Evidence map›Paper›PMID 26352920›Full record

ReviewThe Clinical journal of pain2015

Far From "Just a Poke": Common Painful Needle Procedures and the Development of Needle Fear.

C Meghan McMurtry, Rebecca Pillai Riddell, Anna Taddio, Nicole Racine, Gordon J G Asmundson, Melanie Noel, Christine T Chambers, Vibhuti Shah, HELPinKids&Adults Team

2 registry-linked trialsAbstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in The Clinical journal of pain, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 156 papers, 13 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
156citing papers in PubMed, 13 pooled it
–field-weighted citation impact
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.

NCT04959409 completednot on this mapstarted 2020, after this paper: background citation

Topical Analgesia Before Inhalational Anaesthesia: A Retrospective Observational Study

TypeobservationalSponsorNottingham University Hospitals NHS TrustRan2020 to 2021Enrolled500ConditionsAnesthesia, Pediatric ALLArmsTopical analgesia (EMLA or AMETOP)
NCT06182436 narecruitingnot on this mapstarted 2024, after this paper: background citation

Use of Virtual Reality to Improve Pain and Anxiety Management of Children During Dupilumab Injection for Atopic Dermatitis (VR-DERMA)

TypeinterventionalSponsorSt. Justine's HospitalRan2024 to 2028Enrolled98ConditionsAtopic Dermatitis, Pain, AnxietyArmsVirtual Reality Distraction, Standard Treatment
3 · Its place in the literature

Who cites it

156 citing papers in PubMed, 13 syntheses or guidelines pooled it.

  1. Pooled it
  2. Reducing distress during vaccine injections: 2026 clinical practice guideline update.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2026
    Guideline
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  9. Pain and distress outcomes in infants and children: a systematic review.Brazilian journal of medical and biological research = Revista brasileira de pesquisas medicas e biologica · 2017
    Pooled it
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  13. Reducing pain during vaccine injections: clinical practice guideline.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2015
    Guideline
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96 more citing papers are in PubMed but not listed here.

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

9 authors.

C Meghan McMurtry*Department of Psychology, University of Guelph, Guelph †Children's Health Research Institute ‡Department of Paediatrics, Western University, London §Department of Psychology, York University ∥The Hospital for Sick Children ¶Department of Psychiatry #Leslie Dan Faculty of Pharmacy ¶¶Health Policy Management and Evaluation, Faculty of Medicine, University of Toronto ∥∥Mount Sinai Hospital, Toronto, ON **Department of Psychology, University of Regina, Regina, SK ‡‡Departments of Pediatrics, Psychology and Neuroscience, Dalhousie University §§Centre for Pediatric Pain Research, IWK Health Centre, Halifax, NS, Canada ††Department of Psychology, University of Calgary, AB, Canada.
Rebecca Pillai Riddell
Anna Taddio
Nicole Racine
Gordon J G Asmundson
Melanie Noel
Christine T Chambers
Vibhuti Shah
HELPinKids&Adults Team

Funding

Canadian Institutes of Health Research KRS 132031
6 · The paper itself

Abstract

backgroundVaccine injections are the most common painful needle procedure experienced throughout the lifespan. Many strategies are available to mitigate this pain; however, they are uncommonly utilized, leading to unnecessary pain and suffering. Some individuals develop a high level of fear and subsequent needle procedures are associated with significant distress.

objectiveThe present work is part of an update and expansion of a 2009 knowledge synthesis to include the management of vaccine-related pain across the lifespan and the treatment of individuals with high levels of needle fear. This article will provide a conceptual foundation for understanding: (a) painful procedures and their role in the development and maintenance of high levels of fear; (b) treatment strategies for preventing or reducing the experience of pain and the development of fear; and (c) interventions for mitigating high levels of fear once they are established.

resultsFirst, the general definitions, lifespan development and functionality, needle procedure-related considerations, and assessment of the following constructs are provided: pain, fear, anxiety, phobia, distress, and vasovagal syncope. Second, the importance of unmitigated pain from needle procedures is highlighted from a developmental perspective. Third, the prevalence, course, etiology, and consequences of high levels of needle fear are described. Finally, the management of needle-related pain and fear are outlined to provide an introduction to the series of systematic reviews in this issue. DISCUSSION: Through the body of work in this supplement, the authors aim to provide guidance in how to treat vaccination-related pain and its sequelae, including high levels of needle fear.

Indexed as

PainChildFearHumansInjectionsNeedlesPsychotherapy

Identifiers

PMID26352920
PMCPMC4900413

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

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.