Evidence map›Paper›PMID 32529416›Full record

ReviewCurrent pain and headache reports2020

A Comprehensive Review of the Diagnosis, Treatment, and Management of Postmastectomy Pain Syndrome.

Alexander Capuco, Ivan Urits, Vwaire Orhurhu, Rebecca Chun, Bhavesh Shukla, Megan Burke, Rachel J Kaye, Andrew J Garcia, Alan D Kaye, Omar Viswanath

2 registry-linked trialsAbstract readReview
PubMed Publisher
In one paragraph

Review in Current pain and headache reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.5field-weighted citation impact, top 15% 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.

NCT05201963 nacompletednot on this mapstarted 2021, after this paper: background citation

Effect of Ultrasound Guided Erector Spinae Plane Block Versus Ultrasound Guided Serratus Anterior Block on the Incidence of Post Mastectomy Pain Syndrome, Randomized Double Blinded Controlled Study

TypeinterventionalSponsorNational Cancer Institute, EgyptRan2021 to 2024Enrolled120ConditionsBreast Cancer, Post-mastectomy Pain Syndrome, Acute PainArmsSerratus Anterior Plane Block, Erector Spinae Plane Block
NCT05935059 nacompletednot on this mapstarted 2023, after this paper: background citation

Evaluation of the Efficacy of Perioperative Administration of Tianeptine Versus Pregabalin on Acute and Chronic Post Mastectomy Pain After Breast Cancer Surgery. A Double-Blinded Randomized Controlled Trial.

TypeinterventionalSponsorNational Cancer Institute, EgyptRan2023 to 2025Enrolled90ConditionsPost-mastectomy Pain SyndromeArmsPregabalin, Tianeptine
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 30 citations in OpenAlex.

  1. Article
  2. Article
  3. Chronic Pain in the Cancer Survivor.Current pain and headache reports · 2025
    Review
  4. Article
  5. Article
  6. Article
  7. Review
  8. Review
  9. Review
  10. Article
  11. Article
  12. Microstructural Properties of Brain White Matter Tracts in Breast Cancer Survivors: A Diffusion Tensor Imaging Study.Pathophysiology : the official journal of the International Society for Pathophysiology · 2022
    Article
  13. Post-Breast Surgery Pain Syndrome: Shifting a Surgical Paradigm.Plastic and reconstructive surgery. Global open · 2021
    Article
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

10 authors at 5 institutions in 1 country.

Alexander CapucoGeorgetown University School of Medicine, Washington, DC, USA.
Ivan UritsBeth Israel Deaconess Medical Center, Department of Anesthesia, Critical Care, and Pain Medicine, Harvard Medical School, Boston, MA, USA. iurits@bidmc.harvard.edu.
Vwaire OrhurhuBeth Israel Deaconess Medical Center, Department of Anesthesia, Critical Care, and Pain Medicine, Harvard Medical School, Boston, MA, USA.
Rebecca ChunUniversity of Arizona College of Medicine-Phoenix, Phoenix, AZ, USA.
Bhavesh ShuklaUniversity of Arizona College of Medicine-Phoenix, Phoenix, AZ, USA.
Megan BurkeUniversity of Arizona College of Medicine-Phoenix, Phoenix, AZ, USA.
Rachel J KayeDepartment of Anesthesiology and Pharmacology, Toxicology, and Neurosciences, Louisiana State University School of Medicine, Shreveport, LA, USA.
Andrew J GarciaDepartment of Anesthesiology and Pharmacology, Toxicology, and Neurosciences, Louisiana State University School of Medicine, Shreveport, LA, USA.
Alan D KayeDepartment of Anesthesiology and Pharmacology, Toxicology, and Neurosciences, Louisiana State University School of Medicine, Shreveport, LA, USA.
Omar ViswanathDepartment of Anesthesiology and Pharmacology, Toxicology, and Neurosciences, Louisiana State University School of Medicine, Shreveport, LA, USA.
Louisiana State University in Shreveport · USUniversity of Arizona · USHarvard University · USCreighton University · USGeorgetown University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purpose of reviewPostmastectomy pain syndrome (PMPS) remains poorly defined, although it is applied to chronic neuropathic pain following surgical procedures of the breast, including mastectomy and lumpectomy in breast-conserving surgery. It is characterized by persistent pain affecting the anterior thorax, axilla, and/or medial upper arm following mastectomy or lumpectomy. Though the onset of pain is most likely to occur after surgery, there may also be a new onset of symptoms following adjuvant therapy, including chemotherapy or radiation therapy. RECENT

findingsThe underlying pathophysiology is likely multifactorial, although exact mechanisms have yet to be elucidated. In this regard, neuralgia of the intercostobrachial nerve is currently implicated as the most common cause of PMPS. Numerous pharmacological options are available in the treatment of PMPS, including gabapentinoids, tricyclic antidepressants, selective serotonin reuptake inhibitors, NMDA receptor antagonists, and nefopam (a non-opioid, non-steroidal benzoxazocine analgesic). Minimally invasive interventional treatment including injection therapy, regional anesthesia, botulinum toxin, and neuromodulation has been demonstrated to have some beneficial effect. A comprehensive update highlighting current perspectives on the treatment of postmastectomy pain syndrome is presented with emphasis on treatments currently available and newer therapeutics currently being evaluated to alleviate this complex and multifactorial condition.

Indexed as

MastectomyAcetylcholine Release InhibitorsAnalgesicsAnesthesia, ConductionAnesthetics, LocalAntidepressive Agents, TricyclicArmAxillaBotulinum Toxins, Type AElectric Stimulation TherapyGabapentinGanglia, SpinalHumansMemantineNefopamNerve BlockAcetylcholine Release InhibitorsAnalgesicsAnesthetics, LocalAntidepressive Agents, TricyclicBotulinum Toxins, Type AGabapentinMemantineNefopamReceptors, N-Methyl-D-AspartateSelective Serotonin Reuptake InhibitorsBreast surgeryNeuromodulationPostmastectomy pain syndromePostsurgical pain

Identifiers

PMID32529416
OpenAlexW3035114768

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.