Evidence map›Paper›PMID 32519087›Full record

ReviewCurrent gastroenterology reports2020

Proctalgia Syndromes: Update in Diagnosis and Management.

Emma Victoria Carrington, Stefan-Lucian Popa, Giuseppe Chiarioni

Abstract readReview
PubMed Publisher
In one paragraph

Review in Current gastroenterology reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 10% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. The clinical value of EMG and SSEP in diagnosing chronic pelvic pain syndrome; a systematic review.Pain practice : the official journal of World Institute of Pain · 2025
    Pooled it
  2. Article
  3. Can Topical Glyceryl Trinitrate be Effective in the Treatment of Levator Ani Syndrome?The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2025
    Article
  4. Article
  5. Article
  6. Article
  7. 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

3 authors at 3 institutions in 4 countries.

Emma Victoria CarringtonDepartment of Colorectal Surgery, St Vincent's University Hospital, University College Dublin, Dublin, Ireland.
Stefan-Lucian Popa2nd Medical Department, "Iuliu Hatieganu", University of Medicine and Pharmacy, Cluj-Napoca, Romania.
Giuseppe ChiarioniDivision of Gastroenterology and Hepatology & UNC Centre for Functional GI and Motility Disorders, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA. chiarioni@alice.it.ORCID http://orcid.org/0000-0002-9183-4750
Iuliu Hațieganu University of Medicine and Pharmacy · ROUniversity College Dublin · IEUniversity of North Carolina at Chapel Hill · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purpose of reviewFunctional anorectal pain syndromes are a neglected yet often disabling clinical entity resulting in significant economic and psychological burden to the patient. The aim of this review is to update the practicing gastroenterologist/coloproctologist on the diagnosis and management of these complicated disorders. RECENT

findingsThe updated Rome foundation diagnostic criteria (Rome IV) for functional anorectal pain subgroups chronic proctalgia (levator ani syndrome and unspecified functional anorectal pain) and acute proctalgia (proctalgia fugax) on the basis of symptom duration and digital rectal examination findings. Chronic proctalgia is thought to be secondary to paradoxical pelvic floor contraction in many patients and biofeedback to improve the defecation effort has proven effective for over 90% in the short term. Unfortunately, management of proctalgia fugax remains challenging and treatment outcomes modest at best. A number of therapies to relax the pelvic floor may be employed to improve symptoms in functional anorectal pain syndromes; however, only biofeedback to improve defaecatory dynamics in patients with levator ani syndrome has proven effectiveness in a randomized setting. Further investigation of treatment approaches in proctalgia fugax is required.

Indexed as

Anus DiseasesChronic PainMuscular DiseasesPainPelvic PainAnal CanalBiofeedback, PsychologyBotulinum Toxins, Type AElectric Stimulation TherapyHumansInjections, IntramuscularPelvic FloorRectal DiseasesBotulinum Toxins, Type ABiofeedbackChronic anal painDyssynergic defecationLevator ani syndromeProctalgia fugax

Identifiers

PMID32519087
OpenAlexW3033227413

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.