Evidence map›Paper›PMID 39397485›Full record

ArticlePrimary health care research & development2024

Effects of the WHO analgesic ladder on pain severity, pain interference, and blood pressure control in hypertensive patients with chronic musculoskeletal pain: a cross-sectional study.

Siwaluk Srikrajang, Narucha Komolsuradej, Sirawee Chaovalit, Chaiwat Chuaychoosakoon

Abstract read
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Article in Primary health care research & development, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
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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

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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

3 citing papers in PubMed.

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4 · The record

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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

4 authors.

Siwaluk SrikrajangDepartment of Physical Therapy, Faculty of Medicine, Prince of Songkla University, Songkhla, Thailand.ORCID 0000-0003-0972-3419
Narucha KomolsuradejDepartment of Family and Preventive Medicine, Prince of Songkla University, Songkhla, Thailand.ORCID 0000-0002-4474-7187
Sirawee ChaovalitDepartment of Physical Therapy, Faculty of Medicine, Prince of Songkla University, Songkhla, Thailand.ORCID 0000-0003-4758-7673
Chaiwat ChuaychoosakoonDepartment of Orthopedics, Faculty of Medicine, Prince of Songkla University, Songkhla, Thailand.ORCID 0000-0001-7537-1306

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimThis study aimed to investigate the effects of pain management according to the World Health Organization (WHO) analgesic ladder on pain severity, pain interference, and blood pressure (BP) in treated hypertensive patients with chronic musculoskeletal pain.

backgroundPain management can affect BP control owing to the proposed mechanism by which persistent pain contributes to increased BP. However, there are inadequate studies investigating the benefit of pain management in controlling both pain and BP in hypertensive patients who have chronic pain.

methodsIn this cross-sectional study, demographic data and pain characteristics (resting pain score on the numerical pain rating scale, pain severity, and pain interference subscale of the Brief Pain Inventory) were collected via face-to-face interviews. BP was measured thrice on the same day. Data on pain medications taken in the previous 1 month were retrieved from the medical records. Participants were categorized into three groups following pain management patterns according to the WHO analgesic ladder: no, partial, and complete treatment. Multivariate logistic regression analysis (MLRA) was used to analyse the association between the variables and uncontrolled BP.

findingsAmong 210 participants, the mean (standard deviation) age was 68 (15.5) years, and 60.47% had uncontrolled BP. The resting pain score, pain severity, and pain interference subscale scores of the complete treatment group were significantly lower than that of the partial treatment group (

Indexed as

AnalgesicsBlood PressureChronic PainHypertensionMusculoskeletal PainPain ManagementPain MeasurementWorld Health OrganizationAgedAged, 80 and overCross-Sectional StudiesFemaleHumansMaleMiddle AgedAnalgesicsgeneral practicehypertensionmusculoskeletalpainWHO analgesic ladder

Identifiers

PMID39397485
PMCPMC11569861

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LicenceCC BY-NC-SA
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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.