Evidence map›Paper›PMID 30740638›Full record

ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2019

Pubertal development and growth are prospectively associated with spinal pain in young people (CHAMPS study-DK).

Jeffrey J Hebert, Charlotte Leboeuf-Yde, Claudia Franz, Arnaud Lardon, Lise Hestbæk, Neil Manson, Niels Wedderkopp

Abstract read
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In one paragraph

Article in European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 10% 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 46 citations in OpenAlex.

  1. Pooled it
  2. Pediatric lumbar spine MRI: structural imaging findings and anatomical variants associated with disc herniation.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026
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  16. The Michel Benoist and Robert Mulholland yearly European spine journal review: a survey of the "medical" articles in European spine journal, 2019.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2020
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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

7 authors at 5 institutions in 4 countries.

Jeffrey J HebertFaculty of Kinesiology, University of New Brunswick, Fredericton, NB, E3B 5A3, Canada. J.Hebert@unb.ca.ORCID 0000-0002-6959-325X
Charlotte Leboeuf-YdeInstitute for Regional Health Research, University of Southern Denmark, Odense, Denmark.
Claudia FranzPrivate Practice, Haderslev, Denmark.
Arnaud LardonInstitut Franco-Européen de Chiropraxie, Ivry sur Seine, France.
Lise HestbækDanish Agency for Patient Complaints, Aarhus, Denmark.
Neil MansonCanada East Spine Centre, Saint John, NB, Canada.
Niels WedderkoppFaculty of Kinesiology, University of New Brunswick, Fredericton, NB, E3B 5A3, Canada.
University of New Brunswick · CADalhousie University · CANordisk Institut for Kiropraktik og Klinisk Biomekanik · DKUniversité Paris-Sud · FRUniversity of Southern Denmark · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo examine the prospective associations of pubertal development and linear growth with spinal pain frequency and duration in children.

methodsWe recruited students from 10 public primary schools. Over 42 months, pubertal development was assessed four times and categorized according to Tanner stages 1-5, and height was measured on seven occasions. Occurrences of spinal pain were reported weekly via text messaging. We constructed variables for spinal pain duration (total weeks with pain) and frequency (number of episodes). Potential associations between pubertal development and growth were examined with generalized estimating equations and reported with incident rate ratios (IRRs). All models were adjusted for potential confounders.

resultsData from 1021 children (53% female; mean [SD] age = 9.4 [1.4] years), with median participation duration of 39 months, were included. Advancing pubertal development was associated with increased spinal pain duration (IRR [95% CI] = 1.90 [1.45, 2.49] to 5.78 [4.03, 8.29]) and frequency of pain episodes (IRR [95% CI] = 1.32 [1.07, 1.65] to 2.99 [2.24, 3.98]). Similar associations were observed for each 1-cm change in height in 6 months with spinal pain duration (IRR [95% CI] = 1.19 [1.15, 1.23]) and frequency (IRR [95% CI] = 1.14 [1.11, 1.17]). The relations between pubertal development and spinal pain, as well as growth and spinal pain, were largely independent.

conclusionsIn young people, pubertal development and linear growth are likely to be independent risk factors for the development of spinal pain. Pubertal development demonstrates evidence of dose-response in its relationship with spinal pain. This knowledge may assist healthcare providers with clinical decision-making when caring for pediatric patients. These slides can be retrieved under Electronic Supplementary Material.

Indexed as

AdolescentBack PainChildFemaleGrowth and DevelopmentHumansLongitudinal StudiesMalePain MeasurementProspective StudiesPubertyRisk FactorsBack painBody heightGrowth and developmentPubertyRisk factors

Identifiers

PMID30740638
OpenAlexW2913278139

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Registered trials

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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.