Evidence map›Paper›PMID 21481647›Full record

ArticleThe journal of pain2011

Patterns and predictors of health service utilization in adolescents with pain: comparison between a community and a clinical pain sample.

Marisol Toliver-Sokol, Caitlin B Murray, Anna C Wilson, Amy Lewandowski, Tonya M Palermo

Open access · greenAbstract readComparative Study
In one paragraph

Article in The journal of pain, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
3.9field-weighted citation impact, top 7% 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

31 citing papers in PubMed, 66 citations in OpenAlex.

  1. Trial
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  8. Decoding pain and mental health patterns in youth with chronic pain during COVID-19.Frontiers in pain research (Lausanne, Switzerland) · 2026
    Article
  9. Article
  10. Article
  11. Article
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  13. Trickle-down healthcare in paediatric chronic pain.British journal of anaesthesia · 2019
    Article
  14. Article
  15. Knowledge, utilization and barriers to primary care services for sexual and reproductive health among adolescents in secondary schools in Selangor, Malaysia.Malaysian family physician : the official journal of the Academy of Family Physicians of Malaysia · 2019
    Article
  16. Quality of life among parents seeking treatment for their child's functional abdominal pain.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2018
    Article
  17. A Model of the Intersection of Pain and Opioid Misuse in Children and Adolescents.Clinical psychological science : a journal of the Association for Psychological Science · 2018
    Article
  18. Article
  19. Review
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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

5 authors at 2 institutions in 1 country.

Marisol Toliver-SokolDepartment of Psychiatry, Oregon Health & Science University, Portland, Oregon, USA.
Caitlin B Murray
Anna C Wilson
Amy Lewandowski
Tonya M Palermo
University of Washington · USOregon Health & Science University · US

Funding

Sleep-wake disturbances in adolescents with chronic painR01HD053431 · NICHD · SEATTLE CHILDREN'S HOSPITAL · PI PALERMO, TONYA M · 2007 to 2011
$1.7M
Innovations in Pediatric Pain ResearchK24HD060068 · NICHD · SEATTLE CHILDREN'S HOSPITAL · PI PALERMO, TONYA M · 2009 to 2018
$1.6M
Adolescents at risk for chronic painK23HD064705 · NICHD · OREGON HEALTH & SCIENCE UNIVERSITY · PI WILSON, ANNA CAMILLE · 2010 to 2014
$539k
NICHD NIH HHS K23 HD064705NICHD NIH HHS K24 HD060068NICHD NIH HHS R01 HD053431NICHD NIH HHS R01HD053431
6 · The paper itself

Abstract

unlabelledThere is limited research describing the patterns of healthcare utilization in adolescents with chronic pain. This study describes healthcare utilization in a clinical chronic pain sample, and compares the patterns of service use of this group to a community sample with intermittent pain complaints. We also investigated demographic and clinical factors that predicted healthcare visits and medication use in the clinical sample. Data on 117 adolescents (aged 12-18; n = 59 clinical pain sample, n = 58 community) were collected. Caregivers and adolescents reported on sociodemographics, medical visits, current medications, pain, activity limitations, and depression. As hypothesized, the clinical pain sample had higher rates of healthcare consultation on all types of medical visits (general, specialty care, complementary medicine, mental health, OT/PT), and higher medication use compared to the community sample. Regression analyses revealed that higher annual income, greater pain frequency, and higher levels of caregiver-reported activity limitations were associated with a greater number of healthcare visits for the total sample. Within the clinical pain sample, higher pain frequency and greater activity limitations (caregiver report) predicted more specialty care visits. Additionally, higher income and greater levels of depressive symptoms predicted a higher number of prescribed medications. PERSPECTIVE: This study contributes to the limited available data on health service and medication use in a clinical chronic pain sample versus a community sample of adolescents. We also identify clinical factors (pain frequency, parent-reported activity limitations, depressive symptoms) and demographic factors (gender, income) associated with healthcare utilization.

Indexed as

Pain ClinicsPain ManagementResidence CharacteristicsAdolescentCaregiversCross-Sectional StudiesDepressionDevelopmental DisabilitiesFemaleHealth ServicesHumansMalePainPain MeasurementPredictive Value of Tests

Identifiers

PMID21481647
PMCPMC3130816
OpenAlexW2072752476

What OpenQuestion 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 OpenQuestion graph.