Evidence map›Paper›PMID 32973989›Full record

ArticleTherapeutic advances in chronic disease2020

Endogenous glucocorticoids may serve as biomarkers for migraine chronification.

Yohannes W Woldeamanuel, Bharati M Sanjanwala, Robert P Cowan

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Therapeutic advances in chronic disease, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05415020 (Feasibility, Acceptability, and Pilot Testing of a Behavioral Intervention for Chronic Migraine), which is not on this map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 29% 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.

NCT05415020 narecruitingnot on this mapstarted 2022, after this paper: background citation

Feasibility, Acceptability, and Pilot Testing of a Behavioral Intervention for Chronic Migraine

TypeinterventionalSponsorMayo ClinicRan2022 to 2027Enrolled60ConditionsMigraine, Headache, Migraine Disorders, Chronic MigraineArmsLifestyle Behavior Protocol, Sham Behavior Protocol
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Review
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  6. Review
  7. Article
  8. Review
  9. Episodic Migraine and POTS.Current pain and headache reports · 2023
    Review
  10. 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

3 authors at 1 institution in 1 country.

Yohannes W WoldeamanuelDepartment of Neurology and Neurological Sciences, Division of Headache, Stanford University School of Medicine, 300 Pasteur Drive, Stanford, CA 94305, USA.ORCID https://orcid.org/0000-0003-4879-6098
Bharati M SanjanwalaDepartment of Neurology and Neurological Sciences, Division of Headache, Stanford University School of Medicine, Stanford, CA, USA.
Robert P CowanDepartment of Neurology and Neurological Sciences, Division of Headache, Stanford University School of Medicine, Stanford, CA, USA.
Stanford University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsThe aims of this study were to: (a) identify differences in serum and cerebrospinal fluid (CSF) glucocorticoids among episodic migraine (EM) and chronic migraine (CM) patients compared with controls; (b) determine longitudinal changes in serum glucocorticoids in CM patients; and (c) determine migraine-related clinical features contributing to glucocorticoid levels.

methodsSerum and CSF levels of cortisol and corticosterone were measured using liquid chromatography-mass spectrometry among adult patients with EM, CM, and controls. Serum and CSF samples were collected from 26 and four participants in each group, respectively. Serum glucocorticoids were measured at a second timepoint after 2 years among 10 of the CM patients, six of whom reverted to EM while four persisted as CM. Receiver operating characteristic (ROC) analysis was made to assess the migraine diagnostic performance of glucocorticoids. Regression analysis was conducted to determine the link between glucocorticoid levels and migraine-related clinical variables.

resultsCM patients exhibited significantly elevated serum and CSF levels of cortisol and corticosterone compared with controls and EM patients (age, sex, body mass index adjusted; Kruskal-Wallis

conclusionEndogenous glucocorticoids may be biomarkers for migraine progression and for monitoring treatment response. Improving pain self-efficacy skills may help optimize endogenous glucocorticoid levels, which in turn may prevent migraine attacks.

Indexed as

biomarkerchronic migrainecortisolCSFdiagnostic accuracyglucocorticoidsmigrainereceiver operating characterisitc (ROC)self-efficacyserum

Identifiers

PMID32973989
PMCPMC7495027
OpenAlexW3044557512

What OpenQuestion holds

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LicenceCC BY-NC
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.