Evidence map›Paper›PMID 29175824›Full record

ArticleArchives of disease in childhood2018

Patterns of pain over time among children with juvenile idiopathic arthritis.

Amir Rashid, Lis Cordingley, Roberto Carrasco, Helen E Foster, Eileen M Baildam, Alice Chieng, Joyce E Davidson, Lucy R Wedderburn, Yiannis Ioannou, Flora McErlane and 3 more

Open access · hybridAbstract read
In one paragraph

Article in Archives of disease in childhood, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 3 pooled it
3.8field-weighted citation impact, top 6% 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

34 citing papers in PubMed, 3 syntheses or guidelines pooled it, 58 citations in OpenAlex.

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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

13 authors at 7 institutions in 1 country.

Amir RashidArthritis Research UK Centre for Epidemiology, The University of Manchester, Manchester, UK.
Lis CordingleyArthritis Research UK Centre for Epidemiology, The University of Manchester, Manchester, UK.
Roberto CarrascoArthritis Research UK Centre for Epidemiology, The University of Manchester, Manchester, UK.
Helen E FosterMusculoskeletal Research Group, Institute Cellular Medicine, Newcastle University, Newcastle, UK.
Eileen M BaildamPaediatric Rheumatology, Alder Hey Children's NHS Foundation Trust, Liverpool, UK.
Alice ChiengPaediatric Rheumatology, Royal Manchester Children's Hospital, Manchester, UK.
Joyce E DavidsonPaediatric Rheumatology, Royal Hospital for Children, Glasgow, UK.
Lucy R WedderburnUniversity College London (UCL) GOS Institute of Child Health, Great Ormond Street Hospital For Children NHS Trust, London, UK.
Yiannis IoannouUniversity College London (UCL) GOS Institute of Child Health, Great Ormond Street Hospital For Children NHS Trust, London, UK.
Flora McErlanePaediatric Rheumatology, Great North Children's Hospital, Newcastle, UK.
Suzanne M M VerstappenArthritis Research UK Centre for Epidemiology, The University of Manchester, Manchester, UK.
Kimme L HyrichArthritis Research UK Centre for Epidemiology, The University of Manchester, Manchester, UK.ORCID 0000-0001-8242-9262
Wendy ThomsonNIHR Manchester Musculoskeletal Biomedical Research Unit, Manchester Academic Health Science Centre, Central Manchester University Hospitals NHS Foundation Trust, Manchester, UK.
Manchester Academic Health Science Centre · GBGreat North Children's Hospital · GBGreat Ormond Street Hospital · GBUniversity of Manchester · GBAlder Hey Children's NHS Foundation Trust · GBRoyal Hospital for Children · GBRoyal Manchester Children's Hospital · GB

Funding

Arthritis Research UK 20164Arthritis Research UK 20380Arthritis Research UK 20385Arthritis Research UK 20542Medical Research Council MR/M004600/1Versus Arthritis 20542
6 · The paper itself

Abstract

objectivesPain is a very common symptom of juvenile idiopathic arthritis (JIA). Disease activity alone cannot explain symptoms of pain in all children, suggesting other factors may be relevant. The objectives of this study were to describe the different patterns of pain experienced over time in children with JIA and to identify predictors of which children are likely to experience ongoing pain.

methodsThis study used longitudinal-data from patients (aged 1-16 years) with new-onset JIA. Baseline and up to 5-year follow-up pain data from the Childhood Arthritis Prospective Study (CAPS) were used. A two-step approach was adopted. First, pain trajectories were modelled using a discrete mixture model. Second, multinomial logistic regression was used to determine the association between variables and trajectories.

resultsData from 851 individuals were included (4 years, median follow-up). A three-group trajectory model was identified: consistently low pain (n=453), improved pain (n=254) and consistently high pain (n=144). Children with improved pain or consistently high pain differed on average at baseline from consistently low pain. Older age at onset, poor function/disability and longer disease duration at baseline were associated with consistently high pain compared with consistently low pain. Early increases in pain and poor function/disability were also associated with consistently high pain compared with consistently low pain.

conclusionsThis study has identified routinely collected clinical factors, which may indicate those individuals with JIA at risk of poor pain outcomes earlier in disease. Identifying those at highest risk of poor pain outcomes at disease onset may enable targeted pain management strategies to be implemented early in disease thus reducing the risk of poor pain outcomes.

Indexed as

AdolescentAge FactorsArthritis, JuvenileChildChild, PreschoolChronic PainDisability EvaluationFemaleFollow-Up StudiesHumansInfantMalePainPain ManagementPain MeasurementPrognosisadolescent healthepidemiologymusculo-skeletalpainrheumatology

Identifiers

PMID29175824
PMCPMC5916104
OpenAlexW2768165481

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.