Evidence map›Paper›PMID 37365745›Full record

ArticleArthritis care & research2023

Sex Differences in Pain and Quantitative Sensory Testing in Patients With Rheumatoid Arthritis.

Kelly Vogel, Lutfiyya N Muhammad, Jing Song, Tuhina Neogi, Clifton O Bingham, Marcy B Bolster, Wendy Marder, Alyssa Wohlfahrt, Daniel J Clauw, Dorothy Dunlop and 1 more

Open access · hybridAbstract read
In one paragraph

Article in Arthritis care & research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
3.5field-weighted citation impact, top 7% 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

12 citing papers in PubMed, 14 citations in OpenAlex.

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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

11 authors at 6 institutions in 1 country.

Kelly VogelNorthwestern University Feinberg School of Medicine, Chicago, Illinois.ORCID 0000-0002-9353-1243
Lutfiyya N MuhammadNorthwestern University Feinberg School of Medicine, Chicago, Illinois.
Jing SongNorthwestern University Feinberg School of Medicine, Chicago, Illinois.ORCID 0000-0002-8881-9664
Tuhina NeogiBoston University School of Medicine, Boston, Massachusetts.ORCID 0000-0002-9515-1711
Clifton O BinghamJohns Hopkins University, Baltimore, Maryland.ORCID 0000-0002-4752-5029
Marcy B BolsterMassachusetts General Hospital, Boston.ORCID 0000-0002-5413-9345
Wendy MarderUniversity of Michigan Medical School, Ann Arbor.
Alyssa WohlfahrtTufts University School of Medicine, Boston, Massachusetts.ORCID 0000-0003-4412-3275
Daniel J ClauwUniversity of Michigan Medical School, Ann Arbor.ORCID 0000-0002-8114-7818
Dorothy DunlopNorthwestern University Feinberg School of Medicine, Chicago, Illinois.
Yvonne C LeeNorthwestern University Feinberg School of Medicine, Chicago, Illinois.ORCID 0000-0002-2105-3393
Northwestern University · USUniversity of Michigan · USBoston University · USJohns Hopkins University · USMassachusetts General Hospital · USTufts University · US

Funding

Sample Processing and Immunoassay Research CoreP30AR070254 · NIAMS · JOHNS HOPKINS UNIVERSITY · PI CLIFTON O BINGHAM, Antony Rosen · 2016 to 2026
$8.9M
Resource CoreP30AR072579 · NIAMS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI Leena Sharma · 2017 to 2026
$8.3M
Northwestern University Clinical and Translational Science Institute (NUCATS)KL2TR001424 · NCATS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI SHARMA, LEENA · 2015 to 2023
$8.1M
CNS Pain Mechanisms in Early Rheumatoid Arthritis: Implications for the Acute to Chronic Pain TransitionR01AR064850 · NIAMS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI LEE, YVONNE CLAIRE · 2013 to 2025
$7.9M
Research and Evaluation Support Core Unit (RESCU Core)P30AR072571 · NIAMS · BOSTON UNIVERSITY MEDICAL CAMPUS · PI TUHINA NEOGI · 2019 to 2026
$6.9M
PRROPS: Pathways of Risk and Resilience for Overlapping Pain and SensitizationR01NS121419 · NINDS · BOSTON UNIVERSITY MEDICAL CAMPUS · PI Emelia J. Benjamin, ROBERT R EDWARDS · 2021 to 2026
$3.7M
Pain in community-based older African American Adults: The Jackson Heart StudyR01AG066914 · NIA · BOSTON UNIVERSITY MEDICAL CAMPUS · PI BENJAMIN, EMELIA J., EDWARDS, ROBERT R · 2020 to 2024
$3.2M
The Role of Urate in Knee Osteoarthritis-Related Inflammation, Pathology and PainK24AR070892 · NIAMS · BOSTON UNIVERSITY MEDICAL CAMPUS · PI TUHINA NEOGI · 2017 to 2026
$1.1M
Mentored Patient-Oriented Research of Novel Mechanisms Linking Pain, Sleep-Wake Patterns, and Autonomic Activity in Rheumatic DiseasesK24AR080840 · NIAMS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI Yvonne Claire Lee · 2023 to 2026
$764k
NCATS NIH HHS KL2 TR001424NIAMS NIH HHS K24 AR070892NIAMS NIH HHS K24-AR-070892NIAMS NIH HHS K24 AR080840NIAMS NIH HHS K24-AR-080840NIAMS NIH HHS P30 AR070254NIAMS NIH HHS P30-AR-070254NIAMS NIH HHS P30 AR072571NIAMS NIH HHS P30-AR-072571NIAMS NIH HHS P30 AR072579NIAMS NIH HHS R01 AR064850NIAMS NIH HHS R01-AR-064850NIA NIH HHS R01 AG066914NINDS NIH HHS R01 NS121419
6 · The paper itself

Abstract

objectiveWomen with rheumatoid arthritis (RA) have higher pain and worse functional outcomes compared to men, even when treated with similar medications. The objective of this study was to identify sex differences in pain intensity, pain interference, and quantitative sensory tests (QST), which are independent of inflammation, in patients with RA.

methodsThis study is a post hoc analysis of participants in the Central Pain in Rheumatoid Arthritis cohort. Pain intensity was assessed using a 0-10 numeric rating scale. Pain interference was measured using a Patient-Reported Outcomes Measurement Information System computerized adaptive test. QST included pressure pain detection thresholds, temporal summation, and conditioned pain modulation. Women and men were compared using multiple linear regression, adjusted for age, education, race, research site, depression, obesity, RA disease duration, swollen joint count, and C-reactive protein.

resultsMean ± SD pain intensity was 5.32 ± 2.29 among women with RA, compared to 4.60 ± 2.23 among men with RA (adjusted difference 0.83 [95% confidence interval (95% CI) 0.14, 1.53]). Women with RA had lower pressure pain detection thresholds at the trapezius (adjusted difference -1.22 [95% CI -1.73, -0.72]), wrist (adjusted difference -0.57 [95% CI -1.07, -0.06]), and knee (adjusted difference -1.10 [95% CI -2.00, -0.21]). No statistically significant differences in pain interference, temporal summation, and conditioned pain modulation were observed.

conclusionWomen reported higher pain intensity and lower pressure pain detection thresholds (higher pain sensitivity) than men. However, pain interference, temporal summation, and conditioned pain modulation did not differ between men and women.

Indexed as

Arthritis, RheumatoidSex CharacteristicsFemaleHumansMalePainPain MeasurementPain Threshold

Identifiers

PMID37365745
PMCPMC10704379
OpenAlexW4382181388

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.