Evidence map›Paper›PMID 34403429›Full record

Trial reportPloS one2021

Significance of descriptive symptoms and signs and clinical parameters as predictors of neuropathic cancer pain.

Sun Kyung Baek, Sang Won Shin, Su-Jin Koh, Jung Han Kim, Hyo Jung Kim, Byoung Yong Shim, Seok Yun Kang, Sang Byung Bae, Hwan Jung Yun, Sun Jin Sym and 2 more

Open access · goldAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.7field-weighted citation impact, top 26% 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

3 citing papers in PubMed, 8 citations in OpenAlex.

  1. SymptomGraph: Identifying Symptom Clusters from Narrative Clinical Notes using Graph Clustering.Proceedings of the ... Symposium on Applied Computing. Symposium on Applied Computing · 2023
    Article
  2. Review
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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

12 authors at 12 institutions in 1 country.

Sun Kyung BaekInternal Medicine, Kyung Hee University Medical Center, Seoul, South Korea.
Sang Won ShinInternal Medicine, Korea University College of Medicine, Seoul, South Korea.ORCID 0000-0002-9182-1589
Su-Jin KohDepartment of Hematology-Oncology, Ulsan University Hospital, Ulsan University College of Medicine, Ulsan, South Korea.
Jung Han KimInternal Medicine, Kangnam Sacred-Heart Hospital, Hallym University College of Medicine, Seoul, South Korea.
Hyo Jung KimInternal Medicine, Hallym University Sacred Heart Hospital Anyang, Anyang, South Korea.
Byoung Yong ShimInternal Medicine, St. Vincent's Hospital, The Catholic University of Korea, Suwon, South Korea.
Seok Yun KangDepartment of Hematology-Oncology, Ajou University School of Medicine, Suwon, South Korea.
Sang Byung BaeInternal Medicine, Soonchunhyang University College of Medicine, Cheonan, South Korea.
Hwan Jung YunInternal Medicine, Chungnam National University College of Medicine, Daejeon, South Korea.
Sun Jin SymInternal Medicine, Gachon University Gil Medical Center, Incheon, South Korea.
Hye Sook HanDepartment of Internal Medicine, Chungbuk National University College of Medicine, Cheongju, South Korea.
Ha Yeong GilMedical Affairs, Internal Medicine, Pfizer Pharmaceuticals Korea Ltd., Seoul, South Korea.
Ajou University · KRChungbuk National University · KRChungnam National University · KRGachon University Gil Medical Center · KRHallym University Kangnam Sacred Heart Hospital · KRHallym University Sacred Heart Hospital · KRKorea University · KRKyung Hee University Medical Center · KRPfizer (South Korea) · KRSoonchunhyang University · KRThe Catholic University of Korea St. Vincent's Hospital · KRUlsan University Hospital · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeEvaluation of symptoms and signs for the management of neuropathic cancer pain (NCP) is challenging. This study aimed to identify clinical predictors of NCP and symptoms and signs most relevant of those in Korean patients.

methodsThis nationwide, descriptive, cross-sectional, multicenter, observational study included 2,003 cancer patients aged ≥20 years who reported a visual analog scale (VAS) score ≥1 for pain and provided informed consent for participation. The Douleur Neuropathic (DN4) questionnaire (score ≥4) was used to determine symptoms and signs as well as the presence of NCP.

resultsThe prevalence of NCP was associated with age <65 years [OR, 1.57; 95% CI, 1.270-1.934], disease duration >6 months (OR, 1.57; 95% CI, 1.232-2.012), stage IV cancer (OR, 0.75; 95% CI, 0.593-0.955), history of chemotherapy (OR, 1.74; 95% CI, 1.225-2.472), and moderate-to-severe cancer pain (OR, 2.05; 95% CI, 1.671-2.524) after multivariate analysis. The most common descriptive symptoms of NCP were tingling, electric shock, and pins and needles. For NCP patients in the presence or absence of the clinical predictors, pins and needles (p = 0.001) and painful cold (p<0.001) symptoms were significantly frequent in patients with moderate-to-severe pain. Tingling, numbness, and touch hypoesthesia (p = 0.022, 0.033, 0.024, respectively) were more frequent in those with longer cancer duration and hyperesthesia (p = 0.024) was more frequent in young patients.

conclusionAge <65 years, disease duration >6 months, stage IV cancer, history of chemotherapy, and moderate-to-severe cancer pain, were identified as predictors of NCP. Some symptoms and signs of NCP were associated with these predictors. Further studies are warranted on the pathogenesis and management of NCP with respect to the symptoms and signs, and factors associated with pain severity in Korean patients.

Indexed as

Cancer PainNeoplasmsNeuralgiaPain MeasurementSurveys and QuestionnairesAgedAge FactorsFemaleHumansMaleMiddle AgedPrevalence

Identifiers

PMID34403429
PMCPMC8370612
OpenAlexW3195866136

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.