Evidence map›Paper›PMID 33653713›Full record

Observational studyArchives of disease in childhood2021

Health of mothers of children with a life-limiting condition: a comparative cohort study.

Lorna K Fraser, Fliss Em Murtagh, Jan Aldridge, Trevor Sheldon, Simon Gilbody, Catherine Hewitt

Open access · hybridAbstract readComparative StudyObservational Study
In one paragraph

Observational study in Archives of disease in childhood, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 2 pooled it
10.6field-weighted citation impact, top 2% 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

27 citing papers in PubMed, 2 syntheses or guidelines pooled it, 41 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. What Are the Important Health and Well-Being Outcome Dimensions for Parent Carers of Disabled Children? A Qualitative Study.Health expectations : an international journal of public participation in health care and health policy · 2025
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  6. Article
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  10. Review
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  12. Children's complex health: Maternal experiences of care and decision making.Journal of child health care : for professionals working with children in the hospital and community · 2024
    Article
  13. Article
  14. Article
  15. Article
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  17. What aspects of health and wellbeing are most important to parent carers of children with disabilities?Health expectations : an international journal of public participation in health care and health policy · 2024
    Article
  18. Review
  19. Article
  20. Article
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 1 country.

Lorna K FraserHealth Sciences, University of York, York, UK lorna.fraser@york.ac.uk.ORCID 0000-0002-1360-4191
Fliss Em MurtaghHull York Medical School, University of Hull, Hull, Kingston upon Hull, UK.
Jan AldridgeClinical Psychology, Leeds Teaching Hospitals NHS Trust, Leeds, UK.
Trevor SheldonSchool of Medicine, Queen Mary University of London, London, UK.
Simon GilbodyHealth Sciences, University of York, York, UK.
Catherine HewittHealth Sciences, University of York, York, UK.
University of York · GBLeeds Teaching Hospitals NHS Trust · GBQueen Mary University of London · GBUniversity of Hull · GB

Funding

Department of Health CDF-2018-11-ST2-002
6 · The paper itself

Abstract

objectiveThis study aimed to quantify the incidence rates of common mental and physical health conditions in mothers of children with a life-limiting condition.

methodsComparative national longitudinal cohort study using linked primary and secondary care data from the Clinical Practice Research Datalink in England. Maternal-child dyads were identified in these data. Maternal physical and mental health outcomes were identified in the primary and secondary care datasets using previously developed diagnostic coding frameworks. Incidence rates of the outcomes were modelled using Poisson regression, adjusting for deprivation, ethnicity and age and accounting for time at risk.

resultsA total of 35 683 mothers; 8950 had a child with a life-limiting condition, 8868 had a child with a chronic condition and 17 865 had a child with no long-term condition.The adjusted incidence rates of all of the physical and mental health conditions were significantly higher in the mothers of children with a life-limiting condition when compared with those mothers with a child with no long-term condition (eg, depression: incidence rate ratio (IRR) 1.21, 95% CI 1.13 to 1.30; cardiovascular disease: IRR 1.73, 95% CI 1.27 to 2.36; death in mothers: IRR 1.59, 95% CI 1.16 to 2.18).

conclusionThis study clearly demonstrates the higher incidence rates of common and serious physical and mental health problems and death in mothers of children with a life-limiting condition. Further research is required to understand how best to support these mothers, but healthcare providers should consider how they can target this population to provide preventative and treatment services.

Indexed as

AdolescentAdultBack PainChildChronic DiseaseCohort StudiesDatabases, FactualDiabetes Mellitus, Type 2EnglandFemaleHumansHypertensionIncidenceLongitudinal StudiesMaleMaternal Healthepidemiologypalliative care

Identifiers

PMID33653713
PMCPMC8461446
OpenAlexW3134681212

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.