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Methodology and applicability of the human contact burn injury model : A systematic review

Springborg, Anders Deichmann ; Wessel, Caitlin Rae ; Andersen, Lars Peter Kloster and Werner, Mads Utke LU (2021) In PLoS ONE 16(7 July).
Abstract

The contact burn injury model is an experimental contact thermode-based physiological pain model primarily applied in research of drug efficacy in humans. The employment of the contact burn injury model across studies has been inconsistent regarding essential methodological variables, challenging the validity of the model. This systematic review analyzes methodologies, outcomes, and research applications of the contact burn injury model. Based on these results, we propose an improved contact burn injury testing paradigm. A literature search was conducted (15-JUL-2020) using PubMed, EMBASE, Web of Science, and Google Scholar. Sixty-four studies were included. The contact burn injury model induced consistent levels of primary and... (More)

The contact burn injury model is an experimental contact thermode-based physiological pain model primarily applied in research of drug efficacy in humans. The employment of the contact burn injury model across studies has been inconsistent regarding essential methodological variables, challenging the validity of the model. This systematic review analyzes methodologies, outcomes, and research applications of the contact burn injury model. Based on these results, we propose an improved contact burn injury testing paradigm. A literature search was conducted (15-JUL-2020) using PubMed, EMBASE, Web of Science, and Google Scholar. Sixty-four studies were included. The contact burn injury model induced consistent levels of primary and secondary hyperalgesia. However, the analyses revealed variations in the methodology of the contact burn injury heating paradigm and the post-burn application of test stimuli. The contact burn injury model had limited testing sensitivity in demonstrating analgesic efficacy. There was a weak correlation between experimental and clinical pain intensity variables. The data analysis was limited by the methodological heterogenicity of the different studies and a high risk of bias across the studies. In conclusion, although the contact burn injury model provides robust hyperalgesia, it has limited efficacy in testing analgesic drug response. Recommendations for future use of the model are being provided, but further research is needed to improve the sensitivity of the contact burn injury method. The protocol for this review has been published in PROSPERO (ID: CRD42019133734).

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organization
publishing date
type
Contribution to journal
publication status
published
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in
PLoS ONE
volume
16
issue
7 July
article number
e0254790
publisher
Public Library of Science (PLoS)
external identifiers
  • scopus:85111562054
  • pmid:34329326
ISSN
1932-6203
DOI
10.1371/journal.pone.0254790
language
English
LU publication?
yes
id
3388275e-5ab9-4909-9be6-1ded41372903
date added to LUP
2021-08-30 14:40:12
date last changed
2024-06-15 15:20:37
@article{3388275e-5ab9-4909-9be6-1ded41372903,
  abstract     = {{<p>The contact burn injury model is an experimental contact thermode-based physiological pain model primarily applied in research of drug efficacy in humans. The employment of the contact burn injury model across studies has been inconsistent regarding essential methodological variables, challenging the validity of the model. This systematic review analyzes methodologies, outcomes, and research applications of the contact burn injury model. Based on these results, we propose an improved contact burn injury testing paradigm. A literature search was conducted (15-JUL-2020) using PubMed, EMBASE, Web of Science, and Google Scholar. Sixty-four studies were included. The contact burn injury model induced consistent levels of primary and secondary hyperalgesia. However, the analyses revealed variations in the methodology of the contact burn injury heating paradigm and the post-burn application of test stimuli. The contact burn injury model had limited testing sensitivity in demonstrating analgesic efficacy. There was a weak correlation between experimental and clinical pain intensity variables. The data analysis was limited by the methodological heterogenicity of the different studies and a high risk of bias across the studies. In conclusion, although the contact burn injury model provides robust hyperalgesia, it has limited efficacy in testing analgesic drug response. Recommendations for future use of the model are being provided, but further research is needed to improve the sensitivity of the contact burn injury method. The protocol for this review has been published in PROSPERO (ID: CRD42019133734).</p>}},
  author       = {{Springborg, Anders Deichmann and Wessel, Caitlin Rae and Andersen, Lars Peter Kloster and Werner, Mads Utke}},
  issn         = {{1932-6203}},
  language     = {{eng}},
  number       = {{7 July}},
  publisher    = {{Public Library of Science (PLoS)}},
  series       = {{PLoS ONE}},
  title        = {{Methodology and applicability of the human contact burn injury model : A systematic review}},
  url          = {{http://dx.doi.org/10.1371/journal.pone.0254790}},
  doi          = {{10.1371/journal.pone.0254790}},
  volume       = {{16}},
  year         = {{2021}},
}