Evidence map›Paper›PMID 38388016›Full record

Observational studyRegional anesthesia and pain medicine2024

Impact of psychosocial factors on the success of neuromodulation treatment for patients with persistent pain.

Johnathan H Goree, Nalin Payakachat, Lauren Byers, G Lawson Smith, Jarna R Shah, Kimberly E Stephens

Open access · hybridAbstract readObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in Regional anesthesia and pain medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
4.5field-weighted citation impact, top 6% 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

6 citing papers in PubMed, 7 citations in OpenAlex.

  1. Review
  2. Review
  3. Observational
  4. Observational
  5. Review
  6. 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

6 authors at 4 institutions in 3 countries.

Johnathan H GoreeDepartment of Anesthesiology, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA.ORCID 0000-0003-0548-852X
Nalin PayakachatDivision of Pharmaceutical Evaluation and Policy, College of Pharmacy, UAMS, Little Rock, Arkansas, USA.
Lauren ByersInterventional Pain Clinic, UAMS Orthopedic and Spine Hospital, Little Rock, Arkansas, USA.
G Lawson SmithDepartment of Anesthesiology, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA.
Jarna R ShahDepartment of Anesthesiology, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA.
Kimberly E StephensDepartment of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA kestephens@uams.edu.ORCID 0000-0002-8822-0547
University of Arkansas for Medical Sciences · USArkansas Children's Hospital · USPain Clinic of India · INUniversity of Applied Management Studies · DE

Funding

Translational Regulation in Normal Erythropoiesis and Diamond Blackfan AnemiaP20GM121293 · NIGMS · ARKANSAS CHILDREN'S HOSPITAL RES INST · PI Joseph Lee Alge · 2017 to 2026
$27.6M
Expanding Translational Research in ArkansasUL1TR003107 · NCATS · UNIV OF ARKANSAS FOR MED SCIS · PI JAMES, LAURA P · 2019 to 2023
$21.6M
Institutional Career DevelopmentKL2TR003108 · NCATS · UNIV OF ARKANSAS FOR MED SCIS · PI ARTHUR, JOHN M., BORSHEIM, ELISABET · 2019 to 2023
$2.3M
NCATS NIH HHS KL2 TR003108NCATS NIH HHS UL1 TR003107NIGMS NIH HHS P20 GM121293
6 · The paper itself

Abstract

introductionSignificant interindividual variability in spinal cord stimulation (SCS) outcomes exists. Due to its high cost and risks of complications, criteria to guide patient selection for SCS trials and their outcomes would be helpful. With increased focus on the use of patient-reported outcomes to improve care, we aim to evaluate the National Institute of Health Patient Reported Outcome Measurement Information System measures for an association with successful SCS trials in patients with persistent pain.

methodsOur prospective, observational study enrolled 60 patients with persistent pain who underwent an SCS trial. Patients completed demographic and Patient Reported Outcome Measurement Information System computer adaptive test (PROMIS CAT) assessments to measure self-reported pain interference, depression, anxiety, physical functioning, and sleep disturbance at the time they presented for placement of their trial device.

resultsOf the 58 patients who underwent successful electrode placement, 11 had an unsuccessful trial. There were no differences in patient demographics between patients with a successful and an unsuccessful trial. Patients who had a successful SCS trial reported lower pre-trial levels of anxiety, depression, and sleep disturbance and decreased post-trial levels of depression, sleep disturbance, and pain interference.

conclusionsWe found that patients with high levels of depression, anxiety, and sleep disturbance using the PROMIS CAT were predictive of unsuccessful trials. In addition, we found that patients with successful SCS trials reported lower levels of these domains on PROMIS CAT administered at the end of the trial.

Indexed as

Chronic PainSpinal Cord StimulationAdultAgedAnxietyDepressionFemaleHumansMaleMiddle AgedPain ManagementPain MeasurementPatient Reported Outcome MeasuresProspective StudiesSleep Wake DisordersTreatment OutcomeCHRONIC PAINOUTCOMESSpinal Cord StimulationTreatment Outcome

Identifiers

PMID38388016
PMCPMC11671871
OpenAlexW4392055162

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.