Evidence map›Paper›PMID 39514885›Full record

ArticlePain medicine (Malden, Mass.)2024

Impact of the COVID-19 pandemic on participants in pragmatic clinical trials for chronic pain: implications for trial outcomes and beyond.

John J Sellinger, Kathryn Gilstad-Hayden, Christina Lazar, Karen Seal, Natalie Purcell, Diana J Burgess, Steve Martino, Alicia Heapy, Diana Higgins, Marc I Rosen

Abstract read
In one paragraph

Article in Pain medicine (Malden, Mass.), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Trial
  2. Article
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

10 authors.

John J SellingerVA Connecticut Healthcare System, West Haven, CT 06516, United States.ORCID 0000-0002-8870-5085
Kathryn Gilstad-HaydenVA Connecticut Healthcare System, West Haven, CT 06516, United States.
Christina LazarVA Connecticut Healthcare System, West Haven, CT 06516, United States.ORCID 0000-0003-1732-1516
Karen SealSan Francisco VA Healthcare System, Integrative Health Service San Francisco, San Francisco, CA 94121, United States.
Natalie PurcellSan Francisco VA Healthcare System, Integrative Health Service San Francisco, San Francisco, CA 94121, United States.
Diana J BurgessVA HSR&D Center for Care Delivery and Outcomes Research, Minneapolis VA Healthcare System, Minneapolis, MN 55417, United States.ORCID 0000-0003-1139-7739
Steve MartinoVA Connecticut Healthcare System, West Haven, CT 06516, United States.
Alicia HeapyVA Connecticut Healthcare System, West Haven, CT 06516, United States.
Diana HigginsDurham VA Healthcare System, Durham, NC 27705, United States.ORCID 0000-0002-6885-266X
Marc I RosenVA Connecticut Healthcare System, West Haven, CT 06516, United States.

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
Pain Management Collaboratory Coordinating Center (PMC3)U24AT009769 · NCCIH · YALE UNIVERSITY · PI WILLIAM C BECKER, Alicia Heapy · 2017 to 2026
$16.4M
Engaging Veterans Seeking Service-Connection Payments in Pain TreatmentUG3AT009758 · NCCIH · YALE UNIVERSITY · PI MARTINO, STEVE, ROSEN, MARC I · 2017 to 2018
$1.2M
Assistant Secretary of Defense for Health AffairsDepartment of DefenseNational Institutes of Health National Center for Complementary and Integrative Health UG3/UH3-AT009758NCATS NIH HHS UL1 TR001863NCCIH NIH HHS U24 AT009769NIH HHSPain Management Collaboratory-Pragmatic Clinical Trials Demonstration W81XWH-18-2-0003
6 · The paper itself

Abstract

objectiveThe COVID-19 pandemic had profound effects on society, including those living with chronic pain. This study sought to examine pandemic impacts on individuals enrolled in pragmatic clinical trials focused on nonpharmacological treatments for chronic pain.

methodsWe evaluated responses to a questionnaire on COVID-19 impacts that had been administered to participants (n=2024) during study enrollment in 3 pragmatic clinical trials for chronic pain treatment. All trials were part of the National Institutes of Health (NIH)-Department of Veterans Affairs (VA)-Department of Defense (DOD) Pain Management Collaboratory. COVID-19-related impacts on access to health care, mental health, finances, ability to meet basic needs, and social support were assessed.

resultsPandemic impacts were found in all domains assessed, including access to health care, mental and emotional health, ability to meet basic needs, finances, and social support. Impacts varied by demographic and clinical characteristics. The participants most negatively impacted by the pandemic were younger, Black or Latino, female, more educated, and unemployed and had screened positive for depression. No impact differences were found with regard to alcohol use disorder screenings or a prior history of COVID-19. Higher levels of pain were associated with worse pandemic impacts, and negative impacts declined over time.

conclusionsNegative impacts of the pandemic on individuals living with chronic pain cut across aspects of life that are also central to effective pain management, including access to health care, social support, and mental and emotional health, with differential impacts found across key demographic and clinical factors. These findings should yield consideration of pandemic impacts in clinical practice and as moderating effects of treatment outcomes in clinical trials conducted during the pandemic.

Indexed as

Chronic PainCOVID-19AdultAgedFemaleHealth Services AccessibilityHumansMaleMiddle AgedPain ManagementPandemicsPragmatic Clinical Trials as TopicSARS-CoV-2Social SupportSurveys and QuestionnairesUnited Stateschronic painCOVID-19substance useVeterans

Identifiers

PMID39514885
PMCPMC11548862

What OpenQuestion holds

Textmetadata
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.