Evidence map›Paper›PMID 41953999›Full record

SynthesisMolecular pain

Intraindividual pain variability in chronic pain: A systematic review.

Julie Klinke, Valentina Molinari, Karin Jensen

Abstract readSystematic Review
In one paragraph

Synthesis in Molecular pain. 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

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

3 authors.

Julie KlinkeDepartment of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.ORCID 0009-0007-6343-0437
Valentina MolinariDepartment of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
Karin JensenDepartment of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo present the first systematic review on the empirical evidence for variations in intraindividual pain intensity in patients with long-term pain conditions.

methodsThe search was conducted on Medline and included prospective longitudinal non-interventional studies done on adult human subjects with chronic pain conditions linked to nociplastic pain mechanisms. Abstract screening and full-text review were performed by two independent reviewers. A third reviewer was consulted in case of disagreement.

resultsOf the 1195 results, 13 studies fulfilled the eligibility criteria as determined by abstract screening and full-text review performed by two independent reviewers. Studies included patients with fibromyalgia, low back pain, temporomandibular disorder and, because of the growing evidence for central sensitization, osteoarthritis. Findings showed consistent evidence of intraindividual pain variability in patients with nociplastic pain, regardless of diagnosis. In several studies, it was possible to cluster patients based on degree of pain variability.

conclusionsOur findings provide evidence of intraindividual variability in pain intensity in patients with pain conditions that includes nociplastic pain mechanisms, regardless of precise diagnosis. Preliminary evidence suggests that degree of intraindividual pain variability may be associated with measures of clinical relevance, including mental health, fatigue, physical activity level, and drug and placebo response.

Indexed as

Chronic PainHumansNociplastic PainPain Measurementfibromyalgialow back painNociplastic painosteoarthritispain variabilitysystematic reviewtemporomandibular disorder

Identifiers

PMID41953999
PMCPMC13153499

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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.