Evidence map›Paper›PMID 24732284›Full record

ArticleClinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association2014

Predicting persistence of functional abdominal pain from childhood into young adulthood.

Sara Horst, Grace Shelby, Julia Anderson, Sari Acra, D Brent Polk, Benjamin R Saville, Judy Garber, Lynn S Walker

Open access · greenAbstract read
In one paragraph

Article in Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 55 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
55citing papers in PubMed, 2 pooled it
6.7field-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

55 citing papers in PubMed, 2 syntheses or guidelines pooled it, 129 citations in OpenAlex.

  1. Pooled it
  2. Dietary interventions for recurrent abdominal pain in childhood.The Cochrane database of systematic reviews · 2017
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Sara HorstDepartment of Gastroenterology, Hepatology, and Nutrition, Vanderbilt University Medical Center, Nashville, Tennessee.
Grace ShelbyDepartment of Psychology and Human Development, Peabody College, Vanderbilt University, Nashville, Tennessee.
Julia AndersonDepartment of Pediatric Gastroenterology, Hepatology, and Nutrition, Vanderbilt University Monroe Carell Jr. Children's Hospital at Vanderbilt, Nashville, Tennessee.
Sari AcraDepartment of Pediatric Gastroenterology, Hepatology, and Nutrition, Vanderbilt University Monroe Carell Jr. Children's Hospital at Vanderbilt, Nashville, Tennessee.
D Brent PolkDepartment of Pediatrics, University of Southern California and Children's Hospital Los Angeles, Los Angeles, California.
Benjamin R SavilleDepartment of Biostatistics, Vanderbilt University Medical Center, Nashville, Tennessee.
Judy GarberDepartment of Psychology and Human Development, Peabody College, Vanderbilt University, Nashville, Tennessee.
Lynn S WalkerDivision of Adolescent and Young Adult Health, Department of Pediatrics, Vanderbilt University Monroe Carell Jr. Children's Hospital at Vanderbilt, Nashville, Tennessee. Electronic address: lynn.walker@vanderbilt.edu.
Vanderbilt University · USVanderbilt University Medical Center · USUniversity of Southern California · US

Funding

VANDERBILT UNIVERSITY CTSA FOR PEDIATRIC RESEARCHUL1RR024975 · NCRR · VANDERBILT UNIVERSITY · PI BERNARD, GORDON RAPHAEL · 2007 to 2011
$45.7M
The Vanderbilt Institute for Clinical and Translational Research (VICTR)UL1TR000445 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BERNARD, GORDON RAPHAEL · 2012 to 2016
$41.4M
Translational Analysis CoreP30DK058404 · NIDDK · VANDERBILT UNIVERSITY MEDICAL CENTER · PI RICHARD M. PEEK · 2002 to 2026
$29.9M
THREE-TIERED PREVENTION MODEL TO BETTER SERVE ALL STUDENP30HD015052 · NICHD · VANDERBILT UNIVERSITY · PI DYKENS, ELISABETH MAY · 1985 to 2014
$18.6M
LIFE-SPAN DEVELOPMENT OF NORMAL AND ABNORMAL BEHAVIORT32MH018921 · NIMH · VANDERBILT UNIVERSITY · PI HUMPHREYS, KATHRYN LEIGH · 1989 to 2024
$6.7M
ILLNESS BEHAVIOR AND SOMATIZATION IN CHILDRENR01HD023264 · NICHD · VANDERBILT UNIVERSITY · PI WALKER, LYNN D. · 1987 to 2011
$3.9M
NCATS NIH HHS UL1 TR000445NCRR NIH HHS 1 UL1 RR024975NCRR NIH HHS UL1 RR024975NICHD NIH HHS P30 HD015052NICHD NIH HHS P30 HD15052NICHD NIH HHS R01 HD023264NICHD NIH HHS R01 HD23264NIDDK NIH HHS DK058404NIDDK NIH HHS P30 DK058404NIMH NIH HHS T32 MH018921
6 · The paper itself

Abstract

BACKGROUND &

aimsPediatric functional abdominal pain has been linked to functional gastrointestinal disorders (FGIDs) in adulthood, but little is known about patient characteristics in childhood that increase the risk for FGID in young adulthood. We investigated the contribution of gastrointestinal symptoms, extraintestinal somatic symptoms, and depressive symptoms in pediatric patients with functional abdominal pain and whether these predicted FGIDs later in life.

methodsIn a longitudinal study, consecutive new pediatric patients, diagnosed with functional abdominal pain in a subspecialty clinic, completed a comprehensive baseline evaluation of the severity of their physical and emotional symptoms. They were contacted 5 to 15 years later and evaluated, based on Rome III symptom criteria, for abdominal pain-related FGIDs, including irritable bowel syndrome, functional dyspepsia, functional abdominal pain syndrome, and abdominal migraine. Controlling for age, sex, baseline severity of abdominal pain, and time to follow-up evaluation, multivariable logistic regression was used to evaluate the association of baseline gastrointestinal, extraintestinal somatic, and depressive symptoms in childhood with FGID in adolescence and young adulthood.

resultsOf 392 patients interviewed an average of 9.2 years after their initial evaluation, 41% (n = 162) met symptom criteria for FGID; most met the criteria for irritable bowel syndrome. Extraintestinal somatic and depressive symptoms at the initial pediatric evaluation were significant predictors of FGID later in life, after controlling for initial levels of GI symptoms. Age, sex, and abdominal pain severity at initial presentation were not significant predictors of FGID later in life.

conclusionsIn pediatric patients with functional abdominal pain, assessment of extraintestinal and depressive symptoms may be useful in identifying those at risk for FGID in adolescence and young adulthood.

Indexed as

Abdominal PainAdolescentChildComorbidityDepressionFemaleGastrointestinal DiseasesHumansLongitudinal StudiesMalePrognosisYoung AdultDepressionFunctional Gastrointestinal DisordersIrritable Bowel SyndromeProspectiveSomatic Symptoms

Identifiers

PMID24732284
PMCPMC4195814
OpenAlexW2135236679

What OpenQuestion holds

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Registered trials

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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.