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Analysis of institutional authors

Palacios-Cena, MAuthorOrtega-Santiago, RAuthorFernandez-De-Las-Penas, CCorresponding Author

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Clinical Significance and Diagnostic Value of Pain Extent Extracted from Pain Drawings: A Scoping Review

Publicated to:Diagnostics. 10 (8): 604- - 2020-08-01 10(8), DOI: 10.3390/diagnostics10080604

Authors: Barbero, Marco; Navarro-Santana, Marcos J; Palacios-Cena, Maria; Ortega-Santiago, Ricardo; Cescon, Corrado; Falla, Deborah; Fernandez-de-las-Penas, Cesar

Affiliations

Rehabil San Fernando, Madrid 28830, Spain - Author
Univ Appl Sci & Arts Southern Switzerland, Dept Business Econ Hlth & Social Care, Rehabil Res Lab 2rLab, CH-6928 Manno, Switzerland - Author
Univ Birmingham, Coll Life & Environm Sci, Ctr Precis Rehabil Spinal Pain CPR Spine, Sch Sport Exercise & Rehabil Sci, Birmingham B15 2TT, W Midlands, England - Author
Univ Complutense Madrid, Dept Radiol Rehabil & Physiotherapy, Madrid 28040, Spain - Author
Univ Rey Juan Carlos, Catedra Inst Docencia Clin & Invest Fisioterapia, Alcorcon 28922, Spain - Author
Univ Rey Juan Carlos, Dept Phys Therapy Occupat Therapy Phys Med & Reha, Alcorcon 28922, Spain - Author
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Abstract

The current scoping review aimed to map current literature investigating the relationship between pain extent extracted from pain drawings with clinical, psychological, and psycho-physiological patient-reported outcome measures in people with pain. Electronic databases were searched for cross-sectional cohort studies that collected pain drawings using digital technology or a pen-on-paper approach and assessed for correlations between pain extent and clinical, psychological or psycho-physical outcomes. Data were extracted by two different reviewers. The methodological quality of studies was assessed using the Newcastle-Ottawa Quality Assessment Scale. Mapping of the results included: 1, description of included studies; 2, summary of results; and 3, identification of gaps in the existing literature. Eleven cross-sectional cohort studies were included. The pain disorders considered were heterogeneous, ranging from musculoskeletal to neuropathic conditions, and from localized to generalized pain conditions. All studies included pain and/or pain-related disability as clinical outcomes. Psychological outcomes included depression and anxiety, kinesiophobia and catastrophism. Psycho-physical measures included pressure or thermal pain thresholds. Ten studies were considered of high methodological quality. There was heterogeneity in the associations between pain extent and patient-reported outcome measures depending on the pain condition. This scoping review found that pain extent is associated with patient-reported outcome measures more so in patients presenting with musculoskeletal pain, e.g., neck pain or osteoarthritis, rather than for those with neuropathic pain or headache.

Keywords

Central sensitizationChronic neck painChronic painData baseDepressionDiagnostic valueDisabilityDrawingFibromyalgiaHeat pain thresholdHumanIndividualsNewcastle ottawa quality assessment scaleNewcastle-ottawa scalePainPain assessmentPain drawingPain extentPatient-reported outcomePatient-reported outcome measuresPeoplePressure pain thresholdReviewTest-retest reliability

Quality index

Bibliometric impact. Analysis of the contribution and dissemination channel

The work has been published in the journal Diagnostics due to its progression and the good impact it has achieved in recent years, according to the agency WoS (JCR), it has become a reference in its field. In the year of publication of the work, 2020, it was in position 45/167, thus managing to position itself as a Q2 (Segundo Cuartil), in the category Medicine, General & Internal. Notably, the journal is positioned en el Cuartil Q3 para la agencia Scopus (SJR) en la categoría Clinical Biochemistry.

From a relative perspective, and based on the normalized impact indicator calculated from World Citations from Scopus Elsevier, it yields a value for the Field-Weighted Citation Impact from the Scopus agency: 1.22, which indicates that, compared to works in the same discipline and in the same year of publication, it ranks as a work cited above average. (source consulted: ESI Nov 14, 2024)

This information is reinforced by other indicators of the same type, which, although dynamic over time and dependent on the set of average global citations at the time of their calculation, consistently position the work at some point among the top 50% most cited in its field:

  • Field Citation Ratio (FCR) from Dimensions: 6.32 (source consulted: Dimensions Jun 2025)

Specifically, and according to different indexing agencies, this work has accumulated citations as of 2025-06-29, the following number of citations:

  • WoS: 20
  • Scopus: 24
  • Europe PMC: 10

Impact and social visibility

From the perspective of influence or social adoption, and based on metrics associated with mentions and interactions provided by agencies specializing in calculating the so-called "Alternative or Social Metrics," we can highlight as of 2025-06-29:

  • The use, from an academic perspective evidenced by the Altmetric agency indicator referring to aggregations made by the personal bibliographic manager Mendeley, gives us a total of: 65.
  • The use of this contribution in bookmarks, code forks, additions to favorite lists for recurrent reading, as well as general views, indicates that someone is using the publication as a basis for their current work. This may be a notable indicator of future more formal and academic citations. This claim is supported by the result of the "Capture" indicator, which yields a total of: 65 (PlumX).

With a more dissemination-oriented intent and targeting more general audiences, we can observe other more global scores such as:

  • The Total Score from Altmetric: 4.7.
  • The number of mentions on the social network X (formerly Twitter): 7 (Altmetric).

It is essential to present evidence supporting full alignment with institutional principles and guidelines on Open Science and the Conservation and Dissemination of Intellectual Heritage. A clear example of this is:

  • The work has been submitted to a journal whose editorial policy allows open Open Access publication.

Leadership analysis of institutional authors

This work has been carried out with international collaboration, specifically with researchers from: Switzerland; United Kingdom.

There is a significant leadership presence as some of the institution’s authors appear as the first or last signer, detailed as follows: Last Author (Fernández de las Peñas, César).

the author responsible for correspondence tasks has been Fernández de las Peñas, César.