Evidence map›Paper›PMID 33981935›Full record

ArticlePain reports2021

Prevalence of postamputation pain and its subtypes: a meta-analysis with meta-regression.

Paul M Schwingler, Rajat N Moman, Christy Hunt, Zachary Ashmore, Sandra P Ogletree, Mason E Uvodich, M Hassan Murad, W Michael Hooten

2 registry-linked trialsAbstract 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. It is linked to 2 registered trials, which are not on this map. Cited by 8 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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.

NCT06719245 narecruitingnot on this mapstarted 2024, after this paper: background citation

Prevention of PostAmputation Pain With Targeted Muscle Reinnervation: A National, Multicenter, Randomized, Sham-controlled Superiority Trial, Comparing Standard Neurectomy With Targeted Muscle Reinnervation in Amputations of the Lower Extremities

TypeinterventionalSponsorLeiden University Medical CenterRan2024 to 2028Enrolled203ConditionsAmputation, Surgical, Phantom Limb Pain, Neuroma Amputation, SurgeryArmsTargeted Muscle Reinnervation (TMR), Standard neurectomy
NCT07605754 recruitingnot on this mapstarted 2025, after this paper: background citation

Results of Nerve Surgery to Treat PostAmputation Pain (TreatPAP): a Prospective Study

TypeobservationalSponsorLeiden University Medical CenterRan2025 to 2029Enrolled98ConditionsAmputation NeuromaArmsFascicular split, Targeted Muscle Reinnervation
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  4. Trial
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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.

Paul M SchwinglerDepartments of Physical Medicine and Rehabilitation and.
Rajat N MomanAnesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, MN, USA.
Christy HuntDepartment of Anesthesiology and Perioperative Medicine, Division of Pain Medicine, Mayo Clinic, Rochester, MN, USA.
Zachary AshmoreDepartments of Physical Medicine and Rehabilitation and.
Sandra P OgletreeDepartments of Physical Medicine and Rehabilitation and.
Mason E UvodichDepartments of Orthopedic Surgery and.
M Hassan MuradInternal Medicine, Mayo Clinic, Rochester, MN, USA.
W Michael HootenDepartment of Anesthesiology and Perioperative Medicine, Division of Pain Medicine, Mayo Clinic, Rochester, MN, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe inconsistent use of standardized approaches for classifying postamputation pain (PAP) has been a barrier to establishing its prevalence.

objectivesThe primary objective of this systematic review and meta-analysis is to determine the prevalence of nontraumatic lower-extremity PAP using an established taxonomy. The secondary objective is to determine the prevalence of PAP subtypes, including phantom limb pain and residual limb pain (RLP).

methodsAn a priori protocol was registered, and a database search was conducted by a reference librarian. Randomized trials and uncontrolled studies were eligible for inclusion. The risk of bias was assessed using a tool developed for uncontrolled studies. A total of 2679 studies were screened, and 13 studies met inclusion criteria (n = 1063).

resultsThe sources of risk of bias included selection bias and, to a lesser extent, whether the outcome was adequately ascertained. Two studies reported the prevalence of PAP and the pooled prevalence was 61% (95% confidence interval [CI], 33%-86%) with high heterogeneity (I

conclusionsThe prevalence of PAP is high in patients with nontraumatic lower-extremity amputations. Ongoing research that uses a taxonomy for PAP is needed to fully delineate the prevalence of PAP subtypes.

Indexed as

Chronic painPhantom limb painPostamputation painPrevalenceResidual limb pain

Identifiers

PMID33981935
PMCPMC8108594

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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.