Evidence map›Paper›PMID 33911897›Full record

ArticleJournal of pain research2021

Association of Chronic Pain with Radiologic Severity and Central Sensitization in Hip Osteoarthritis Patients.

Takafumi Hattori, Kazuhiro Shimo, Yuto Niwa, Yuji Tokiwa, Takako Matsubara

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Journal of pain research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07186374 (Relationship of Radiographic Findings With Pain, Function, Physical Performance and Balance in Patients With Hip Osteoarthritis), which is not on this map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
3.7field-weighted citation impact, top 6% 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.

NCT07186374 completednot on this mapstarted 2025, after this paper: background citation

Relationship of Radiographic Findings With Pain, Function, Physical Performance and Balance in Patients With Hip Osteoarthritis

Typeobservational_patient_registrySponsorArtvin Coruh UniversityRan2025 to 2025Enrolled72ConditionsHip Osteoarthritis
3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 32 citations in OpenAlex.

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  19. Observational
  20. Osteoarthritis Pain.International journal of molecular sciences · 2022
    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

5 authors at 1 institution in 1 country.

Takafumi HattoriFaculty of Rehabilitation, Kobe Gakuin University Graduate School, Kobe, Hyogo, Japan.
Kazuhiro ShimoDepartment of Physical Therapy, Faculty of Rehabilitation, Kobe Gakuin University, Kobe, Hyogo, Japan.
Yuto NiwaFaculty of Rehabilitation, Kobe Gakuin University Graduate School, Kobe, Hyogo, Japan.
Yuji TokiwaFaculty of Rehabilitation, Kobe Gakuin University Graduate School, Kobe, Hyogo, Japan.
Takako MatsubaraFaculty of Rehabilitation, Kobe Gakuin University Graduate School, Kobe, Hyogo, Japan.
Kobe Gakuin University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePain and joint deformity are the most common symptoms of hip osteoarthritis (OA). However, no significant association between pain and severity of radiographic lesions has been reported. Recently, central sensitization has been suggested as an underlying mechanism of pain in OA. We investigated the involvement of radiologic severity or central sensitization in the clinical manifestation of hip OA with various degrees of joint deformity. PATIENTS AND

methodsWe included 39 patients with hip OA and divided them into two groups according to the severity of the hip pain: strong/severe (numerical rating scale, NRS≥6) and mild/moderate (NRS<6). We assessed the radiologic severity of OA using the Kellgren-Lawrence (K-L) scale and minimum joint space width (mJSW). We conducted quantitative sensory testing (QST) that included pressure pain threshold (PPT) and temporal summation of pain (TSP) at hip, tibialis anterior (leg), and extensor carpi radialis longus (arm) on the affected side. We examined the difference of radiologic assessment and QST results between each group and the correlation of the NRS with the radiologic assessment and QST results.

resultsThere was no significant difference in the K-L scale and mJSW between patients with strong/severe and mild/moderate joint pain. Strong/severe pain patients demonstrated a lower PPT at all measurement sites and higher TSP at the hip and leg than the mild/moderate pain patients. In addition, NRS was significantly negatively correlated with PPT and positively correlated with TSP at all measurement sites, but not with the K-L scale and mJSW.

conclusionWe reported no significant difference in radiologic severity between patients with strong/severe and mild/moderate joint pain. By contrast, we found a significant difference in central sensitization represented by QST between strong/severe and mild/moderate joint pain groups. These results suggest that central sensitization may be involved in the joint pain of patients with hip OA who complain of severe pain despite less severe joint deformity.

Indexed as

hip osteoarthritispressure pain thresholdquantitative sensory testingtemporal summation of pain

Identifiers

PMID33911897
PMCPMC8075310
OpenAlexW3153527810

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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.