Evidence map›Paper›PMID 35756890›Full record

ArticleCanadian journal of pain = Revue canadienne de la douleur2022

Chronic pain-related consultations to the emergency department of children with complex pain conditions: A retrospective analysis of healthcare utilization and costs.

Michelle Stoopler, Manon Choinière, Annabelle Nam, André Guigui, Laurel Walfish, Nada Mohamed, Marie Vigouroux, Victor-Hugo González-Cárdenas, Pablo Ingelmo

Open access · goldAbstract read
In one paragraph

Article in Canadian journal of pain = Revue canadienne de la douleur, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.9field-weighted citation impact, top 14% 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

4 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. 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

9 authors at 4 institutions in 2 countries.

Michelle StooplerFaculty of Medicine and Health Sciences, McGill University, Montreal, Quebec, Canada.ORCID https://orcid.org/0000-0002-9296-5103
Manon ChoinièreDepartment of Anesthesiology and Pain Medicine, Université de Montréal, Montreal, Quebec, Canada.ORCID https://orcid.org/0000-0001-9593-8883
Annabelle NamCPSS - Performance Improvement Department McGill University Health Centre, Montreal, Quebec, Canada.
André GuiguiCPSS - Performance Improvement Department McGill University Health Centre, Montreal, Quebec, Canada.
Laurel WalfishFaculty of Medicine and Health Sciences, McGill University, Montreal, Quebec, Canada.
Nada MohamedDepartment of Anesthesia, Montreal Children's Hospital, Edwards Family Interdisciplinary Center for Complex Pain, Montreal, Quebec, Canada.
Marie VigourouxDepartment of Anesthesia, Montreal Children's Hospital, Edwards Family Interdisciplinary Center for Complex Pain, Montreal, Quebec, Canada.
Victor-Hugo González-CárdenasSchool of Medicine, Fundación Universitaria de Ciencias de la Salud (FUCS), Bogotá, Colombia.
Pablo IngelmoDepartment of Anesthesia, Montreal Children's Hospital, Edwards Family Interdisciplinary Center for Complex Pain, Montreal, Quebec, Canada.
McGill University Health Centre · CAMontreal Children's Hospital · CACentre Hospitalier de l’Université de Montréal · CAHospital Universitario de la Samaritana · CO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: There is limited information regarding the effects of pediatric chronic pain management on the number and cost of chronic pain-related emergency department (ED) consultations. Aim: This retrospective study aimed to evaluate the number and costs of chronic pain-related ED consultations of children and adolescents with chronic pain conditions at the Montreal Children's Hospital (MCH). Methods: Charts of patients followed by the Edwards Family Interdisciplinary Center for Complex Pain (CCP) of the MCH between April 2017 and December 2018 were reviewed. ED consultations, specialist consultations, medication prescriptions, hospital admissions, and outpatient consultation referrals were assessed for the period of 1 year before and after the patients' first consultation with the CCP. Associated costs were also calculated. Results: One-hundred sixty-eight patients were included in the analysis. Fifty-one percent consulted the ED and had 151 chronic pain-related ED consultations within 1 year before their initial CCP consultation. In the year following their first CCP consultation, 52 patients (31%) consulted the ED, of which 24 consultations were chronic pain-related (84% reduction). There was an 81% reduction in the costs associated with chronic pain-related ED consultations within 1 year after CCP management. In addition, there was a significant reduction in ED interventions within 1 year after CCP management, though there was no change in medication prescriptions, hospital admissions, or subspecialist consultations. Conclusion: Children and adolescents with chronic pain conditions had fewer chronic pain-related ED consultations within 1 year after the first evaluation by an interdisciplinary center for complex pain, contributing to reduced ED costs.

Indexed as

chronic paincostsemergency departmentinterdisciplinary treatmentpediatric

Identifiers

PMID35756890
PMCPMC9225287
OpenAlexW4224516015

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.