Evidence map›Paper›PMID 36577461›Full record

ArticleThe journal of pain2023

Expectations for Improvement: A Neglected but Potentially Important Covariate or Moderator for Chronic Pain Clinical Trials.

Dale J Langford, Raissa Lou, Soun Sheen, Dagmar Amtmann, Luana Colloca, Robert R Edwards, John T Farrar, Nathaniel P Katz, Michael P McDermott, Bryce B Reeve and 4 more

Abstract read
In one paragraph

Article in The journal of pain, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

10 citing papers in PubMed.

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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

14 authors.

Dale J LangfordDepartment of Anesthesiology, Critical Care & Pain Management, Hospital for Special Surgery, New York, New York; Department of Anesthesiology & Perioperative Medicine, University of Rochester, Rochester, New York; Department of Anesthesiology & Pain Medicine/Division of Pain Medicine, University of Washington, Seattle Washington. Electronic address: langfordd@hss.edu.
Raissa LouDepartment of Anesthesiology & Perioperative Medicine, University of Rochester, Rochester, New York.
Soun SheenDepartment of Anesthesiology & Perioperative Medicine, University of Rochester, Rochester, New York.
Dagmar AmtmannDepartment of Anesthesiology & Pain Medicine/Division of Pain Medicine, University of Washington, Seattle Washington.
Luana CollocaDepartment of Pain & Translational Symptom Science, University of Maryland, Baltimore, Maryland.
Robert R EdwardsDepartment of Anesthesia, Harvard Medical School, Boston, Massachusetts.
John T FarrarDepartments of Epidemiology, Neurology, and Anesthesia, Center for Clinical Epidemiology & Biostatistics, University of Pennsylvania, Philadelphia, Pennsylvania.
Nathaniel P KatzDepartment of Anesthesiology & Perioperative Medicine, Tufts University and Ein Sof Innovation, Boston, Massachusetts.
Michael P McDermottDepartment of Anesthesiology & Perioperative Medicine, University of Rochester, Rochester, New York.
Bryce B ReeveDepartment of Population Health Sciences, Center for Health Measurement, Duke University School of Medicine, Durham, North Carolina.
Ajay D WasanDepartment of Anesthesiology & Perioperative Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania.
Dennis C TurkDepartment of Anesthesiology & Pain Medicine/Division of Pain Medicine, University of Washington, Seattle Washington.
Robert H DworkinDepartment of Anesthesiology & Perioperative Medicine, University of Rochester, Rochester, New York.
Jennifer S GewandterDepartment of Anesthesiology & Perioperative Medicine, University of Rochester, Rochester, New York.

Funding

Analgesic, Anesthetic, and Addiction Clinical Trial Translations, Innovations, Opportunities, and Networks (ACTTION) Public-Private PartnershipU01FD007474 · FDA · UNIVERSITY OF ROCHESTER · PI DWORKIN, ROBERT H, EDWARDS, ROBERT R · 2021 to 2021
$500k
Promoting high-quality pain treatment trials through mentorship of junior investigators: A focus on study conduct and method developmentK24NS126861 · NINDS · UNIVERSITY OF ROCHESTER · PI GEWANDTER, JENNIFER · 2021 to 2021
$306k
FDA HHS U01 FD007474NINDS NIH HHS K24 NS126861
6 · The paper itself

Abstract

Variability in pain-related outcomes can hamper assay sensitivity of chronic pain clinical trials. Expectations of outcome in such trials may account for some of this variability, and thereby impede development of novel pain treatments. Measurement of participants' expectations prior to initiating study treatment (active or placebo) is infrequent, variable, and often unvalidated. Efforts to optimize and standardize measurement, analysis, and management of expectations are needed. In this Focus Article, we provide an overview of research findings on the relationship between baseline expectations and pain-related outcomes in clinical trials of pharmacological and nonpharmacological pain treatments. We highlight the potential benefit of adjusting for participants' expectations in clinical trial analyses and draw on findings from patient interviews to discuss critical issues related to measurement of expectations. We conclude with suggestions regarding future studies focused on better understanding the utility of incorporating these measures into clinical trial analyses. PERSPECTIVE: This focus article provides an overview of the relationship between participants' baseline expectations and pain-related outcomes in the setting of clinical trials of chronic pain treatments. Systematic research focused on the measurement of expectations and the impact of adjusting for expectations in clinical trial analyses may improve assay sensitivity.

Indexed as

Chronic PainHumansMotivationPain ManagementTreatment Outcomeassay sensitivitychronic painclinical trialscovariate adjustmentOutcome expectations

Identifiers

PMID36577461
PMCPMC10079631

What OpenQuestion holds

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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.