Evidence map›Paper›PMID 32508433›Full record

ArticleJournal of orthopaedics

Pain catastrophizing is associated with increased physical disability in patients with anterior knee pain.

Kamali Thompson, Mark Kramarchuk, Michelle Yagnatovsky, Dennis Kunichoff, Michael Zacchilli, Kirk A Campbell, Michael Alaia, Laith Jazrawi, Eric Strauss

Erratum issuedOpen access · greenAbstract read
In one paragraph

Article in Journal of orthopaedics. 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 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.4field-weighted citation impact, top 20% 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

3 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
  2. Article
  3. Managing patients' expectations in orthopaedics.International orthopaedics · 2021
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 1 institution in 1 country.

Kamali ThompsonNYU Langone Health, Department of Orthopedic Surgery, Division of Sports Medicine, New York, NY 10016, USA.
Mark KramarchukNYU Langone Health, Department of Orthopedic Surgery, Division of Sports Medicine, New York, NY 10016, USA.
Michelle YagnatovskyNYU Langone Health, Department of Orthopedic Surgery, Division of Sports Medicine, New York, NY 10016, USA.
Dennis KunichoffNYU Langone Health, Department of Orthopedic Surgery, Division of Sports Medicine, New York, NY 10016, USA.
Michael ZacchilliHofstra Northwell School of Medicine, Hempstead, NY 11549, USA.
Kirk A CampbellNYU Langone Health, Department of Orthopedic Surgery, Division of Sports Medicine, New York, NY 10016, USA.
Michael AlaiaNYU Langone Health, Department of Orthopedic Surgery, Division of Sports Medicine, New York, NY 10016, USA.
Laith JazrawiNYU Langone Health, Department of Orthopedic Surgery, Division of Sports Medicine, New York, NY 10016, USA.
Eric StraussNYU Langone Health, Department of Orthopedic Surgery, Division of Sports Medicine, New York, NY 10016, USA.
Hofstra University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe traditional nociceptive approach to pain identifies the mind and body as functionally separate. However, the biopsychosocial model accounts for the impact of social, psychological and physical factors on the patient experience. The purpose of this study was to determine the relationship between diagnosis, physical disability, and psychological distress among patients with anterior knee pain-one of the most common complaints in an orthopedic clinic.

methodsThis was a single-center, cross-sectional study. Patients presenting for initial evaluation of knee pain completed the Pain Catastrophizing Scale, Kujala Anterior Knee Pain Scale, and SF-12 questionnaires. Statistical analysis was performed using SPSS Version 24.

results207 patients, 108 (52.2%) females and 99 (47.8%) males, with a mean age 44.5 ± 15.4 years were enrolled. The osteoarthritis cohort had the highest pain catastrophizing score (17 ± 14.5), lowest Kujala score (48.3 ± 18.1), lowest SF-12 PCS (37.5 ± 8.3), and lowest SF-12 MCS (50.8 ± 11.0). Across all diagnoses, there was a statistically significant negative correlation between the total Pain Catastrophizing Score (PCS) and the Kujala, SF-12 Physical, and SF-12 Mental Component Scores. Bivariate and multivariate analysis demonstrated a correlation between PCS and duration of symptoms and African-Americans. The Kujala and SF-12 PCS demonstrated a statistically significant correlation with age, smoking, and the Asian Indian ethnicity. The SF-12 MCS showed a significant relationship with the Asian Indian ethnicity. Bivariate analysis also showed a statistically significant relationship between the SF-12 PCS and the SF-12 MCS.

conclusionKnee pain patients presenting to an orthopedic sports medicine clinic demonstrate diminished physical quality of life and psychological reserves. This study determined an association between catastrophizing behavior and other patient reported outcomes measuring pain, physical distress, quality of life and mental/emotional well-being. To optimize patient outcomes, psychological domain should be managed contemporaneously to orthopedic pathology.

Indexed as

OsteoarthritisPain catastrophizing scalePatellofemoral pain syndromePsychosocial factors

Identifiers

PMID32508433
PMCPMC7264004
OpenAlexW3020998771

What OpenQuestion holds

Textmetadata
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.