Evidence map›Paper›PMID 38054108›Full record

ArticleJournal of pain research2023

Relationship Between Pain and LGBT Status Among Veterans in Care in a Retrospective Cross-Sectional Cohort.

Kirsha S Gordon, Eugenia Buta, Mandi L Pratt-Chapman, Cynthia A Brandt, Ralitza Gueorguieva, Allison R Warren, T Elizabeth Workman, Qing Zeng-Treitler, Joseph L Goulet

Open access · goldAbstract read
In one paragraph

Article in Journal of pain research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 34% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Review
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 2 institutions in 1 country.

Kirsha S GordonResearch, VA Connecticut Healthcare System, West Haven, CT, USA.
Eugenia ButaDepartment of Biostatistics, Yale School of Public Health, New Haven, CT, USA.
Mandi L Pratt-ChapmanDepartment of Medicine and The George Washington Cancer Center, School of Medicine and Health Sciences, The George Washington University, Washington, DC, USA.ORCID 0000-0002-9303-7659
Cynthia A BrandtResearch, VA Connecticut Healthcare System, West Haven, CT, USA.ORCID 0000-0001-8179-1796
Ralitza GueorguievaDepartment of Biostatistics, Yale School of Public Health, New Haven, CT, USA.
Allison R WarrenDepartment of Psychiatry, Yale School of Medicine, New Haven, CT, USA.
T Elizabeth WorkmanBiomedical Informatics Center, School of Medicine and Health Sciences, The George Washington University, Washington, DC, USA.ORCID 0000-0002-2273-078X
Qing Zeng-TreitlerBiomedical Informatics Center, School of Medicine and Health Sciences, The George Washington University, Washington, DC, USA.
Joseph L GouletResearch, VA Connecticut Healthcare System, West Haven, CT, USA.ORCID 0000-0002-0842-804X
Yale University · USGeorge Washington University · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
HSRD VA IIR 18-035NCATS NIH HHS UL1 TR001863
6 · The paper itself

Abstract

Background: Pain assessment is performed in many healthcare systems, such as the Veterans Health Administration, but prior studies have not assessed whether pain screening varies in sexual and gender minority populations that include individuals who identify as lesbian, gay, bisexual, and/or transgender (LGBT). Objective: The purpose of this study was to evaluate pain screening and reported pain of LGBT Veterans compared to non-LGBT Veterans. Methods: Using a retrospective cross-sectional cohort, data from the Corporate Data Warehouse, a national repository with clinical/administrative data, were analyzed. Veterans were classified as LGBT using natural language processing. We used a robust Poisson model to examine the association between LGBT status and binary outcomes of pain screening, any pain, and persistent pain within one year of entry in the cohort. All models were adjusted for demographics, mental health, substance use, musculoskeletal disorder(s), and number of clinic visits. Results: There were 1,149,486 Veterans (218,154 (19%) classified as LGBT) in our study. Among LGBT Veterans, 94% were screened for pain compared to 89% among those not classified as LGBT (non-LGBT) Veterans. In adjusted models, LGBT Veterans' probability of being screened for pain compared to non-LGBT Veterans was 2.5% higher (95% CI 2.3%, 2.6%); risk of any pain was 2.1% lower (95% CI 1.6%, 2.6%); and there was no significant difference between LGBT and non-LGBT Veterans in persistent pain (RR = 1.00, 95% CI (0.99, 1.01), p = 0.88). Conclusions: In a nationwide sample, LGBT Veterans were more likely to be screened for pain but had lower self-reported pain scores, though adjusted differences were small. It was notable that transgender and Black Veterans reported the greatest pain. Reasons for these findings require further investigation.

Indexed as

LGBTpainpersistent painscreeningVeterans

Identifiers

PMID38054108
PMCPMC10695019
OpenAlexW4389153790

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.