Evidence map›Paper›PMID 34193110›Full record

Trial reportBMC pediatrics2021

Comparison of a pediatric practice-based therapy and an interdisciplinary ambulatory treatment in social pediatric centers for migraine in children: a nation-wide randomized-controlled trial in Germany: "moma - modules on migraine activity".

Mirjam N Landgraf, Florian Heinen, Lucia Gerstl, Christine Kainz, Ruth Ruscheweyh, Andreas Straube, Joerg Scheidt, Sabine von Mutius, Viola Obermeier, Ruediger von Kries

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC pediatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. 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

10 authors.

Mirjam N LandgrafDepartment for Neuropediatrics, Developmental Medicine and Social Pediatrics, LMU Center for Development and Children with Medical Complexity - iSPZ Hauner, Dr. von Haunersches Kinderspital, Kinderklinik und Kinderpoliklink der Ludwig Maximilians Universitat Munchen, Munich, Germany. mirjam.landgraf@med.uni-muenchen.de.ORCID 0000-0002-6581-721X
Florian HeinenDepartment for Neuropediatrics, Developmental Medicine and Social Pediatrics, LMU Center for Development and Children with Medical Complexity - iSPZ Hauner, Dr. von Haunersches Kinderspital, Kinderklinik und Kinderpoliklink der Ludwig Maximilians Universitat Munchen, Munich, Germany.
Lucia GerstlDepartment for Neuropediatrics, Developmental Medicine and Social Pediatrics, LMU Center for Development and Children with Medical Complexity - iSPZ Hauner, Dr. von Haunersches Kinderspital, Kinderklinik und Kinderpoliklink der Ludwig Maximilians Universitat Munchen, Munich, Germany.
Christine KainzDepartment for Neuropediatrics, Developmental Medicine and Social Pediatrics, LMU Center for Development and Children with Medical Complexity - iSPZ Hauner, Dr. von Haunersches Kinderspital, Kinderklinik und Kinderpoliklink der Ludwig Maximilians Universitat Munchen, Munich, Germany.
Ruth RuscheweyhDepartment of Neurology, Ludwig-Maximilians-Universitat Munchen, Munich, Germany.
Andreas StraubeDepartment of Neurology, Ludwig-Maximilians-Universitat Munchen, Munich, Germany.
Joerg ScheidtHochschule Hof, Institute of Information Systems, Hof, Germany.
Sabine von MutiusLudwig-Maximilians-Universitat Munchen, Institute for Social Pediatrics and Adolescent Medicine, Munich, Germany.
Viola ObermeierLudwig-Maximilians-Universitat Munchen, Institute for Social Pediatrics and Adolescent Medicine, Munich, Germany.
Ruediger von KriesLudwig-Maximilians-Universitat Munchen, Institute for Social Pediatrics and Adolescent Medicine, Munich, Germany.

Funding

Deutsches Zentrum für Luft- und Raumfahrt 01NVF17044
6 · The paper itself

Abstract

backgroundMigraine is common in childhood, peaks in adolescents and persists into adulthood in at least 40% of patients. There is need for early interventions to improve the burden of disease and, if possible, reduce chronification. The aim of the project is to compare two types of ambulatory treatment strategies regarding their effect on headache days and quality of life in 6 to 11 year old children with migraine: 1) the routine care in pediatricians' practices (intervention group A) and 2) a structured interdisciplinary multimodal intervention administered at social pediatric centers (intervention group B).

methodsThe study is a nation-wide cluster-randomized study. Based on the postal codes the regions are randomly assigned to the two intervention-strategies. Children with migraine are recruited in the pediatric practices, as common outpatient-care in the German health-care system. Parents rate headache frequency, intensity and acute medication intake at a daily basis via a digital smartphone application specifically designed for the study. Migraine-related disability and quality of life are assessed every 3 months. Study duration is 9 months for every participant: 3 months of baseline at the pediatric practice (both groups); 3 months of intervention at the pediatric practice (intervention group A) or at the social pediatric center (intervention group B), respectively; 3 months of follow-up at the pediatric practice (both groups). DISCUSSION: Results of the planned comparison of routine care in pediatric practices and interdisciplinary social pediatric centers will be relevant for treatment of children with migraine, both for the individual and for the health care system.

trial registrationThe study was approved by the ethics committee at the Ludwig-Maximilians-University Munich (number 18-804) and was retrospectively registered on 27 April 2021 in the WHO approved German Clinical Trials Register (number DRKS00016698 ).

Indexed as

Migraine DisordersQuality of LifeAdolescentAdultAmbulatory CareChildGermanyHeadacheHumansChildrenInterdisciplinaryInterventionMigrainePediatric practice

Identifiers

PMID34193110
PMCPMC8241883

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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.