Evidence map›Paper›PMID 31564957›Full record

ArticleJournal of pain research2019

Practical approach to a patient with chronic pain of uncertain etiology in primary care.

Shaquir Salduker, Eugene Allers, Sudha Bechan, R Eric Hodgson, Fanie Meyer, Helgard Meyer, Johan Smuts, Eileen Vuong, David Webb

Abstract read
In one paragraph

Article in Journal of pain research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
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

7 citing papers in PubMed.

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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.

Shaquir SaldukerDurban Pain Clinic, St Augustine Hospital, Durban, South Africa.
Eugene AllersGlynview Multiprofessional Practice, Gauteng, South Africa.
Sudha BechanDepartment of Anaesthesiology, Head Clinical Unit, Inkosi Albert Luthuli Central Hospital, Nelson R Mandela School of Medicine, Durban, South Africa.
R Eric HodgsonInkosi Albert Luthuli Central Hospital, Nelson R Mandela School of Medicine, Durban, South Africa.
Fanie MeyerOptima Psychiatric Hospital, Bloemfontein, South Africa.
Helgard MeyerDepartment of Family Medicine, University of Pretoria, Pretoria, South Africa.
Johan SmutsFaculty of Medicine, University of Pretoria, Pretoria, South Africa.
Eileen VuongSouth African Research Chairs Initiative (SARChI), PTSD Program, Department of Psychiatry, Stellenbosch University, Stellenbosch, South Africa.
David WebbHoughton House Group, Gauteng, South Africa.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chronic pain of uncertain etiology often presents a challenge to both patients and their health care providers. It is a complex condition influenced by structural and physiological changes in the peripheral and central nervous systems, and it directly influences, and is modulated by, psychological well-being and personality style, mood, sleep, activity level and social circumstances. Consequently, in order to effectively treat the pain, all of these need to be evaluated and addressed. An effective management strategy takes a multidisciplinary biopsychosocial approach, with review of all current medications and identification and careful withdrawal of those that may actually be contributing to ongoing pain. The management approach is primarily nonpharmacological, with carefully considered addition of medication, beginning with pain-modulating treatments, if necessary. In this article, we present a primary care approach to the assessment and management of a patient with chronic pain where the cause cannot be identified.

Indexed as

biopsychosocialcentral sensitizationchronicetiologypain

Identifiers

PMID31564957
PMCPMC6731975

What OpenQuestion holds

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LicenceCC BY-NC
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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.