Evidence map›Paper›PMID 34004348›Full record

ArticleThe journal of pain2021

Treating Pain With Open-Label Placebos: A Qualitative Study With Post-Surgical Pain Patients.

Michael H Bernstein, Nathaniel Fuchs, Maayan Rosenfield, Arnold-Peter Weiss, Charlotte Blease, Cosima Locher, Molly Magill, Josiah Rich, Francesca L Beaudoin

Open access · greenAbstract read
In one paragraph

Article in The journal of pain, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 41% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Can the Open Label Placebo Rationale Be Optimized?Frontiers in pain research (Lausanne, Switzerland) · 2021
    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

9 authors at 4 institutions in 2 countries.

Michael H BernsteinDepartment of Behavioral and Social Sciences, Center for Alcohol and Addiction Studies, Brown University School of Public Health, Providence, Rhode Island. Electronic address: Michael_Bernstein@Brown.edu.
Nathaniel FuchsDepartment of Behavioral and Social Sciences, Center for Alcohol and Addiction Studies, Brown University School of Public Health, Providence, Rhode Island.
Maayan RosenfieldDepartment of Behavioral and Social Sciences, Center for Alcohol and Addiction Studies, Brown University School of Public Health, Providence, Rhode Island.
Arnold-Peter WeissUniversity Orthopedics, Inc, East Providence, Rhode Island; Department of Orthopaedics, Division of Hand Surgery, Warren Alpert Medical School of Brown University, Providence, Rhode Island.
Charlotte BleaseGeneral Medicine and Primary Care, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, Massachusetts.
Cosima LocherDepartment of Consultation-Liaison Psychiatry and Psychosomatic Medicine, University Hospital Zurich, Zürich, Switzerland; Division of Clinical Psychology and Psychotherapy, Faculty of Psychology, University of Basel, Basel, Switzerland.
Molly MagillDepartment of Behavioral and Social Sciences, Center for Alcohol and Addiction Studies, Brown University School of Public Health, Providence, Rhode Island.
Josiah RichThe Miriam Hospital, Providence, Rhode Island; Warren Alpert Medical School of Brown University, Providence, Rhode Island.
Francesca L BeaudoinDepartment of Emergency Medicine, The Alpert Medical School of Brown University, Providence, Rhode Island; Departments of Epidemiology & Health Services, Policy, and Practice, Brown University School of Public Health, Providence, Rhode Island.
Brown University · USBeth Israel Deaconess Medical Center · USProvidence College · USUniversity of Basel · CH

Funding

Project 4: Neonatal Abstinence Syndrome (NAS): Fetus to First YearsP20GM125507 · NIGMS · RHODE ISLAND HOSPITAL · PI JOSIAH D RICH · 2018 to 2026
$23.4M
Harnessing Placebo Analgesia to Address the Opioid EpidemicK01DA048087 · NIDA · RHODE ISLAND HOSPITAL · PI BERNSTEIN, MICHAEL HARRISON · 2019 to 2023
$903k
NIDA NIH HHS K01 DA048087NIGMS NIH HHS P20 GM125507
6 · The paper itself

Abstract

Prior research has shown that Open Label Placebos (OLPs; that is, placebos described honestly as inactive pills) are effective for a variety of clinical conditions, including pain. However, little is known about patient attitudes towards OLPs. We conducted qualitative interviews with n = 11 patients (73% female) who recently had hand or wrist surgery and took ≥ 1 opioid pill. Interview topics included: pain management, the placebo effect, and in particular, attitudes towards OLPs. Interviews were analyzed inductively and content-coded. Five themes were identified: 1) Role of the mind in pain and illness, 2) Shortcomings of opioids are the strengths of OLPs, 3) Perceptions of OLP effectiveness, 4) Relational aspects of OLP administration, and 5) Practical considerations for OLP implementation. Most patients agreed that, because of their transparency, OLPs are ethical. Participants indicated some degree of reluctance about using OLPs, but the majority said they would take OLPs if prescribed by a doctor. Patients noted that the primary disadvantage of opioids is their potency, which can lead to addiction or side-effects; by contrast, the primary advantage of placebos is their inertness. Results suggest that OLPs appear to be well received as a postoperative pain treatment among the patients in this study. PERSPECTIVE: This qualitative study examines how hand surgery patients view OLPs, which are placebos described honestly as inactive pills. OLPs were generally well received by patients as a treatment for pain after surgery and could be considered as an adjunctive treatment to potentially reduce reliance on prescription opioids.

Indexed as

Health Knowledge, Attitudes, PracticeAcute PainAdultAgedAnalgesics, OpioidFemaleHumansMaleMiddle AgedPlacebo EffectPlacebosPostoperative PainQualitative ResearchAnalgesics, OpioidPlacebosacute painopen-label placeboopioidsPlaceboplacebo effect

Identifiers

PMID34004348
PMCPMC8578133
OpenAlexW3163404750

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.