Evidence map›Paper›PMID 35872631›Full record

ArticleACR open rheumatology2022

The Problem of Pain in Rheumatology: Clinical Profiles Associated With Concomitant Diagnoses With Chronic Overlapping Pain Conditions.

Titilola Falasinnu, Thy Nguyen, Tiffany En Jiang, Yashaar Chaichian, Amadeia Rector, Beth D Darnall, Sean Mackey, Julia F Simard

Open access · goldAbstract read
In one paragraph

Article in ACR open rheumatology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
4.0field-weighted citation impact, top 5% 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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

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  15. The Problem of Pain in Lupus: Epidemiological Profiles of Patients Attending Multidisciplinary Pain Clinics.Pain management nursing : official journal of the American Society of Pain Management Nurses · 2024
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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

8 authors at 1 institution in 1 country.

Titilola FalasinnuStanford University School of Medicine, Stanford, California.ORCID https://orcid.org/0000-0002-9580-4743
Thy NguyenStanford University School of Medicine, Stanford, California.
Tiffany En JiangStanford University School of Medicine, Stanford, California.
Yashaar ChaichianStanford University School of Medicine, Stanford, California.ORCID https://orcid.org/0000-0002-2231-3900
Amadeia RectorStanford University School of Medicine, Stanford, California.
Beth D DarnallStanford University School of Medicine, Stanford, California.
Sean MackeyStanford University School of Medicine, Stanford, California.
Julia F SimardStanford University School of Medicine, Stanford, California.ORCID https://orcid.org/0000-0001-5735-9856
Stanford University · US

Funding

Interdisciplinary Research Training in Pain and Substance Use DisordersT32DA035165 · NIDA · STANFORD UNIVERSITY · PI SEAN C MACKEY · 2013 to 2026
$7.2M
Can hydroxychloroquine prevent preeclampsia and preterm delivery in lupus pregnancy?R01AR077103 · NIAMS · STANFORD UNIVERSITY · PI SIMARD, JULIA F · 2020 to 2024
$2.4M
Characterization of Chronic Pain and its Biopsychosocial Mechanisms in Lupus using Electronic Health RecordsK01AR079039 · NIAMS · STANFORD UNIVERSITY · PI FALASINNU, TITILOLA · 2021 to 2025
$631k
Associative Contributions to Drug ToleranceR01DA011865 · NIDA · MCMASTER UNIVERSITY · PI SIEGEL, SHEPARD · 1998 to 2004
$464k
Mentoring in Discovery and Validation of Clinical Chronic Pain BiomarkersK24NS126781 · NINDS · STANFORD UNIVERSITY · PI MACKEY, SEAN C · 2021 to 2021
$324k
NIAMS NIH HHS K01 AR079039NIAMS NIH HHS K01AR079039NIAMS NIH HHS R01 AR077103NIAMS NIH HHS R01AR077103NIDA NIH HHS K24NS126781NIDA NIH HHS R61 NS11865NIDA NIH HHS T32 DA035165NIDA NIH HHS T32DA035165NINDS NIH HHS K24 NS126781
6 · The paper itself

Abstract

objectiveThe chronification of pain is heterogeneous in rheumatology. Chronic overlapping pain conditions (COPCs) such as fibromyalgia, endometriosis, migraine, and back pain may co-occur with one another and in rheumatic diseases. We describe the sociodemographic and clinical profiles associated with concomitant COPCs among patients with rheumatic diseases.

methodsWe retrospectively identified patients visiting rheumatology clinics at a single institution from 2010 to 2020 for five common rheumatic conditions: psoriatic arthritis (PsA), rheumatoid arthritis (RA), Sjögren syndrome (SjS), systemic lupus erythematosus (SLE), and systemic sclerosis (SSc). We compared sociodemographic, clinical, and lifestyle factors by rheumatic condition and by COPC status. We also report sex-stratified diagnosis of COPCs. The primary outcome was diagnostic validation of one or more COPCs.

resultsWe identified 5992 rheumatology patients: 846 with PsA, 2605 with RA, 956 with SjS, 975 with SLE, and 610 with SSc. Approximately 36-62% of patients had a concomitant COPC diagnosis. Patients with SjS had the highest prevalence (62%). Diagnosis of one or more COPCs was highest among Black patients and lowest among Asian patients. Patients using public insurance had a higher prevalence of one or more COPCs compared with those with private insurance. Patients with one or more COPCs had more depression and anxiety and more frequent emergency department visits, surgeries, and hospitalizations.

conclusionOur findings suggest that COPCs are strikingly common among patients with rheumatic disease and are associated with lower quality of life and greater health care needs. Future research may elucidate drivers of chronic pain and how to best address the unique analgesic needs of this multimorbid population.

Identifiers

PMID35872631
PMCPMC9555198
OpenAlexW4287147567

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.