Evidence map›Paper›PMID 32856490›Full record

ReviewJournal of diabetes science and technology2022

Current Strategies for the Management of Painful Diabetic Neuropathy.

Michael D Staudt, Tarun Prabhala, Breanna L Sheldon, Nicholas Quaranta, Michael Zakher, Ravneet Bhullar, Julie G Pilitsis, Charles E Argoff

Open access · bronzeAbstract readReview
In one paragraph

Review in Journal of diabetes science and technology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 3 pooled it
2.3field-weighted citation impact, top 11% 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

35 citing papers in PubMed, 3 syntheses or guidelines pooled it, 52 citations in OpenAlex.

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  18. Diabetic Neuropathy: A Guide to Pain Management.Current pain and headache reports · 2024
    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 1 institution in 1 country.

Michael D StaudtDepartment of Neurosurgery, Albany Medical College, Albany, New York, USA.ORCID 0000-0002-9123-136X
Tarun PrabhalaDepartment of Neuroscience and Experimental Therapeutics, Albany Medical College, Albany NY, USA.
Breanna L SheldonDepartment of Neuroscience and Experimental Therapeutics, Albany Medical College, Albany NY, USA.
Nicholas QuarantaDepartment of Anesthesiology, Albany Medical College, Albany, New York, USA.
Michael ZakherDepartment of Anesthesiology, Albany Medical College, Albany, New York, USA.
Ravneet BhullarDepartment of Anesthesiology, Albany Medical College, Albany, New York, USA.
Julie G PilitsisDepartment of Neurosurgery, Albany Medical College, Albany, New York, USA.
Charles E ArgoffDepartment of Neurology, Albany Medical College, Albany, New York, USA.
Albany Medical Center Hospital · US

Funding

High-Resolution, Spinal Cord Stimulation for Non-Opioid Treatment of Neuropathic PainU44NS115111 · NINDS · MICRO-LEADS, INC. · PI MCLAUGHLIN, BRYAN L · 2019 to 2025
$9.8M
MR-Guided Precision Conformal Ablation Therapy for Brain TumorsR01CA166379 · NCI · WORCESTER POLYTECHNIC INSTITUTE · PI FISCHER, GREGORY S, PILITSIS, JULIE GEORGIA · 2013 to 2022
$6.5M
NCI NIH HHS R01 CA166379NINDS NIH HHS U44 NS115111
6 · The paper itself

Abstract

The development of painful diabetic neuropathy (PDN) is a common complication of chronic diabetes that can be associated with significant disability and healthcare costs. Prompt symptom identification and aggressive glycemic control is essential in controlling the development of neuropathic complications; however, adequate pain relief remains challenging and there are considerable unmet needs in this patient population. Although guidelines have been established regarding the pharmacological management of PDN, pain control is inadequate or refractory in a high proportion of patients. Pharmacotherapy with anticonvulsants (pregabalin, gabapentin) and antidepressants (duloxetine) are common first-line agents. The use of oral opioids is associated with considerable morbidity and mortality and can also lead to opioid-induced hyperalgesia. Their use is therefore discouraged. There is an emerging role for neuromodulation treatment modalities including intrathecal drug delivery, spinal cord stimulation, and dorsal root ganglion stimulation. Furthermore, consideration of holistic alternative therapies such as yoga and acupuncture may augment a multidisciplinary treatment approach. This aim of this review is to focus on the current management strategies for the treatment of PDN, with a discussion of treatment rationale and practical considerations for their implementation.

Indexed as

Diabetes MellitusDiabetic NeuropathiesAnticonvulsantsAntidepressive AgentsHumansPain ManagementAnticonvulsantsAntidepressive Agentsdiabetesneuromodulationneuropathypainpainful diabetic neuropathypharmacotherapy

Identifiers

PMID32856490
PMCPMC8861791
OpenAlexW3082351265

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.