Evidence map›Paper›PMID 38652452›Full record

ReviewMinerva anestesiologica2024

Lumbar intervertebral disc degeneration in low back pain.

Abby P Chiu, Catherine Chia, Lars Arendt-Nielsen, Michele Curatolo

Open access · greenAbstract readReview
In one paragraph

Review in Minerva anestesiologica, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
6.4field-weighted citation impact, top 3% of its field
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

21 citing papers in PubMed, 15 citations in OpenAlex.

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  20. Mini-review: research and progress of oxeiptosis in diseases.Frontiers in cell and developmental biology · 2024
    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

4 authors at 1 institution in 1 country.

Abby P ChiuDivision of Pain Medicine, Department of Anesthesiology and Pain Medicine, Clinical Learning, Evidence And Research (CLEAR) Center for Musculoskeletal Research, University of Washington School of Medicine, Seattle, WA, USA.
Catherine ChiaDivision of Pain Medicine, Department of Anesthesiology and Pain Medicine, Clinical Learning, Evidence And Research (CLEAR) Center for Musculoskeletal Research, University of Washington School of Medicine, Seattle, WA, USA.
Lars Arendt-NielsenCenter for Neuroplasticity and Pain (CNAP), SMI, Aalborg University, School of Medicine, Aalborg, Denmark.
Michele CuratoloDivision of Pain Medicine, Department of Anesthesiology and Pain Medicine, Clinical Learning, Evidence And Research (CLEAR) Center for Musculoskeletal Research, University of Washington School of Medicine, Seattle, WA, USA - curatolo@uw.edu.
Mech-Sense · DK

Funding

Mechanistic underpinnings of chronic low back painU19NS130608 · NINDS · UNIVERSITY OF TEXAS DALLAS · PI Michele Curatolo, Patrick M Dougherty · 2022 to 2026
$13.6M
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 AR072572-06/A168920NINDS NIH HHS 3U19NS130608-02S1NINDS NIH HHS U19 NS130608
6 · The paper itself

Abstract

Intervertebral disc degeneration is characterized by deterioration in structural support that is potentially followed by stimulated neuronal ingrowth, and dysfunction of cellular physiology in the disc. Discogenic low back pain originates from nociceptors within the intervertebral disc or the cartilage endplate. This narrative review examines the mechanisms of disc degeneration, the association between degeneration and pain, and the current diagnosis and treatment of discogenic low back pain. Mechanisms of disc degeneration include dysregulated homeostasis of the extracellular matrix of the disc, altered spine mechanics, DNA damage, oxidative stress, perturbed cell signaling pathways, and cellular senescence. Although disc degeneration is more common in individuals with low back pain than in asymptomatic ones, degeneration occurs in a large proportion of asymptomatic individuals. Therefore, degeneration itself is not sufficient to trigger low back pain. Imaging and discography are common diagnostic tools of discogenic low back pain but have limited validity to diagnose discogenic pain. Most of current treatments options are not specific to discogenic pain but are unspecific treatments of low back pain of any origin. There is an urgent need to clarify and distinguish the molecular mechanisms of discogenic pain from mechanisms of disc degeneration that are not involved in nociception. Future research should make use of current methods to study molecular mechanisms of human pain in comprehensively and quantitatively phenotyped patients with low back pain, with the objective to identify molecular triggers of discogenic pain and determine the relationship between molecular mechanisms, pain, and patient-relevant outcomes.

Indexed as

Intervertebral Disc DegenerationLow Back PainLumbar VertebraeHumans

Identifiers

PMID38652452
PMCPMC12398226
OpenAlexW4395083040

What Socratic holds

Textmetadata
LicenceTDM
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 Socratic graph.