Evidence map›Paper›PMID 40297452›Full record

ArticlemedRxiv : the preprint server for health sciences2025

Estimating controlled direct treatment effects on pain intensity using structural mean models: application to pain randomized controlled trials.

Rui Wang, Patrick J Heagerty, Kwun Chuen Gary Chan, Pradeep Suri

Abstract readPreprint
In one paragraph

Article in medRxiv : the preprint server for health sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

Rui WangDepartment of Biostatistics, University of Washington, Seattle, USA.ORCID 0009-0002-0214-8191
Patrick J HeagertyDepartment of Biostatistics, University of Washington, Seattle, USA.
Kwun Chuen Gary ChanDepartment of Biostatistics, University of Washington, Seattle, USA.
Pradeep SuriClinical Learning, Evidence, and Research (CLEAR) Center, University of Washington, Seattle, USA.ORCID 0000-0002-9449-4165

Funding

UW Core Center for Clinical Research of Musculoskeletal ConditionsP30AR072572 · NIAMS · UNIVERSITY OF WASHINGTON · PI JEFFREY G JARVIK, Pradeep Suri · 2017 to 2026
$8.3M
NIAMS NIH HHS P30 AR072572
6 · The paper itself

Abstract

Analytical methods to incorporate potential concurrent analgesic use into primary statistical summaries are underutilized in pain randomized controlled trials (RCTs). Without valid inclusion of analgesic use, the primary analyses of pain may produce diminished estimated treatment effects. We used contemporary causal inference methods that can account for concurrent treatment to reanalyze RCT data examining the effect of epidural steroid injection (ESI). Specifically, we define an "attributable to ESI estimand", which is the controlled direct effect of ESI. We used a simple composite pain intensity outcome, the QPAC

Identifiers

PMID40297452
PMCPMC12036376

What OpenQuestion holds

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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.