.05). PainDetect score correlated with measures of disease activity, fatigue, depression, anxiety, Widespread Pain Index and Symptom Severity Scale (all p < 0.05). Most patients (71%) with neuropathic-like pain fulfilled American College of Rheumatology 2010 fibromyalgia criteria. Patients with 'possible neuropathic-like pain' had scores between patients with 'likely neuropathic pain' and 'unlikely neuropathic pain'.

conclusionNeuropathic-like pain as evidence of abnormal pain processing is common in patients with PsA. It is associated with higher disease activity and fibromyalgia. A significant proportion of patients had 'possible neuropathic-like' pain with intermediate disease and symptom score suggesting neuropathic-like pain as evidence of abnormal pain processing is a continuum rather than concurrent fibromyalgia. Key Points • Neuropathic pain is prevalent in psoriatic arthritis. • Higher levels of pain, disease activity, fatigue, depression, anxiety and comorbidities in Psoriatic arthritis. • Increased pain severity is associated with increased disease activity, fatigue, depression and anxiety.

Indexed as

NociceptionAdultAgedArthritis, PsoriaticComorbidityFemaleHumansMaleMiddle AgedNeuralgiaPain ThresholdUnited KingdomAnxietyDepressionDisease activityFatigueInflammatory arthritisNeuropathic painPainPainDetectPain severityPsoriatic arthritis

Identifiers

PMID31325065
PMCPMC6825028
OpenAlexW2964334614

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.