Rheumatoid arthritis

Sex Differences in Pain and Quantitative Sensory Testing in Patients With Rheumatoid Arthritis

Arthritis Care Res (Hoboken)Published Post hoc analysis of the Central Pain in Rheumatoid Arthritis cohort

Primary result · Pain intensity (NRS 0-10)Result — go to the resultAdjusted difference 0.83 95% CI 0.14–1.53

Authors' conclusion

Women reported higher pain intensity and lower pressure pain detection thresholds (higher pain sensitivity) than men. However, pain interference, temporal summation, and conditioned pain modulation did not differ between men and women.

Study context

Population
Participants with rheumatoid arthritis (RA) in the Central Pain in Rheumatoid Arthritis cohort
Comparison
Women vs men with RA
Primary endpoint
Pain intensity (NRS 0-10)
Methodological detailsmultiple linear regression, adjusted for age, education, race, research site, depression, obesity, RA disease duration, swollen joint count, and CRP
  • Multiple linear regression, adjusted for age, education, race, research site, depression, obesity, RA disease duration, swollen joint count, and CRP

Primary result

As reported in the abstract

Adjusted difference

0.83

95% CI 0.14–1.53

By group

Women

5.32

mean · SD 2.29

Men

4.60

mean · SD 2.23

Womenvs Men
adjusted difference 0.83 (95% CI 0.14–1.53)

Further findings

OutcomeEstimate
Pressure pain detection thresholdsWomenvs Menadjusted difference (trapezius) −1.22 (95% CI −1.73 to −0.72)
Pressure pain detection thresholdsWomenvs Menadjusted difference (wrist) −0.57 (95% CI −1.07 to −0.06)
Pressure pain detection thresholdsWomenvs Menadjusted difference (knee) −1.10 (95% CI −2.00 to −0.21)

Pain interference (PROMIS), temporal summation, conditioned pain modulation

No statistically significant differences between women and men

Original publication

Sex Differences in Pain and Quantitative Sensory Testing in Patients With Rheumatoid Arthritis. Arthritis Care Res (Hoboken). Published 3 August 2023. doi:10.1002/acr.25178

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