Evidence map›Paper›PMID 34439173›Full record

ArticleCancers2021

Multidimensional Statistical Technique for Interpreting the Spontaneous Breakthrough Cancer Pain Phenomenon. A Secondary Analysis from the IOPS-MS Study.

Marco Cascella, Anna Crispo, Gennaro Esposito, Cira Antonietta Forte, Sergio Coluccia, Giuseppe Porciello, Alfonso Amore, Sabrina Bimonte, Sebastiano Mercadante, Augusto Caraceni and 6 more

Abstract read
In one paragraph

Article in Cancers, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–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.

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

16 citing papers in PubMed.

  1. Article
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  14. Review
  15. Open Issues and Practical Suggestions for Telemedicine in Chronic Pain.International journal of environmental research and public health · 2021
    Review
  16. 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

16 authors.

Marco CascellaDivision of Anesthesia and Pain Medicine, Istituto Nazionale Tumori, IRCCS Fondazione G. Pascale, 80100 Naples, Italy.ORCID 0000-0002-5236-3132
Anna CrispoEpidemiology and Biostatistics Unit, Istituto Nazionale Tumori, IRCCS Fondazione G. Pascale, 80100 Naples, Italy.ORCID 0000-0002-8455-3328
Gennaro EspositoDivision of Anesthesia and Pain Medicine, Istituto Nazionale Tumori, IRCCS Fondazione G. Pascale, 80100 Naples, Italy.
Cira Antonietta ForteDivision of Anesthesia and Pain Medicine, Istituto Nazionale Tumori, IRCCS Fondazione G. Pascale, 80100 Naples, Italy.
Sergio ColucciaEpidemiology and Biostatistics Unit, Istituto Nazionale Tumori, IRCCS Fondazione G. Pascale, 80100 Naples, Italy.
Giuseppe PorcielloEpidemiology and Biostatistics Unit, Istituto Nazionale Tumori, IRCCS Fondazione G. Pascale, 80100 Naples, Italy.ORCID 0000-0002-8731-2773
Alfonso AmoreMelanoma and Sarcoma Surgery Unit, Istituto Nazionale Tumori, IRCCS Fondazione G. Pascale, 80100 Naples, Italy.
Sabrina BimonteDivision of Anesthesia and Pain Medicine, Istituto Nazionale Tumori, IRCCS Fondazione G. Pascale, 80100 Naples, Italy.ORCID 0000-0002-5408-9675
Sebastiano MercadanteAnesthesia and Intensive Care & Pain Relief and Supportive Care, 00185 La Maddalena, Italy.ORCID 0000-0001-9859-6487
Augusto CaraceniPalliative Care, Pain Therapy and Rehabilitation, National Cancer Institute, IRCCS Foundation, 20133 Milan, Italy.
Massimo MammucariPrimary Care Unit, ASL RM1, 00193 Rome, Italy.ORCID 0000-0002-9515-3549
Paolo MarchettiDepartment of Clinical and Molecular Medicine, La Sapienza University of Rome, 00185 Rome, Italy.ORCID 0000-0002-9064-8761
Rocco Domenico MediatiPalliative Care and Pain Therapy Unit, Careggi Hospital, 50139 Florence, Italy.ORCID 0000-0002-3123-4905
Silvia NatoliDepartment of Clinical Science and Translational Medicine, University of Rome Tor Vergata, 00133 Rome, Italy.ORCID 0000-0003-3758-5375
Giuseppe ToniniMedical Oncology Department, Campus Bio-Medico University of Rome, 00128 Rome, Italy.
Arturo CuomoDivision of Anesthesia and Pain Medicine, Istituto Nazionale Tumori, IRCCS Fondazione G. Pascale, 80100 Naples, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Breakthrough cancer pain (BTcP) is a temporary exacerbation of pain that "breaks through" a phase of adequate pain control by an opioid-based therapy. The non-predictable BTcP (NP-BTcP) is a subtype of BTcP that occurs in the absence of any specific activity. Since NP-BTcP has an important clinical impact, this analysis is aimed at characterizing the NP-BTcP phenomenon through a multidimensional statistical technique. This is a secondary analysis based on the Italian Oncologic Pain multiSetting-Multicentric Survey (IOPS-MS). A correlation analysis was performed to characterize the NP-BTcP profile about its intensity, number of episodes per day, and type. The multiple correspondence analysis (MCA) determined the identification of four groups (phenotypes). A univariate analysis was performed to assess differences between the four phenotypes and selected covariates. The four phenotypes represent the hierarchical classification according to the status of NP-BTcP: from the best (phenotype 1) to the worst (phenotype 4). The univariate analysis found a significant association between the onset time >10 min in the phenotype 1 (37.3%)' vs. the onset > 10 min in phenotype 4 (25.8%) (

Indexed as

breakthrough cancer paincancer paincluster analysis

Identifiers

PMID34439173
PMCPMC8391336

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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.