SynthesisPain research & management2016
Pain Management of Pediatric Musculoskeletal Injury in the Emergency Department: A Systematic Review.
Synthesis in Pain research & management, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled 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.
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.
Who cites it
21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 52 citations in OpenAlex.
- Pooled it
- Efficacy of ibuprofen in musculoskeletal post-traumatic pain in children: A systematic review.PloS one · 2020Pooled it
- Trial
- Fracture pain in children in the emergency department: the impact of a new pain management procedure.BMC emergency medicine · 2024Article
- Observational Behavioral Coding in the Pediatric Emergency Department: Development of the Emergency Department Child Behavior Coding System.The Journal of emergency medicine · 2024Article
- Dorsal Scapular Osteochondroma in the Chiropractic Clinic: A Case Report and Literature Review.Cureus · 2023Article
- Les pratiques exemplaires pour l'évaluation et le traitement de la douleur chez les enfants.Paediatrics & child health · 2022Review
- Best practices in pain assessment and management for children.Paediatrics & child health · 2022Review
- Spica Casting of Pediatric Femur Fractures: The Pain Management Experience at One Institution.Cureus · 2022Article
- Quantifying the intensity of adverse events with ibuprofen and oxycodone: an observational cohort study.BMJ paediatrics open · 2022Observational
- Musculoskeletal and Head Injuries in a Canadian Summer Camp: A Three-Year Surveillance Study.Cureus · 2022Article
- Managing acute pain in children presenting to the emergency department without opioids.Journal of the American College of Emergency Physicians open · 2022Review
- A two-centre survey of caregiver perspectives on opioid use for children's acute pain management.Paediatrics & child health · 2021Article
- An observational cohort study comparing ibuprofen and oxycodone in children with fractures.PloS one · 2021Observational
- Article
- Contextual risk among adolescents receiving opioid prescriptions for acute pain in pediatric ambulatory care settings.Addictive behaviors · 2020Article
- Acute pain management in children: a survey of Italian pediatricians.Italian journal of pediatrics · 2019Article
- Managing pain and distress in children undergoing brief diagnostic and therapeutic procedures.Paediatrics & child health · 2019Review
- 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 · 2018Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 5 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background. Pain management for children with musculoskeletal injuries is suboptimal and, in the absence of clear evidence-based guidelines, varies significantly. Objective. To systematically review the most effective pain management for children presenting to the emergency department with musculoskeletal injuries. Methods. Electronic databases were searched systematically for randomized controlled trials of pharmacological and nonpharmacological interventions for children aged 0-18 years, with musculoskeletal injury, in the emergency department. The primary outcome was the risk ratio for successful reduction in pain scores. Results. Of 34 studies reviewed, 8 met inclusion criteria and provided data on 1169 children from 3 to 18 years old. Analgesics used greatly varied, making comparisons difficult. Only two studies compared the same analgesics with similar routes of administration. Two serious adverse events occurred without fatalities. All studies showed similar pain reduction between groups except one study that favoured ibuprofen when compared to acetaminophen. Conclusions. Due to heterogeneity of medications and routes of administration in the articles reviewed, an optimal analgesic cannot be recommended for all pain categories. Larger trials are required for further evaluation of analgesics, especially trials combining a nonopioid with an opioid agent or with a nonpharmacological intervention.
Indexed as
Identifiers
What OpenQuestion holds
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.