Evidence map›Paper›PMID 31902121›Full record

ReviewPain and therapy2020

Pathophysiologic Approach to Pain Therapy for Complex Pain Entities: A Narrative Review.

Martina Rekatsina, Antonella Paladini, Alba Piroli, Panagiotis Zis, Joseph V Pergolizzi, Giustino Varrassi

Erratum issuedAbstract readReview
In one paragraph

Review in Pain and therapy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing 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

18 citing papers in PubMed.

  1. Trial
  2. Endogenous mediators in regulating primary dysmenorrhea.Frontiers in cell and developmental biology · 2026
    Review
  3. Review
  4. Review
  5. Review
  6. Article
  7. Review
  8. Review
  9. Review
  10. Review
  11. Molecules (Basel, Switzerland) · 2025
    Article
  12. Article
  13. Biomolecules · 2024
    Article
  14. Whether Weather Matters with Migraine.Current pain and headache reports · 2024
    Review
  15. Article
  16. Review
  17. Review
  18. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Martina RekatsinaDepartment of Anaesthesia and Pain Management, King's College Hospital, London, UK.
Antonella PaladiniDepartment of MESVA, University of L'Aquila, 67100, L'Aquila, Italy.
Alba PiroliDepartment of MESVA, University of L'Aquila, 67100, L'Aquila, Italy.
Panagiotis ZisDepartment of Neurology, Medical School, University of Cyprus, Nicosia, Cyprus.
Joseph V PergolizziDirector of Analgesic Research Fellowship and COO, NEMA Research Inc., Naples, FL, 34108, USA.
Giustino VarrassiPaolo Procacci Foundation, Via Tacito 7, 00193, Roma, Italy. giuvarr@gmail.com.ORCID http://orcid.org/0000-0002-3822-2923

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pain management is challenging for both clinicians and patients. In fact, pain patients are frequently undertreated or even completely untreated. Optimal treatment is based on targeting the underlying mechanisms of pain and tailoring the management modality for each patient using a personalized approach. This narrative review deals with pain conditions that have a complex underlying mechanism and need an individualized and frequently multifactorial approach to pain management. The research is based on previously conducted studies, and does not contain any studies with human participants or animals performed by any of the authors. This is not an exhaustive review of the current evidence. However, it provides the clinician with a perspective on pain therapy targeting the underlying pain mechanism(s). When dealing with complex pain conditions, the prudent physician benefits from having a deep knowledge of various underlying pain mechanisms in order to provide a plan for optimal pharmacological pain relief to patients.

Indexed as

Complex painPainPain managementPain pathophysiologyPathophysiologic mechanismsPharmacological treatment

Identifiers

PMID31902121
PMCPMC7203327

What OpenQuestion holds

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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.