Evidence map›Paper›PMID 33045119›Full record

ArticleNeurourology and urodynamics2021

Does maladaptive cardiovagal modulation extend to gastric modulation in women with chronic pelvic pain?

DeWayne Williams, Eric Muth, Julian Thayer, Thomas Chelimsky, Gisela Chelimsky

Open access · greenAbstract read
In one paragraph

Article in Neurourology and urodynamics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.3field-weighted citation impact, top 38% 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

0 citing papers in PubMed, 3 citations in OpenAlex.

No citing paper in PubMed yet.

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

5 authors at 3 institutions in 1 country.

DeWayne WilliamsDepartment of Psychological Science, University of California, Irvine, California, USA.
Eric MuthResearch and Economic Development, North Carolina Agricultural and Technical State University, Greensboro, North Carolina, USA.
Julian ThayerDepartment of Psychological Science, University of California, Irvine, California, USA.
Thomas ChelimskyDepartment of Neurology, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
Gisela ChelimskyDepartment of Pediatrics, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.ORCID 0000-0001-5318-0103
Medical College of Wisconsin · USUniversity of California, Irvine · USNorth Carolina Agricultural and Technical State University · US

Funding

Neurophysiologic & Autonomic Characterization of Interstitial Cystitis/Painful BlR01DK083538 · NIDDK · MEDICAL COLLEGE OF WISCONSIN · PI HELMS, ANN K · 2009 to 2020
$6.6M
NIDDK NIH HHS R01 DK083538
6 · The paper itself

Abstract

backgroundWomen with chronic pelvic pain (CPP) have poor cardiovagal modulation. It is unclear whether this finding reflects a broader abnormality across many systems such as gastro-vagal modulation.

aimTo determine if maladaptive cardiovagal activity in females with CPP is accompanied by maladaptive gastric myoelectric activity.

methodsA total of 36 health controls (HC) and 75 CPP underwent supine (10 min), then upright (tilted 70° head up; 30 min), and back to supine (10 min) positions. High-frequency heart rate variability (HF-HRV; 0.15-0.4 Hz) was measured as an index of cardiovagal activity. Cutaneous electrogastrography (EGG) assessed gastric myoelectric activity pre- and during-upright tilt. EGG measures from 16 HC and 31 CPP patients were available for analysis and included relative percentage of gastric activity within the normal (2-4 cpm) and tachygastria (4-10 cpm) ranges, plus ratio of normal/tachygastria.

resultsHF-HRV was lower in CPP individuals at all time points (each p < .05). CPP individuals showed lesser decrease in HF-HRV from supine to upright, and poorer HF-HRV recovery from upright back to supine (F[1, 106] = 4.62, p = .034). HC showed increase in tachygastria activity (t[15] = -2.09, p = .054) while the CPP group showed no change in tachygastria activity from pre-upright to upright (t[30] = -0.62, p = .537).

conclusionsIndividuals with CPP going from supine to upright demonstrate an impairment in both tachygastria and the parallel decrement in HRV. These results support the hypothesis of a generalized blunting in the physiological modulation in CPP individuals affecting both cardiovascular and gastric systems.

Indexed as

AdolescentAdultAgedAged, 80 and overCase-Control StudiesChronic PainElectrocardiographyFemaleHeart RateHumansMiddle AgedPelvic PainVagus NerveYoung Adultchronic pelvic painelectrogastrographygastric myoelectrical activityheart rate variabilityvagal modulation

Identifiers

PMID33045119
PMCPMC7902291
OpenAlexW3092361655

What OpenQuestion holds

Textmetadata
LicenceTDM
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.