Evidence map›Paper›PMID 40355673›Full record

ArticleNature human behaviour2025

Biological markers and psychosocial factors predict chronic pain conditions.

Matt Fillingim, Christophe Tanguay-Sabourin, Marc Parisien, Azin Zare, Gianluca V Guglietti, Jax Norman, Bogdan Petre, Andrey Bortsov, Mark Ware, Jordi Perez and 3 more

Abstract read
In one paragraph

Article in Nature human behaviour, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
–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

25 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Unmet needs in functional neurological disorder related to digital healthcare.Philosophical transactions of the Royal Society of London. Series B, Biological sciences · 2026
    Review
  3. Article
  4. Article
  5. Article
  6. Linking the exposome to the brain-behaviour phenotype.Nature reviews. Neuroscience · 2026
    Review
  7. Article
  8. Molecular mechanism of allosteric modulation of opioid receptors.Signal transduction and targeted therapy · 2026
    Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. From pain mechanisms to functioning: a rehabilitation perspective on fibromyalgia.European journal of physical and rehabilitation medicine · 2026
    Article
  15. Review
  16. Review
  17. Article
  18. Review
  19. Recent advances in biomarkers for cardiac fibrosis.Frontiers in cardiovascular medicine · 2026
    Review
  20. 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

13 authors.

Matt FillingimAlan Edwards Centre for Research on Pain, McGill University, Montreal, Quebec, Canada. matthew.fillingim@mail.mcgill.ca.
Christophe Tanguay-SabourinAlan Edwards Centre for Research on Pain, McGill University, Montreal, Quebec, Canada.
Marc ParisienAlan Edwards Centre for Research on Pain, McGill University, Montreal, Quebec, Canada.ORCID http://orcid.org/0000-0003-2924-5960
Azin ZareAlan Edwards Centre for Research on Pain, McGill University, Montreal, Quebec, Canada.
Gianluca V GugliettiAlan Edwards Centre for Research on Pain, McGill University, Montreal, Quebec, Canada.
Jax NormanAlan Edwards Centre for Research on Pain, McGill University, Montreal, Quebec, Canada.
Bogdan PetreDepartment of Psychological and Brain Sciences, Dartmouth College, Hanover, NH, USA.ORCID http://orcid.org/0000-0002-8437-168X
Andrey BortsovCenter for Translational Pain Medicine, Duke University, Durham, NC, USA.
Mark WareAlan Edwards Pain Management Unit, McGill University Health Center, Montreal, Quebec, Canada.
Jordi PerezAlan Edwards Pain Management Unit, McGill University Health Center, Montreal, Quebec, Canada.
Mathieu RoyAlan Edwards Centre for Research on Pain, McGill University, Montreal, Quebec, Canada.
Luda DiatchenkoAlan Edwards Centre for Research on Pain, McGill University, Montreal, Quebec, Canada.ORCID http://orcid.org/0000-0002-1350-6727
Etienne Vachon-PresseauAlan Edwards Centre for Research on Pain, McGill University, Montreal, Quebec, Canada. etienne.vachon-presseau@mcgill.ca.ORCID http://orcid.org/0000-0002-8681-3154

Funding

Project-004U54DA049110 · NIDA · JOHNS HOPKINS UNIVERSITY · PI Martin Lindquist, TOR D. WAGER · 2019 to 2026
$14.7M
Fonds de Recherche du Québec - Santé (Fonds de la recherche en sante du Quebec) 283687Gouvernement du Canada | Canadian Institutes of Health Research (Instituts de Recherche en Santé du Canada) 453096NIDA NIH HHS U54 DA049110
6 · The paper itself

Abstract

Chronic pain is a multifactorial condition presenting significant diagnostic and prognostic challenges. Biomarkers for the classification and the prediction of chronic pain are therefore critically needed. Here, in this multidataset study of over 523,000 participants, we applied machine learning to multidimensional biological data from the UK Biobank to identify biomarkers for 35 medical conditions associated with pain (for example, rheumatoid arthritis and gout) or self-reported chronic pain (for example, back pain and knee pain). Biomarkers derived from blood immunoassays, brain and bone imaging, and genetics were effective in predicting medical conditions associated with chronic pain (area under the curve (AUC) 0.62-0.87) but not self-reported pain (AUC 0.50-0.62). Notably, all biomarkers worked in synergy with psychosocial factors, accurately predicting both medical conditions (AUC 0.69-0.91) and self-reported pain (AUC 0.71-0.92). These findings underscore the necessity of adopting a holistic approach in the development of biomarkers to enhance their clinical utility.

Indexed as

BiomarkersChronic PainAdultAgedFemaleHumansMachine LearningMaleMiddle AgedSelf ReportUnited KingdomBiomarkers

Identifiers

PMID40355673
PMCPMC12367528

What OpenQuestion holds

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LicenceCC BY
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.