Evidence map›Paper›PMID 34965753›Full record

SynthesisPalliative medicine2022

Pain assessment tools in paediatric palliative care: A systematic review of psychometric properties and recommendations for clinical practice.

Adrienne Yl Chan, Mengqin Ge, Emily Harrop, Margaret Johnson, Kate Oulton, Simon S Skene, Ian Ck Wong, Liz Jamieson, Richard F Howard, Christina Liossi

Open access · hybridAbstract readSystematic Review
In one paragraph

Synthesis in Palliative medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
5.3field-weighted citation impact, top 4% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Optimizing Pediatric Drug Therapy: Pediatric Pharmacokinetics and Administration Routes.The journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAG · 2026
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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

10 authors at 8 institutions in 3 countries.

Adrienne Yl ChanCentre for Safe Medication Practice and Research, Department of Pharmacology and Pharmacy, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Pok Fu Lam, Hong Kong.
Mengqin GeCentre for Safe Medication Practice and Research, Department of Pharmacology and Pharmacy, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Pok Fu Lam, Hong Kong.
Emily HarropHelen & Douglas House, Oxford, UK.
Margaret JohnsonDepartment of Public Health and Primary Care, University of Cambridge, Cambridge, UK.
Kate OultonGreat Ormond Street Hospital for Children NHS Foundation Trust, London, UK.
Simon S SkeneSurrey Clinical Trials Unit, University of Surrey, Surrey, UK.ORCID 0000-0002-7828-3122
Ian Ck WongCentre for Safe Medication Practice and Research, Department of Pharmacology and Pharmacy, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Pok Fu Lam, Hong Kong.
Liz JamiesonResearch Department of Pratice & Policy, University College London School of Pharmacy, London, UK.ORCID 0000-0002-3667-0423
Richard F HowardGreat Ormond Street Hospital for Children NHS Foundation Trust, London, UK.ORCID 0000-0001-9271-0074
Christina LiossiGreat Ormond Street Hospital for Children NHS Foundation Trust, London, UK.ORCID 0000-0003-0627-6377
Great Ormond Street Hospital for Children NHS Foundation Trust · GBHong Kong Science and Technology Parks Corporation · HKJohn Radcliffe Hospital · GBRoyal London Hospital · GBUniversity of Cambridge · GBUniversity of Groningen · NLUniversity of Hong Kong · HKUniversity of Surrey · GB

Funding

Department of Health
6 · The paper itself

Abstract

backgroundAssessing pain in infants, children and young people with life-limiting conditions remains a challenge due to diverse patient conditions, types of pain and often a reduced ability or inability of patients to communicate verbally.

aimTo systematically identify pain assessment tools that are currently used in paediatric palliative care and examine their psychometric properties and feasibility and make recommendations for clinical practice.

designA systematic literature review and evaluation of psychometric properties of pain assessment tools of original peer-reviewed research published from inception of data sources to April 2021. DATA SOURCES: PsycINFO via ProQuest, Web of Science Core, Medline via Ovid, EMBASE, BIOSIS and CINAHL were searched from inception to April 2021. Hand searches of reference lists of included studies and relevant reviews were performed.

resultsFrom 1168 articles identified, 201 papers were selected for full-text assessment. Thirty-four articles met the eligibility criteria and we examined the psychometric properties of 22 pain assessment tools. Overall, the Faces Pain Scale-Revised (FPS-R) had high cross-cultural validity, construct validity (hypothesis testing) and responsiveness; while the Faces, Legs, Activity, Cry and Consolability (FLACC) scale and Paediatric Pain Profile (PPP) had high internal consistency, criterion validity, reliability and responsiveness. The number of studies per psychometric property of each pain assessment tool was limited and the methodological quality of included studies was low.

conclusionBalancing aspects of feasibility and psychometric properties, the FPS-R is recommended for self-assessment, and the FLACC scale/FLACC Revised and PPP are the recommended observational tools in their respective age groups.

Indexed as

PainPalliative CareAdolescentChildHumansInfantPain MeasurementPsychometricsReproducibility of Resultspaediatricspain assessmentPain measurementpalliative care

Identifiers

PMID34965753
PMCPMC8796159
OpenAlexW3204056794

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.