Evidence map›Paper›PMID 34181008›Full record

ArticlePain medicine (Malden, Mass.)2021

The Relationship Between Neighborhood Deprivation and Perceived Changes for Pain-Related Experiences Among US Patients with Chronic Low Back Pain During the COVID-19 Pandemic.

Fenan S Rassu, Molly McFadden, Rachel V Aaron, Stephen T Wegener, Patti L Ephraim, Elizabeth Lane, Gerard Brennan, Kate I Minick, Julie M Fritz, Richard L Skolasky

Open access · bronzeAbstract read
In one paragraph

Article in Pain medicine (Malden, Mass.), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
2.9field-weighted citation impact, top 10% 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

14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. COVID-19 Pandemic Increases the Impact of Low Back Pain: A Systematic Review and Metanalysis.International journal of environmental research and public health · 2022
    Pooled it
  3. Article
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  5. Article
  6. Association of Air Pollution and Socioeconomic Deprivation with Depression and Pain.International journal of environmental research and public health · 2026
    Article
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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

10 authors at 3 institutions in 1 country.

Fenan S RassuDepartment of Physical Medicine and Rehabilitation, The Johns Hopkins University School of Medicine, Baltimore, Maryland.ORCID 0000-0001-7153-9837
Molly McFaddenDivision of Epidemiology, Department of Internal Medicine, University of Utah, Salt Lake City, Utah.
Rachel V AaronDepartment of Physical Medicine and Rehabilitation, The Johns Hopkins University School of Medicine, Baltimore, Maryland.ORCID 0000-0002-2182-8566
Stephen T WegenerDepartment of Physical Medicine and Rehabilitation, The Johns Hopkins University School of Medicine, Baltimore, Maryland.
Patti L EphraimDepartment of Epidemiology, The Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.
Elizabeth LaneDepartment of Physical Therapy and Athletic Training, University of Utah, Salt Lake City, Utah.
Gerard BrennanRehabilitation Services, Intermountain Healthcare, Salt Lake City, Utah.
Kate I MinickRehabilitation Services, Intermountain Healthcare, Salt Lake City, Utah.
Julie M FritzDepartment of Physical Therapy and Athletic Training, University of Utah, Salt Lake City, Utah.
Richard L SkolaskyDepartment of Orthopedic Surgery, The Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Johns Hopkins University · USUniversity of Utah · USIntermountain Healthcare · US

Funding

Utah Center for Clinical and Translational ScienceUL1TR002538 · NCATS · UNIVERSITY OF UTAH · PI HESS, RACHEL, MAJERSIK, JENNIFER JUHL · 2018 to 2022
$26.0M
UNIVERSITY OF UTAH CENTER FOR CLINICAL AND TRANSLATIONAL SCIENCE-UL1: BPCAUL1RR025764 · NCRR · UNIVERSITY OF UTAH · PI MCCLAIN, DONALD A. · 2008 to 2011
$19.4M
National Center for Research Resources and the National Center for Advancing Translational SciencesNCATS NIH HHS UL1 TR002538NCRR NIH HHS UL1 RR025764NIH HHS 8UL TR000105NIH HHS UL1TR002538Patient-Centered Outcomes Research Institute (PCORI) OTS-LBP-2017C1-6486
6 · The paper itself

Abstract

objectiveDisruptions caused by the COVID-19 pandemic could disproportionately affect the health of vulnerable populations, including patients experiencing persistent health conditions (i.e., chronic pain), along with populations living within deprived, lower socioeconomic areas. The current cross-sectional study characterized relationships between neighborhood deprivation and perceived changes in pain-related experiences during the COVID-19 pandemic (early-September to mid-October 2020) for adult patients (N = 97) with nonspecific chronic low back pain.

methodsWe collected self-report perceived experiences from participants enrolled in an ongoing pragmatic randomized trial across medical centers within the Salt Lake City, Utah and Baltimore, Maryland metropolitans. The Area Deprivation Index (composite of 17 US Census deprivation metrics) reflected neighborhood deprivation based on participants' zip codes.

resultsAlthough those living in the neighborhoods with greater deprivation endorsed significantly poorer physical (pain severity, pain interference, physical functioning), mental (depression, anxiety), and social health during the pandemic, there were no significant differences for perceived changes in pain-related experiences (pain severity, pain interference, sleep quality) between levels of neighborhood deprivation since the onset of the pandemic. However, those in neighborhoods with greater deprivation endorsed disproportionately worse perceived changes in pain coping, social support, and mood since the pandemic.

conclusionsThe current findings offer evidence that changes in pain coping during the pandemic may be disproportionately worse for those living in deprived areas. Considering poorer pain coping may contribute to long-term consequences, the current findings suggest the need for further attention and intervention to reduce the negative effect of the pandemic for such vulnerable populations.

Indexed as

COVID-19Low Back PainAdultCross-Sectional StudiesHumansPandemicsSARS-CoV-2Chronic Low Back PainCOVID-19 PandemicDisparitiesNeighborhood DeprivationPain Management

Identifiers

PMID34181008
PMCPMC8633737
OpenAlexW3174810744

What OpenQuestion holds

Textmetadata
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.