Evidence map›Paper›PMID 32351641›Full record

ReviewPain research & management2020

Molecular Aspects of Regional Pain Syndrome.

Manuela Baronio, Hajra Sadia, Stefano Paolacci, Domenico Prestamburgo, Danilo Miotti, Vittorio A Guardamagna, Giuseppe Natalini, Stephanie G B Sullivan, Matteo Bertelli

Open access · goldAbstract readReview
In one paragraph

Review in Pain research & management, 2020. 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
5.0field-weighted citation impact, top 4% 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, 35 citations in OpenAlex.

  1. Review
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Review
  9. Review
  10. Review
  11. Article
  12. Review
  13. Review
  14. Article
  15. Article
  16. 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

9 authors at 7 institutions in 3 countries.

Manuela BaronioDipartimento di Anestesia, Rianimazione, Terapia Intensiva e del Dolore, Fondazione Poliambulanza, via Bissolati, 57, 25124 Brescia, Italy.
Hajra SadiaNational University of Sciences and Technology, NUST Campus, H-12, Islamabad, Pakistan.
Stefano PaolacciMAGI's Lab, Via delle Maioliche. 57/D, 38068 Rovereto, TN, Italy.ORCID 0000-0002-5551-7520
Domenico PrestamburgoOrtopedia e Traumatologia, Ospedali Civili di Legnano e Cuggiono, Via Papa Giovanni Paolo II, 20010 Legnano, MI, Italy.
Danilo MiottiCure Palliative e Terapia del Dolore, ICS Maugeri, Via S. Severino Boezio, 28, 27100 Pavia, Italy.
Vittorio A GuardamagnaCure Palliative e Terapia del Dolore, IRCCS IEO, Via Adamello, 16, 20139 Milan, Italy.
Giuseppe NataliniDipartimento di Anestesia, Rianimazione, Terapia Intensiva e del Dolore, Fondazione Poliambulanza, via Bissolati, 57, 25124 Brescia, Italy.
Stephanie G B SullivanDr. Sid E. Williams Center for Chiropractic Research, Office for Senior Health and Wellness, Life University, 1269, Barclay Cir, 30060 Marietta, GA, USA.
Matteo BertelliMAGI's Lab, Via delle Maioliche. 57/D, 38068 Rovereto, TN, Italy.ORCID 0000-0002-7646-2872
Center for Neuroscience and Cognitive Systems · ITFondazione Poliambulanza Istituto Ospedaliero · ITAzienda Ospedaliera Ospedale Civile di Legnano · ITIstituti Clinici Scientifici Maugeri · ITIstituti di Ricovero e Cura a Carattere Scientifico · ITLife University · USNational University of Sciences and Technology · PK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The purpose of this review is to summarize the pathophysiology of complex regional pain syndrome (CRPS), the underlying molecular mechanisms, and potential treatment options for its management. CRPS is a multifactorial pain condition. CRPS is characterized by prolonged or excessive pain and changes in skin color and temperature, and/or swelling in the affected area, and is generally caused by stimuli that lead to tissue damage. An inflammatory response involving various cytokines and autoantibodies is generated in response to acute trauma/stress. Chronic phase pathophysiology is more complex, involving the central and peripheral nervous systems. Various genetic factors involved in the chronicity of pain have been identified in CRPS patients. As with other diseases of complex pathology, CRPS is difficult to treat and no single treatment regimen is the same for two patients. Stimulation of the vagus nerve is a promising technique being tested for different gastrointestinal and inflammatory diseases. CRPS is more frequent in individuals of 61-70 years of age with a female to male ratio of 3 : 1. Menopause, migraine, osteoporosis, and asthma all represent risk factors for CRPS and in smokers the prognosis appears to be more severe. The pathophysiological mechanisms underlying CRPS involve both inflammatory and neurological pathways. Understanding the molecular basis of CRPS is important for its diagnosis, management, and treatment. For instance, vagal nerve stimulation might have the potential for treating CRPS through the cholinergic anti-inflammatory pathway.

Indexed as

AgedComplex Regional Pain SyndromesFemaleHumansMaleMiddle Aged

Identifiers

PMID32351641
PMCPMC7171689
OpenAlexW3015602143

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.