Evidence map›Paper›PMID 33297484›Full record

ReviewCancers2020

Pain Management in Childhood Leukemia: Diagnosis and Available Analgesic Treatments.

Flaminia Coluzzi, Monica Rocco, Rula Green Gladden, Pietro Persiani, Laurel A Thur, Filippo Milano

Open access · goldAbstract readReview
In one paragraph

Review in Cancers, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
3.9field-weighted citation impact, top 7% 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

12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 20 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

6 authors at 4 institutions in 2 countries.

Flaminia ColuzziDepartment Medical and Surgical Sciences and Biotechnologies, Sapienza University of Rome, Polo Pontino, 04100 Latina, Italy.ORCID 0000-0001-7184-5519
Monica RoccoUnit Anesthesia, Intensive Care and Pain Medicine, Sant'Andrea University Hospital, 00189 Roma, Italy.ORCID 0000-0001-8380-3607
Rula Green GladdenSeattle Children's Hospital, Seattle, WA 98105, USA.
Pietro PersianiDepartment of Anatomical, Histological, Forensic Medicine and Orthopedic Science, Sapienza University of Rome, 00185 Rome, Italy.
Laurel A ThurClinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, WA 98109, USA.
Filippo MilanoDepartment of Medicine, University of Washington School of Medicine, Seattle, WA 98195, USA.
Sapienza University of Rome · ITFred Hutch Cancer Center · USSeattle Children's Hospital · USUniversity of Washington · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pain is one of the most common symptoms in children suffering from leukemia, who are often misdiagnosed with other childhood painful diseases such as juvenile idiopathic arthritis. Corticosteroid-induced osteonecrosis (ON) and vincristine-induced peripheral neuropathy (VIPN) are the most common painful manifestations. Additionally, ongoing pain may continue to impact quality of life in survivorship. This narrative review focuses on the pathophysiological mechanisms of pain in childhood leukemia and current available indications for analgesic treatments. Pain management in children is often inadequate because of difficulties in pain assessment, different indications across countries, and the lack of specific pediatric trials. Analgesic drugs are often prescribed off-label to children by extrapolating information from adult guidelines, with possible increased risk of adverse events. Optimal pain management should involve a multidisciplinary team to ensure assessment and interventions tailored to the individual patient.

Indexed as

childrenchronic painleukemiamusculoskeletal painneuropathic painopioidsosteonecrosis

Identifiers

PMID33297484
PMCPMC7762342
OpenAlexW3111719321

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.