Evidence map›Paper›PMID 34802466›Full record

ArticleItalian journal of pediatrics2021

The use of medical cannabis in pediatric palliative care: a case series.

Antuan Divisic, Irene Avagnina, Valentina De Tommasi, Anna Santini, Laura Brogelli, Luca Giacomelli, Franca Benini

Open access · goldAbstract read
In one paragraph

Article in Italian journal of pediatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.5field-weighted citation impact, top 19% 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

7 citing papers in PubMed, 12 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

7 authors at 1 institution in 1 country.

Antuan DivisicPediatric Pain and Palliative Care Service, Department of Women's and Children's Health, University Hospital, Padova, Italy. antuan.divisic@aopd.veneto.it.ORCID https://orcid.org/0000-0002-6818-8869
Irene AvagninaPediatric Pain and Palliative Care Service, Department of Women's and Children's Health, University Hospital, Padova, Italy.
Valentina De TommasiPediatric Pain and Palliative Care Service, Department of Women's and Children's Health, University Hospital, Padova, Italy.
Anna SantiniPediatric Pain and Palliative Care Service, Department of Women's and Children's Health, University Hospital, Padova, Italy.
Laura BrogelliPolistudium Srl, Milan, Italy.
Luca GiacomelliPolistudium Srl, Milan, Italy.
Franca BeniniPediatric Pain and Palliative Care Service, Department of Women's and Children's Health, University Hospital, Padova, Italy.
Women’s Health Care · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMedical cannabis may be a useful tool for managing treatment-resistant epilepsy and chronic pain, which affect many patients in pediatric palliative care (PPC); however, little evidence is available in this setting. CASE PRESENTATION: We aimed to describe a clinical experience in a setting where high-level evidence may not be obtained. We report our clinical experience in a pediatric palliative care department in Italy. Caregivers reported changes in intensity and frequency of pain and epilepsy events. Six patients received a titrated plant extract of cannabis sativa for 1 year. Only mild and transient adverse events occurred: drowsiness, euphoria, restlessness and tachycardia; the resolution was either spontaneous or obtained by modifying the administration schedule. Treatment was never discontinued. No overdoses occurred. All patients experienced seizures during the pre-treatment observation period, and obtained a reduction in seizure frequency, although with variable extent while receiving cannabis. In addition, a benefit on pain was observed, based on the caregiver's evaluation, and a reduction of analgesic use.

conclusionOur experience suggests that a titrated plant extract preparation of medical cannabis may be useful to control treatment-resistant pain and epilepsy in PPC patients.

Indexed as

Palliative CareAdolescentChild, PreschoolFemaleHumansMaleMedical MarijuanaPainSeizuresYoung AdultMedical MarijuanaCannabidiolcannabisD9-tetrahydrocannabinolPediatric palliative care

Identifiers

PMID34802466
PMCPMC8607713
OpenAlexW3192732537

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.