Evidence map›Paper›PMID 26424196›Full record

ReviewJournal of pediatric nursing

The Assessment and Non-Pharmacologic Treatment of Procedural Pain From Infancy to School Age Through a Developmental Lens: A Synthesis of Evidence With Recommendations.

Susan E Thrane, Shannon Wanless, Susan M Cohen, Cynthia A Danford

Registry-linked trialAbstract readReview
In one paragraph

Review in Journal of pediatric nursing. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04942561 (Effect of Immersive Virtual Reality on Pain and Anxiety in Pediatric Peripheral Intravenous Catheter Access), which is not on this map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
12.6field-weighted citation impact, top 2% 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.

NCT04942561 nacompletednot on this map

Effect of Immersive Virtual Reality on Pain and Anxiety in Pediatric Peripheral Intravenous Catheter Access: A Randomized Clinical Trial

TypeinterventionalSponsorChildren's Hospital Los AngelesRan2017 to 2019Enrolled107ConditionsRadiologyArmsSamsung Gear VR, Merge VR
3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 97 citations in OpenAlex.

  1. Pooled it
  2. Impact of Propofol Exposure on Neurocognitive Outcomes in Children With High-Risk B ALL: A Children's Oncology Group Study.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2024
    Trial
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  5. Trial
  6. Review
  7. Article
  8. Article
  9. Article
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  12. Pain management in hospitalized children: A cross-sectional study.Revista da Escola de Enfermagem da U S P · 2022
    Observational
  13. Article
  14. Article
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  16. Article
  17. Review
  18. Article
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  20. Observational
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

4 authors at 2 institutions in 1 country.

Susan E ThraneCollege of Nursing, Ohio State University, Columbus, OH. Electronic address: thrane.2@osu.edu.
Shannon WanlessSchool of Education, University of Pittsburgh, Pittsburgh, PA.
Susan M CohenSchool of Nursing, University of Pittsburgh, Pittsburgh, PA.
Cynthia A DanfordSchool of Nursing, University of Pittsburgh, Pittsburgh, PA.
University of Pittsburgh · USThe Ohio State University · US

Funding

Interdisciplinary Training of Nurse Scientists in Cancer Survivorship ResearchT32NR011972 · NINR · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI BENDER, CATHERINE M. · 2010 to 2014
$1.3M
Reiki as an Innovation for Symptom Management with Children in Palliative CareF31NR014762 · NINR · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI THRANE, SUSAN · 2014 to 2014
$27k
NINR NIH HHS F31 NR014762NINR NIH HHS T32 NR011972
6 · The paper itself

Abstract

unlabelledThe 2011 IOM report stated that pain management in children is often lacking especially during routine medical procedures. The purpose of this review is to bring a developmental lens to the challenges in assessment and non-pharmacologic treatment of pain in young children.

methodA synthesis of the findings from an electronic search of PubMed and the university library using the keywords pain, assessment, treatment, alternative, complementary, integrative, infant, toddler, preschool, young, pediatric, and child was completed. A targeted search identified additional sources for best evidence.

resultsAssessment of developmental cues is essential. For example, crying, facial expression, and body posture are behaviors in infancy that indicate pain: however in toddlers these same behaviors are not necessarily indicative of pain. Preschoolers need observation scales in combination with self-report while for older children self-report is the gold standard. Pain management in infants includes swaddling and sucking. However for toddlers, preschoolers and older children, increasingly sophisticated distraction techniques such as easily implemented non-pharmacologic pain management strategies include reading stories, watching cartoons, or listening to music. DISCUSSION: A developmental approach to assessing and treating pain is critical. Swaddling, picture books, or blowing bubbles are easy and effective when used at the appropriate developmental stage and relieve both physical and emotional pain. Untreated pain in infants and young children may lead to increased pain perception and chronic pain in adolescents and adults. Continued research in the non-pharmacological treatment of pain is an important part of the national agenda.

Indexed as

Pain MeasurementPractice Guidelines as TopicAdolescentAge FactorsChildChild DevelopmentChild, PreschoolDiagnostic Tests, RoutineEvidence-Based MedicineFemaleHumansInfantMaleNeedlesPainPain ManagementChildChild developmentInfantNon-pharmacologic interventionsPain assessment and management

Identifiers

PMID26424196
PMCPMC4724566
OpenAlexW1889346991

What OpenQuestion holds

Textmetadata
LicenceTDM
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.