Evidence map›Paper›PMID 34617646›Full record

ArticleHead & neck2021

Mechanisms of pain and their manifestations in head and neck cancer: Importance of classifying pain subtypes.

Dianne I Lou, Mary S Dietrich, Jie Deng, Barbara A Murphy

Open access · hybridAbstract read
In one paragraph

Article in Head & neck, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 24% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
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  5. Survivorship therapy needs after radiotherapy for head and neck cancer: surveying opportunities for growth (STRONG).Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
  6. Review
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  8. 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

4 authors at 3 institutions in 1 country.

Dianne I LouDepartment of Anesthesiology, Vanderbilt University Medical Center, Nashville, Tennessee, USA.ORCID 0000-0001-7583-1990
Mary S DietrichDepartment of Biostatistics, Schools of Nursing and Medicine, Vanderbilt University, Nashville, Tennessee, USA.
Jie DengSchool of Nursing, University of Pennsylvania, Philadelphia, Pennsylvania, USA.ORCID 0000-0002-2553-8822
Barbara A MurphyDepartment of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Vanderbilt University Medical Center · USUniversity of Pennsylvania · USVanderbilt University · US

Funding

TIPS: Training in Perioperative ScienceT32GM108554 · NIGMS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Eric J Delpire · 2014 to 2026
$3.7M
Establishing Lymphedema and Fibrosis Measures in Oral Cancer PatientsR01DE024982 · NIDCR · VANDERBILT UNIVERSITY · PI DENG, JIE · 2015 to 2018
$2.4M
NIDCR NIH HHS R01 DE024982NIGMS NIH HHS T32 GM108554
6 · The paper itself

Abstract

backgroundPain is an under-recognized complaint among head and neck cancer (HNC) survivors. Treatment is hindered by inadequate characterization of pain.

methodsA secondary analysis from a prospective, longitudinal study was conducted to characterize pain prevalence, quality, and functional consequences in 77 HNC patients. Pain and pain-related outcomes were captured before treatment, at end-of-treatment, and 3, 6, 9 and 12 months post-treatment.

resultsPain was most prevalent at end-of-treatment and declined over time. Chronicity of pain was established by 6 months post-treatment. Oral mucosal neuropathic pain was the most common chronic pain subtype at 12 months post-treatment. Widespread joint and muscle pain was also present at lower numbers. 40.2% of patients continued to require analgesics at 12 months.

conclusionPeripheral and central pain subtypes contribute significantly to chronic pain in HNC survivors. Preventive and treatment regimens should be tailored to specific pain subtypes for optimal symptom control.

Indexed as

Head and Neck NeoplasmsQuality of LifeHumansLongitudinal StudiesPainProspective Studieschronic painhead and neck cancermucositismusculoskeletalside effect

Identifiers

PMID34617646
PMCPMC9292513
OpenAlexW3201683183

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.