Evidence map›Paper›PMID 33940018›Full record

ArticleThe Journal of pediatrics2021

Multisite Pain Is Highly Prevalent in Children with Functional Abdominal Pain Disorders and Is Associated with Increased Morbidity.

Bruno P Chumpitazi, Tonya M Palermo, John M Hollier, Mariella M Self, Danita Czyzewski, Erica M Weidler, Margaret Heitkemper, Robert J Shulman

Open access · greenAbstract read
In one paragraph

Article in The Journal of pediatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
4.0field-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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
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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

8 authors at 2 institutions in 1 country.

Bruno P ChumpitaziDepartment of Pediatrics, Baylor College of Medicine, Houston, TX; Children's Nutrition Research Center, United States Department of Agriculture, Houston, TX. Electronic address: chumpita@bcm.edu.
Tonya M PalermoCenter for Child Health, Behavior and Development, Seattle Children's Research Institute, Seattle, WA; Department of Anesthesiology and Pain Medicine, University of Washington, Seattle, WA.
John M HollierDepartment of Pediatrics, Baylor College of Medicine, Houston, TX.
Mariella M SelfDepartment of Pediatrics, Baylor College of Medicine, Houston, TX.
Danita CzyzewskiDepartment of Pediatrics, Baylor College of Medicine, Houston, TX.
Erica M WeidlerDepartment of Pediatrics, Baylor College of Medicine, Houston, TX; Children's Nutrition Research Center, United States Department of Agriculture, Houston, TX.
Margaret HeitkemperDepartment of Biobehavioral Nursing and Health Informatics, University of Washington, Seattle, WA.
Robert J ShulmanDepartment of Pediatrics, Baylor College of Medicine, Houston, TX; Children's Nutrition Research Center, United States Department of Agriculture, Houston, TX.
Baylor College of Medicine · USNeurobehavioral Systems · US

Funding

Tissue Analysis & Molecular Imaging CoreP30DK056338 · NIDDK · BAYLOR COLLEGE OF MEDICINE · PI Geoffrey A Preidis · 2001 to 2026
$28.3M
PATHWAYS TO NEW BIOMARKERS IN RECURRENT ABDOMINAL PAIN IN CHILDRENR01NR013497 · NINR · BAYLOR COLLEGE OF MEDICINE · PI SAVIDGE, TOR C. · 2012 to 2024
$4.7M
Recurrent Abdominal Pain in ChildrenR01NR005337 · NINR · BAYLOR COLLEGE OF MEDICINE · PI SHULMAN, ROBERT J · 2002 to 2012
$4.3M
Intestinal Microbiome Fructan Metabolism and Symptom Generation in Childhood IBSK23DK101688 · NIDDK · BAYLOR COLLEGE OF MEDICINE · PI CHUMPITAZI, BRUNO PEDRO · 2014 to 2018
$879k
Nonbacterial Gut Microbiome and Fructan Symptom Generation in Childhood IBSR03DK117219 · NIDDK · BAYLOR COLLEGE OF MEDICINE · PI CHUMPITAZI, BRUNO PEDRO · 2018 to 2019
$238k
NIDDK NIH HHS K23 DK101688NIDDK NIH HHS P30 DK056338NIDDK NIH HHS R03 DK117219NINR NIH HHS R01 NR005337NINR NIH HHS R01 NR013497
6 · The paper itself

Abstract

objectivesTo characterize the types of multisite pain experienced by children with functional abdominal pain disorders (FAPDs) and to examine differences in psychosocial distress, functional disability, and health-related quality of life in children with multisite pain vs abdominal pain alone. STUDY

designCross-sectional study of children ages 7-17 years (n = 406) with pediatric Rome III FAPDs recruited from both primary and tertiary care between January 2009 and June 2018. Subjects completed 14-day pain and stool diaries, as well as validated questionnaires assessing abdominal and nonabdominal pain symptoms, anxiety, depression, functional disability, and health-related quality of life.

resultsIn total, 295 (73%) children endorsed at least 1 co-occurring nonabdominal pain, thus, were categorized as having multisite pain with the following symptoms: 172 (42%) headaches, 143 (35%) chest pain, 134 (33%) muscle soreness, 110 (27%) back pain, 94 (23%) joint pain, and 87 (21%) extremity (arms and legs) pain. In addition, 200 children (49%) endorsed 2 or more nonabdominal pain symptoms. Participants with (vs without) multisite pain had significantly higher abdominal pain frequency (P < .001) and severity (P = .03), anxiety (P < .001), and depression (P < .001). Similarly, children with multisite pain (vs without) had significantly worse functional disability (P < .001) and health-related quality of life scores (P < .001). Increasing number of multisite pain sites (P < .001) was associated with increased functional disability when controlling for demographic and other clinical factors.

conclusionsIn children with FAPDs, nonabdominal multisite pain is highly prevalent and is associated with increased psychosocial distress, abdominal pain frequency and severity, functional disability, and lower health-related quality of life.

Indexed as

Abdominal PainAdolescentAnxietyChildChronic PainCohort StudiesCross-Sectional StudiesDepressionFemaleHumansMalePrevalencePsychological DistressQuality of LifeSurveys and Questionnairesabdominal painchildrenheadachesirritable bowel syndromeoverlapping pain

Identifiers

PMID33940018
PMCPMC8403143
OpenAlexW3158514406

What OpenQuestion holds

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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.