Evidence map›Paper›PMID 29255007›Full record

ArticleThe Journal of neuroscience : the official journal of the Society for Neuroscience2018

Early Procedural Pain Is Associated with Regionally-Specific Alterations in Thalamic Development in Preterm Neonates.

Emma G Duerden, Ruth E Grunau, Ting Guo, Justin Foong, Alexander Pearson, Stephanie Au-Young, Raphael Lavoie, M Mallar Chakravarty, Vann Chau, Anne Synnes and 1 more

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in The Journal of neuroscience : the official journal of the Society for Neuroscience, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05065424 (Use of Premedication for Less Invasive Surfactant Administration), which is not on this map. Cited by 127 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
127citing papers in PubMed, 7 pooled it
29.7field-weighted citation impact, top 1% 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.

NCT05065424 phase4completednot on this mapstarted 2022, after this paper: background citation

Use of Premedication for Less Invasive Surfactant Administration: A Randomized Control Trial

TypeinterventionalSponsorUniversity of Texas Southwestern Medical CenterRan2022 to 2026Enrolled58ConditionsRespiratory Distress Syndrome, NewbornArmsIV Atropine and Fentanyl Premedication Arm, IV Normal Saline Placebo Arm
3 · Its place in the literature

Who cites it

127 citing papers in PubMed, 7 syntheses or guidelines pooled it, 267 citations in OpenAlex.

  1. The analgesic effects of human milk odor in preterm neonates: a systematic review and meta-analysis.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Pooled it
  2. Sucrose analgesia for venepuncture in neonates.The Cochrane database of systematic reviews · 2026
    Pooled it
  3. Pooled it
  4. Clinical rating scales for assessing pain in newborn infants.The Cochrane database of systematic reviews · 2025
    Pooled it
  5. Sucrose analgesia for heel-lance procedures in neonates.The Cochrane database of systematic reviews · 2023
    Pooled it
  6. Non-pharmacological management of infant and young child procedural pain.The Cochrane database of systematic reviews · 2023
    Pooled it
  7. Pooled it
  8. Trial
  9. Trial
  10. Trial
  11. Article
  12. Article
  13. Vulnerability and Pediatric Pain.Paediatric & neonatal pain · 2026
    Article
  14. Review
  15. Article
  16. Article
  17. Fetal Pain Perception:Annals of the Child Neurology Society · 2026
    Review
  18. Article
  19. Article
  20. Opioid exposure on the preterm brain: qualitative and quantitative MRI analysis.Intensive care medicine. Paediatric and neonatal · 2026
    Article

67 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

11 authors at 4 institutions in 1 country.

Emma G DuerdenDepartment of Paediatrics, The Hospital for Sick Children, Toronto, Ontario M5G 1X8, Canada.
Ruth E GrunauDepartment of Pediatrics, University of British Columbia, Vancouver, British Columbia V6H 3V4, Canada, and.
Ting GuoDepartment of Paediatrics, The Hospital for Sick Children, Toronto, Ontario M5G 1X8, Canada.
Justin FoongDepartment of Paediatrics, The Hospital for Sick Children, Toronto, Ontario M5G 1X8, Canada.ORCID 0000-0002-8817-4464
Alexander PearsonDepartment of Paediatrics, The Hospital for Sick Children, Toronto, Ontario M5G 1X8, Canada.ORCID 0000-0001-5506-4288
Stephanie Au-YoungDepartment of Paediatrics, The Hospital for Sick Children, Toronto, Ontario M5G 1X8, Canada.
Raphael LavoieCerebral Imaging Centre, Douglas Mental Health University Institute, Montreal, Quebec H4H 1R3, Canada.
M Mallar ChakravartyCerebral Imaging Centre, Douglas Mental Health University Institute, Montreal, Quebec H4H 1R3, Canada.
Vann ChauDepartment of Paediatrics, The Hospital for Sick Children, Toronto, Ontario M5G 1X8, Canada.ORCID 0000-0001-8260-8738
Anne SynnesDepartment of Pediatrics, University of British Columbia, Vancouver, British Columbia V6H 3V4, Canada, and.ORCID 0000-0002-6917-0978
Steven P MillerDepartment of Paediatrics, The Hospital for Sick Children, Toronto, Ontario M5G 1X8, Canada, steven.miller@sickkids.ca.
Hospital for Sick Children · CADouglas Mental Health University Institute · CAUniversity of British Columbia · CAUniversity of Toronto · CA

Funding

PAIN IN PRETERM INFANTS--DEVELOPMENT AND EFFECTSR01HD039783 · NICHD · UNIVERSITY OF BRITISH COLUMBIA · PI GRUNAU, RUTH E · 2001 to 2012
$1.8M
CIHR MOP79262NICHD NIH HHS R01 HD039783
6 · The paper itself

Abstract

Very preterm human neonates are exposed to numerous invasive procedures as part of life-saving care. Evidence suggests that repetitive neonatal procedural pain precedes long-term alterations in brain development. However, to date the link between pain and brain development has limited temporal and anatomic specificity. We hypothesized that early exposure to painful stimuli during a period of rapid brain development, before pain modulatory systems reach maturity, will predict pronounced changes in thalamic development, and thereby cognitive and motor function. In a prospective cohort study, 155 very preterm neonates (82 males, 73 females) born 24-32 weeks' gestation underwent two MRIs at median postmenstrual ages 32 and 40 weeks that included structural, metabolic, and diffusion imaging. Detailed day-by-day clinical data were collected. Cognitive and motor abilities were assessed at 3 years, corrected age. The association of early (skin breaks, birth-Scan 1) and late pain (skin breaks, Scans 1-2) with thalamic volumes and

Indexed as

Child, PreschoolCohort StudiesDiffusion Tensor ImagingFemaleHumansInfant, Extremely PrematureInfant, NewbornMaleNeurodevelopmental DisordersProcedural PainProspective StudiesThalamuscritical periodDTIMRIMRSpainpreterm

Identifiers

PMID29255007
PMCPMC5783966
OpenAlexW2780380099

What OpenQuestion holds

Textmetadata
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.