Evidence map›Paper›PMID 32133655›Full record

Trial reportMuscle & nerve2020

Cold aggravates abnormal excitability of motor axons in oxaliplatin-treated patients.

Kristine Bennedsgaard, Lise Ventzel, Peter Grafe, Jenny Tigerholm, Andreas C Themistocleous, David L Bennett, Hatice Tankisi, Nanna B Finnerup

Open access · hybridAbstract readClinical Trial
In one paragraph

Trial report in Muscle & nerve, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.3field-weighted citation impact, top 17% 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, 22 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Assessing pain after cancer treatment.Scandinavian journal of pain · 2022
    Article
  6. Article
  7. Observational
  8. Article
  9. Article
  10. Review
  11. Review
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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

8 authors at 5 institutions in 3 countries.

Kristine BennedsgaardDanish Pain Research Center, Department of Clinical Medicine, Aarhus University, Aarhus, Denmark.ORCID 0000-0002-2686-8620
Lise VentzelDanish Pain Research Center, Department of Clinical Medicine, Aarhus University, Aarhus, Denmark.
Peter GrafeInstitute of Physiology, Ludwig-Maximilians University, Munich, Germany.
Jenny TigerholmCenter of Neuroplasticity and Pain, Department of Health Science and Technology, Aalborg University, Aalborg, Denmark.
Andreas C ThemistocleousNuffield Department of Clinical Neuroscience, University of Oxford, Oxford, UK.ORCID 0000-0002-1089-1543
David L BennettNuffield Department of Clinical Neuroscience, University of Oxford, Oxford, UK.
Hatice TankisiDepartment of Neurophysiology, Aarhus University Hospital, Aarhus, Denmark.ORCID 0000-0001-8495-9769
Nanna B FinnerupDanish Pain Research Center, Department of Clinical Medicine, Aarhus University, Aarhus, Denmark.
Aarhus University · DKUniversity of Oxford · GBAalborg University · DKAarhus University Hospital · DKLudwig-Maximilians-Universität München · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionCold allodynia is often seen in the acute phase of oxaliplatin treatment, but the underlying pathophysiology remains unclear.

methodsPatients scheduled for adjuvant oxaliplatin for colorectal cancer were examined with quantitative sensory testing and nerve excitability tests at baseline and after the second or third oxaliplatin cycle at different skin temperatures.

resultsSeven patients were eligible for examination. All patients felt evoked pain and tingling when touching something cold after oxaliplatin infusion. Oxaliplatin decreased motor nerve superexcitability (P < .001), increased relative refractory period (P = .011), and caused neuromyotonia-like after-activity. Cooling exacerbated these changes and prolonged the accommodation half-time. DISCUSSION: The findings suggest that a combined effect of oxaliplatin and cooling facilitates nerve excitability changes and neuromyotonia-like after-activity in peripheral nerve axons. A possible mechanism is the slowing in gating of voltage-dependent fast sodium and slow potassium channels, which results in symptoms of cold allodynia.

Indexed as

AgedAntineoplastic AgentsAxonsCold TemperatureColonic NeoplasmsFemaleFollow-Up StudiesHumansHyperalgesiaMaleMiddle AgedMotor NeuronsOxaliplatinProspective StudiesTreatment OutcomeAntineoplastic AgentsOxaliplatinallodynianerve excitability testingneuropathyoxaliplatin toxicitypotassium channel dysfunctionsodium channel dysfunction

Identifiers

PMID32133655
PMCPMC7318596
OpenAlexW3009197385

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.