Evidence map›Paper›PMID 33981932›Full record

ArticlePain reports2021

Momentary pain assessments reveal benefits of endoscopic discectomy: a prospective cohort study.

Kenta Wakaizumi, Binbin Wu, Shishi Huang, Linyu Fan, Bangli Shen, Bo Wu, Jing Zhang, Marwan N Baliki, A Vania Apkarian, Lejian Huang

Open access · goldAbstract read
In one paragraph

Article in Pain reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 54% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. 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 3 institutions in 2 countries.

Kenta WakaizumiShirley Ryan AbilityLab, Chicago, IL, USA.
Binbin WuDepartments of Pain Medicine.
Shishi HuangNeurology, and.
Linyu FanDepartments of Pain Medicine.
Bangli ShenDepartments of Pain Medicine.
Bo WuInformation, the Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China.
Jing ZhangDepartments of Pain Medicine.
Marwan N BalikiShirley Ryan AbilityLab, Chicago, IL, USA.
A Vania ApkarianCenter for Translational Pain Research, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
Lejian HuangCenter for Translational Pain Research, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
Pain and Rehabilitation Medicine · USNorthwestern University · USNeurology, Inc · US

Funding

Rodent Behavior CoreP50DA044121 · NIDA · NORTHWESTERN UNIVERSITY AT CHICAGO · PI SURMEIER, DALTON JAMES · 2018 to 2022
$9.0M
NIDA NIH HHS P50 DA044121
6 · The paper itself

Abstract

Lumbar disc herniation (LDH) is a common back disorder that evokes back and/or leg pain. Percutaneous endoscopic lumbar discectomy (PELD) is a minimally invasive surgery for patients with LDH. However, there is little evidence of effectiveness of PELD compared with conservative treatments.

objectiveThe goal of this study was to quantify the efficacy of PELD compared with conservative treatments.

methodsHere, we conducted a prospective observational cohort study using momentary pain assessments via a smartphone app during 3 months following surgery. The trajectories of daily ecological momentary pain assessments were fitted with an exponential model containing two parameters: a pain reduction coefficient and the percentage of persistent pain. To control for selection bias between PELD and Conservative groups (N = 167 and 34), we used inverse probability (IP) of treatment weighting for statistical comparisons.

resultsCompared with conservative treatments, both momentary pain rating and the exponential model showed statistically significant pain recovery following PELD (p < 0.001). In addition, PELD had a faster pain recovery rate (hazard ratio (95% confidence interval): 1.75 (1.40, 2.20), p < 0.001), greater overall pain recovery rate (odds ratio (95%CI): 2.35 (2.01, 5.26), p < 0.001), faster pain reduction (t

conclusionsIn conclusion, momentary pain rating and the model fitting revealed that PELD provided rapid pain recovery that lasted for at least three months. Greater pain intensity and lower anxiety before the surgery were predictors of faster pain reduction in the recovery subgroup following PELD. Daily momentary pain rating on a smartphone may be able to provide more informative data to evaluate effect of an intervention than pain assessment on hospital visits.

Indexed as

Exponential pain reduction modelLumbar disc herniationMomentary pain ratingPain AppPercutaneous endoscopic lumbar discectomy

Identifiers

PMID33981932
PMCPMC8108591
OpenAlexW3138152413

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.