Evidence map›Paper›PMID 34108130›Full record

ArticleClinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association2022

Pancreatic QST Differentiates Chronic Pancreatitis Patients into Distinct Pain Phenotypes Independent of Psychiatric Comorbidities.

Mahya Faghih, Anna E Phillips, Louise Kuhlmann, Elham Afghani, Asbjørn M Drewes, Dhiraj Yadav, Vikesh K Singh, Søren S Olesen, Pancreatic Quantitative Sensory Testing (P-QST) Consortium

2 registry-linked trialsOpen access · greenAbstract readMulticenter Study
In one paragraph

Article in Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association, 2022. 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 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
5.1field-weighted citation impact, top 4% 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.

NCT05713344 unknown statusnot on this map

Evaluation of Pain Phenotypes in Chronic Pancreatitis and Identification of Clinical Surrogates of Pancreatic Neuropathy

TypeobservationalSponsorAsian Institute of Gastroenterology, IndiaRan2021 to 2023Enrolled500ConditionsChronic PancreatitisArmsClinical history, Clinical examination, Evaluation of quality of life, Evaluation of mental state, Pancreatic quantitative sensory testing
NCT07707609 recruitingnot on this mapstarted 2026, after this paper: background citation

Evaluation of the relationship between neural sensitisation and neuropsychological alterations in patients with painful chronic pancreatitis

TypeobservationalSponsorAsian Institute of Gastroenterology, IndiaRan2026 to 2026Enrolled200ConditionsChronic Pancreatitis, Pain ManagementArmsComprehensive Neuropsychological Assessment, Resting-State Functional MRI (fMRI), Magnetic Resonance Spectroscopy (MRS), Blood-Based Metabolite Profiling
3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 49 citations in OpenAlex.

  1. Prevalence of primary painless chronic pancreatitis: A systematic review and meta-analysis.Pancreatology : official journal of the International Association of Pancreatology (IAP) ... [et al.] · 2022
    Pooled it
  2. Observational
  3. Analgesic Management of Chronic Pancreatitis.Digestive diseases and sciences · 2026
    Review
  4. Article
  5. Article
  6. Personalizing treatment of pancreatitis-associated chronic pain: the need for an integrated omics approach.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2026
    Review
  7. Observational
  8. Article
  9. Article
  10. Article
  11. Review
  12. 16. Pain in chronic pancreatitis.Pain practice : the official journal of World Institute of Pain · 2025
    Review
  13. Article
  14. Review
  15. Article
  16. Review
  17. Advances in the Management of Pain in Chronic Pancreatitis.Current gastroenterology reports · 2023
    Review
  18. Article
  19. Observational
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 2 countries.

Mahya FaghihDivision of Gastroenterology, Department of Medicine, Johns Hopkins Medical Institutions, Baltimore, Maryland.
Anna E PhillipsUniversity of Pittsburgh School of Medicine, Department of Medicine, Division of Gastroenterology, Hepatology, and Nutrition, Pittsburgh, Pennsylvania.
Louise KuhlmannCentre for Pancreatic Diseases and Mech-Sense, Department of Gastroenterology and Hepatology, Aalborg University, Aalborg, Denmark; Department of Clinical Medicine, Aalborg University, Aalborg, Denmark.
Elham AfghaniDivision of Gastroenterology, Department of Medicine, Johns Hopkins Medical Institutions, Baltimore, Maryland; Pancreatitis Center, Department of Medicine, Johns Hopkins Medical Institutions, Baltimore, Maryland.
Asbjørn M DrewesCentre for Pancreatic Diseases and Mech-Sense, Department of Gastroenterology and Hepatology, Aalborg University, Aalborg, Denmark; Department of Clinical Medicine, Aalborg University, Aalborg, Denmark.
Dhiraj YadavUniversity of Pittsburgh School of Medicine, Department of Medicine, Division of Gastroenterology, Hepatology, and Nutrition, Pittsburgh, Pennsylvania.
Vikesh K SinghDivision of Gastroenterology, Department of Medicine, Johns Hopkins Medical Institutions, Baltimore, Maryland; Pancreatitis Center, Department of Medicine, Johns Hopkins Medical Institutions, Baltimore, Maryland. Electronic address: vsingh1@jhmi.edu.
Søren S OlesenCentre for Pancreatic Diseases and Mech-Sense, Department of Gastroenterology and Hepatology, Aalborg University, Aalborg, Denmark; Department of Clinical Medicine, Aalborg University, Aalborg, Denmark.
Pancreatic Quantitative Sensory Testing (P-QST) Consortium
Johns Hopkins University · USMech-Sense · DKUniversity of Pittsburgh · US

Funding

Development of a TRAIL-based therapy for alcohol related chronic pancreatitisU44AA026111 · NIAAA · THERALY FIBROSIS, INC. · PI ROSCHKE, VICTOR V · 2017 to 2020
$3.4M
NIAAA NIH HHS U44 AA026111
6 · The paper itself

Abstract

BACKGROUND &

aimsQuantitative sensory testing (QST) has been previously used to study pain in chronic pancreatitis (CP) but included methods that are not suitable for clinical purposes. The aims of this study were to determine if pancreatic QST (P-QST) can differentiate patients into distinct pain phenotypes and to determine the association of these with their clinical pain and psychiatric comorbidities.

methodsA multicenter cross-sectional study was conducted where patients completed validated questionnaires assessing quality of life (QoL), depression and anxiety scores as well as clinical pain symptoms followed by P-QST which included a cold pressor test, repetitive pinprick stimuli and pressure stimulation of the upper abdominal (T10) and control dermatomes. P-QST categorized patients into pain phenotypes based on a previously established nomogram. QoL, clinical pain and psychiatric assessment scores were compared across these groups.

resultsA total of 179 patients were enrolled with a mean age of 54.1±13.6 years among whom 59% were males and 42% had an alcoholic etiology. P-QST showed no hyperalgesia in 91 (51%), segmental hyperalgesia in 50 (28%) and widespread hyperalgesia in 38 (21%) patients. Patients with widespread hyperalgesia had significantly higher pain intensity scores (P = .03) and rates of constant pain (P = .002) as well as decreased QoL (P < .001) and physical functioning (P =.03) in comparison with the other two pain phenotypes. In contrast, psychiatric comorbidities were similar across all groups.

conclusionsP-QST may serve as a novel unbiased pain assessment tool in CP as it categorizes patients into distinct pain phenotypes independent of their psychiatric comorbidities.

Indexed as

Pancreatitis, ChronicQuality of LifeCross-Sectional StudiesHumansMalePainPhenotypeAbdominal PainCentral SensitizationHyperalgesiaQuality of Life

Identifiers

PMID34108130
PMCPMC8629107
OpenAlexW3094383048

What OpenQuestion holds

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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.