Evidence map›Paper›PMID 25595299›Full record

Observational studyBMC oral health2015

Issues arising following a referral and subsequent wait for extraction under general anaesthetic: impact on children.

Michaela Goodwin, Caroline Sanders, Gill Davies, Tanya Walsh, Iain A Pretty

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in BMC oral health, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 1 pooled it
5.3field-weighted citation impact, top 4% 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

38 citing papers in PubMed, 1 synthesis or guideline pooled it, 62 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Review
  5. Article
  6. Comparison of Oral Health-Related Quality of Life scores in children treated for early childhood caries under general and local anesthesia: a quasi-experimental study.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2023
    Article
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  12. Article
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  15. Review
  16. Article
  17. Bedtime Routine Characteristics and Activities in Families with Young Children in the North of England.International journal of environmental research and public health · 2021
    Article
  18. Children and parents perspectives on children's dental treatment under general anesthesia: a narratology from Saskatoon, Canada.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2021
    Article
  19. Article
  20. Article
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.

Michaela GoodwinThe Dental Health Unit, School of Dentistry, The University of Manchester, Williams House, Manchester Science Park, M15 6SE Manchester, England. michaela.goodwin@manchester.ac.uk.
Caroline Sanders
Gill Davies
Tanya Walsh
Iain A Pretty
University of Manchester · GBPublic Health England · GB

Funding

Department of Health DHCS/05/05/008
6 · The paper itself

Abstract

backgroundUntreated caries in young children can result in a referral for extraction in hospital under general anaesthetic (GA). This study aims to explore the impact of caries during the ensuing wait for GA on children resident in the North West of England.

methodsThe study involved 456 respondents referred to six hospitals in the Northwest of England. Over a two-month period each of these children/ families completed a questionnaire and gave permission to access their referral and consultation notes.

resultsChildren (6.78 years old: 1.50 to 16.42) had on average five teeth extracted (ranging from one to a full clearance, with all teeth removed). Sixty seven per cent of parents reported their child had been in pain, 26% reported schools days being missed and 38% having sleepless nights. The average time from referral to operation was 137 days. Results indicated that children could be in discomfort during their wait, as pain was experienced, on average, 14 days before the operation. Wait time significantly predicated the number of sleepless nights b = .004, t(340) = 2.276, p = .023.

conclusionsIt is clear that pain, sleepless nights and missed school are a feature during a wait for dental GA and can be exacerbated by an extended wait. These data support the need for not only effective prevention of caries within primary care to reduce wait times and experience of GA but also effective management of pain and infection during a prolonged wait for treatment.

Indexed as

Referral and ConsultationWaiting ListsAbsenteeismAdolescentAnesthesia, DentalAnesthesia, GeneralAnxietyChildChild, PreschoolDental CariesDental Service, HospitalEnglandFemaleHumansInfantMale

Identifiers

PMID25595299
PMCPMC4324052
OpenAlexW1484459360

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.