Evidence map›Paper›PMID 40553634›Full record

ArticlePain2025

Over 50 years of research on social disparities in pain and pain treatment: a scoping review of reviews.

Hanna Grol-Prokopczyk, Rui Huang, Chang Yu, Yu-An Chen, Sirat Kaur, Merita Limani, Ting-Hui Lin, Anna Zajacova, Zachary Zimmer, Penney Cowan and 13 more

Abstract readScoping Review
In one paragraph

Article in Pain, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing 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

16 citing papers in PubMed.

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  10. Beyond pain presence: the impact of multisite pain and pain interference on cognitive functioning among middle-aged and older adults.The journals of gerontology. Series B, Psychological sciences and social sciences · 2026
    Article
  11. Joint call to action paper-Pain disparities special issues: Why this, why now? A unified call at a critical time.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2026
    Article
  12. Article
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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

23 authors.

Hanna Grol-ProkopczykUniversity at Buffalo, State University of New York, Buffalo, NY, United States.ORCID 0000-0002-3270-637
Rui HuangUniversity at Buffalo, State University of New York, Buffalo, NY, United States.
Chang YuUniversity at Buffalo, State University of New York, Buffalo, NY, United States.
Yu-An ChenUniversity at Buffalo, State University of New York, Buffalo, NY, United States.
Sirat KaurUniversity at Buffalo, State University of New York, Buffalo, NY, United States.
Merita LimaniUniversity of Western Ontario, London, ON, Canada.
Ting-Hui LinUniversity at Buffalo, State University of New York, Buffalo, NY, United States.
Anna ZajacovaUniversity of Western Ontario, London, ON, Canada.
Zachary ZimmerMount Saint Vincent University, Halifax, NS, Canada.
Penney CowanAmerican Chronic Pain Association, Rocklin, CA, United States.
Roger B FillingimCollege of Dentistry, and Pain Research and Intervention Center of Excellence, University of Florida, Gainesville, FL, United States.
Jennifer S GewandterUniversity of Rochester Medical Center, Rochester, NY, United States.
Ian GilronQueens University, Kingston, ON, Canada.
Adam T HirshIndiana University, Indianapolis, IN, United States.
Gary J MacfarlaneAberdeen Centre for Arthritis and Musculoskeletal Health (Epidemiology Group), University of Aberdeen, Aberdeen, United Kingdom.
Salimah H MeghaniUniversity of Pennsylvania, Philadelphia, PA, United States.
Kushang V PatelUniversity of Washington, Seattle, WA, United States.
Ellen L PoleshuckUniversity of Rochester Medical Center, Rochester, NY, United States.
Eric C StrainJohns Hopkins University School of Medicine, Baltimore, MD, United States.
Frank J SymonsUniversity of Minnesota, Minneapolis, MN, United States.
Ursula WesselmannDepartment of Anesthesiology and Perioperative Medicine, Division of Pain Medicine, and Departments of Neurology and Psychology, The University of Alabama at Birmingham School of Medicine, Birmingham, AL, United States.
Robert H DworkinUniversity of Rochester Medical Center, Rochester, NY, United States.
Dennis C TurkUniversity of Washington, Seattle, WA, United States.

Funding

The Demography of Chronic Pain: A Population Approach to Pain Trends, Pain Disparities, and Pain-Related Disability and DeathR01AG065351 · NIA · STATE UNIVERSITY OF NEW YORK AT BUFFALO · PI GROL-PROKOPCZYK, HANNA · 2020 to 2024
$1.5M
NIA NIH HHS R01 AG065351NIA NIH HHS R01AG065351
6 · The paper itself

Abstract

abstractResearch on social disparities in pain and pain treatment has grown substantially in recent decades, as reflected in a growing number of review articles on these topics. This scoping review of reviews provides a macrolevel overview of scholarship in this area by examining what specific topics and findings have been presented in published reviews. We searched CINAHL, Cochrane Database of Systematic Reviews, Embase, PsycINFO, PubMed, and Web of Science for English-language, peer-reviewed review articles, qualitative or quantitative, that aimed to characterize or explain pain-related differences or inequities across social groups. Of 4432 unique records screened, 397 articles, published over a 56-year period, were included. For each, we documented (1) axes of social difference studied (eg, sex/gender, race/ethnicity), (2) pain-related outcomes (eg, chronic pain prevalence), (3) broad findings, (4) types of mechanisms proposed, and (5) policy or practice recommendations. Findings reveal a sharp increase in the number of published review articles on pain-related disparities since approximately the year 2000. The most commonly studied social dimension was sex/gender, followed by race/ethnicity and age. Studies examining disparities by socioeconomic status, geography, or other categories were rarer. While most findings showed disadvantaged social groups to have worse pain outcomes, there were intriguing exceptions. Biological, psychological, and sociocultural mechanisms were considered much more frequently than sociostructural (macrolevel) ones. Policy/practice recommendations were typically individual-level behavioral suggestions for providers or patients. We identify high-priority areas for future research, including greater attention to lower-income countries, chronic pain prevention, and macrolevel drivers of pain disparities.

Indexed as

Healthcare DisparitiesPainPain ManagementHumansSocioeconomic FactorsHealth inequitiesPain disparitiesPain epidemiologySociodemographic disparities

Identifiers

PMID40553634
PMCPMC12353892

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.