Evidence map›Paper›PMID 34750460›Full record

ArticleScientific reports2021

Intrinsic network activity reflects the ongoing experience of chronic pain.

Pauline Jahn, Bettina Deak, Astrid Mayr, Anne Stankewitz, Daniel Keeser, Ludovica Griffanti, Viktor Witkovsky, Stephanie Irving, Enrico Schulz

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 25% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
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  5. Review
  6. 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

9 authors at 3 institutions in 3 countries.

Pauline Jahn *Department of Neurology, University Hospital LMU, Ludwig-Maximilians-Universität München, Munich, Germany.
Bettina Deak *Department of Neurology, University Hospital LMU, Ludwig-Maximilians-Universität München, Munich, Germany.
Astrid MayrDepartment of Neurology, University Hospital LMU, Ludwig-Maximilians-Universität München, Munich, Germany.
Anne StankewitzDepartment of Neurology, University Hospital LMU, Ludwig-Maximilians-Universität München, Munich, Germany.
Daniel KeeserDepartment of Psychiatry, University Hospital LMU, Ludwig-Maximilians-Universität München, Munich, Germany.
Ludovica GriffantiWellcome Centre for Integrative Neuroimaging, Department of Psychiatry and Nuffield Department of Clinical Neurosciences, University of Oxford, Oxford, UK.
Viktor WitkovskyDepartment of Theoretical Methods, Institute of Measurement Science, Slovak Academy of Sciences, Bratislava, Slovak Republic.
Stephanie IrvingDepartment of Neurology, University Hospital LMU, Ludwig-Maximilians-Universität München, Munich, Germany.
Enrico SchulzDepartment of Neurology, University Hospital LMU, Ludwig-Maximilians-Universität München, Munich, Germany. es@pain.sc.
Ludwig-Maximilians-Universität München · DEInstitute of Measurement Science of the Slovak Academy of Sciences · SKWellcome Centre for Integrative Neuroimaging · GB

Funding

Deutsche Forschungsgemeinschaft SCHU2879/4-1
6 · The paper itself

Abstract

Analyses of intrinsic network activity have been instrumental in revealing cortical processes that are altered in chronic pain patients. In a novel approach, we aimed to elucidate how intrinsic functional networks evolve in regard to the fluctuating intensity of the experience of chronic pain. In a longitudinal study with 156 fMRI sessions, 20 chronic back pain patients and 20 chronic migraine patients were asked to continuously rate the intensity of their endogenous pain. We investigated the relationship between the fluctuation of intrinsic network activity with the time course of subjective pain ratings. For chronic back pain, we found increased cortical network activity for the salience network and a local pontine network, as well as decreased network activity in the anterior and posterior default mode network for higher pain intensities. Higher pain intensities in chronic migraine were accompanied with lower activity in a prefrontal cortical network. By taking the perspective of the individual, we focused on the variability of the subjective perception of pain, which include phases of relatively low pain and phases of relatively high pain. The present design of the assessment of ongoing endogenous pain can be a powerful and promising tool to assess the signature of a patient's endogenous pain encoding.

Indexed as

AdultBack PainBrain MappingCerebral CortexChronic PainFemaleFunctional NeuroimagingHumansLongitudinal StudiesMagnetic Resonance ImagingMaleMiddle AgedMigraine DisordersNerve NetNeural PathwaysPain Measurement

Identifiers

PMID34750460
PMCPMC8576042
OpenAlexW3213919912

What OpenQuestion holds

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Registered trials

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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.