Evidence map›Paper›PMID 41244748›Full record

ArticleMayo Clinic proceedings. Innovations, quality & outcomes2025

Treatment Modalities, Pain Response, and Referrals for Hypermobile Ehlers-Danlos Syndrome and Hypermobility Spectrum Disorders: A Retrospective Study.

Frances C Wilson, Katelyn A Bruno, DeLisa Fairweather, Matthew G Carroll, Ashley A Darakjian, Shilpa Gajarawala, Ashley M Zeman, David Shirey, Tava R Buck, Barbara K Bruce and 5 more

Abstract read
In one paragraph

Article in Mayo Clinic proceedings. Innovations, quality & outcomes, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

15 authors.

Frances C WilsonDepartment of General Internal Medicine, Mayo Clinic, Jacksonville, FL.
Katelyn A BrunoDepartment of General Internal Medicine, Mayo Clinic, Jacksonville, FL.
DeLisa FairweatherDepartment of General Internal Medicine, Mayo Clinic, Jacksonville, FL.
Matthew G CarrollDepartment of General Internal Medicine, Mayo Clinic, Jacksonville, FL.
Ashley A DarakjianDepartment of General Internal Medicine, Mayo Clinic, Jacksonville, FL.
Shilpa GajarawalaDepartment of General Internal Medicine, Mayo Clinic, Jacksonville, FL.
Ashley M ZemanDepartment of General Internal Medicine, Mayo Clinic, Jacksonville, FL.
David ShireyDepartment of Physical Medicine and Rehabilitation, Mayo Clinic, Jacksonville, FL.
Tava R BuckDepartment of Physical Medicine and Rehabilitation, Mayo Clinic, Jacksonville, FL.
Barbara K BruceDepartment of Psychiatry and Psychology, Mayo Clinic, Jacksonville, FL.
Jessica M GehinDepartment of General Internal Medicine, Mayo Clinic, Jacksonville, FL.
Lauren M BoucherDepartment of Cardiovascular Medicine, Mayo Clinic, Rochester, MN.
Merci S GreenawayCurtin School of Allied Health, Curtin University, Whadjuk Nyoongar Country, Perth, Australia.
Chrisandra L ShufeltDepartment of General Internal Medicine, Mayo Clinic, Jacksonville, FL.
Dacre R T KnightDepartment of General Internal Medicine, Mayo Clinic, Jacksonville, FL.

Funding

Sex differences in hypermobile Ehlers-Danlos syndrome and hypermobility spectrum disordersR21AR084101 · NIAMS · MAYO CLINIC JACKSONVILLE · PI BRUNO, KATELYN ANN, FAIRWEATHER, DELISA · 2025 to 2025
$379k
NIAMS NIH HHS R21 AR084101
6 · The paper itself

Abstract

Objective: To gain a better understanding of preferred treatment modalities and referrals to better treat and manage pain symptoms, we conducted a retrospective longitudinal cohort study of patients with hypermobile Ehlers-Danlos syndrome (hEDS) and hypermobility spectrum disorders (HSD). Patients and Methods: A retrospective analysis of self-reported data in 290 patients diagnosed with hEDS or HSD according to the 2017 Criteria from November 1, 2019, to June 12, 2023, who completed intake and outtake questionnaires. Patients were asked questions on the severity of hypermobile, joint and muscle pain, and whether clinical referral and/or medications/treatments improved their pain. Results: Less than 30% of patients with hEDS and HSD reported improvement of hypermobility, joint or muscle pain from any of 17 treatment modalities listed in the outtake questionnaire. Patients self-reported that physical activity/exercise significantly or borderline significantly improved pain symptoms (hypermobility pain hEDS, n=36 (46.8%) vs 10 (76.9%), Conclusion: This study identified patient perceptions on treatments and referrals that improved or made their pain worse. These findings provide a starting point for future treatment guidelines, decision aids, and research on patient-reported outcomes.

Identifiers

PMID41244748
PMCPMC12617751

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Registered trials

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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.