Evidence map›Paper›PMID 36537193›Full record

Trial reportArthritis care & research2023

Clinical Characterization of Juvenile Fibromyalgia in a Multicenter Cohort of Adolescents Enrolled in a Randomized Clinical Trial.

Anne M Lynch-Jordan, Mark Connelly, Jessica W Guite, Christopher King, Alana Goldstein-Leever, Deirdre E Logan, Sarah Nelson, Jennifer N Stinson, Tracy V Ting, Emily O Wakefield and 4 more

Open access · greenAbstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in Arthritis care & research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 18% 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, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Observational
  3. Review
  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

14 authors at 7 institutions in 2 countries.

Anne M Lynch-JordanUniversity of Cincinnati College of Medicine and Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.ORCID 0000-0001-9403-6378
Mark ConnellyChildren's Mercy Hospital, Kansas City, Missouri.ORCID 0000-0001-8157-8901
Jessica W GuiteUniversity of Connecticut, Hartford.
Christopher KingUniversity of Cincinnati College of Medicine and Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Alana Goldstein-LeeverOhio State University and Nationwide Children's Hospital, Columbus, Ohio.
Deirdre E LoganHarvard Medical School and Boston Children's Hospital, Boston, Massachusetts.
Sarah NelsonHarvard Medical School and Boston Children's Hospital, Boston, Massachusetts.ORCID 0000-0003-4721-8712
Jennifer N StinsonThe Hospital for Sick Children and University of Toronto, Toronto, Ontario, Canada.
Tracy V TingUniversity of Cincinnati College of Medicine and Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Emily O WakefieldUniversity of Connecticut School of Medicine and Children's Medical Center, Hartford.
Amy E WilliamsIndiana University School of Medicine and Riley Hospital for Children, Indianapolis, Indiana.
Sara E WilliamsUniversity of Cincinnati College of Medicine and Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Susmita Kashikar-ZuckUniversity of Cincinnati College of Medicine and Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.ORCID 0000-0002-8321-9723
Fibromyalgia Integrative Training for Teens Clinical Trial Study Group and the Childhood Arthritis and Rheumatology Research Alliance Pain Workgroup Investigators
Cincinnati Children's Hospital Medical Center · USBoston Children's Hospital · USUniversity of Connecticut · USChildren's Mercy Hospital · USNationwide Children's Hospital · USRiley Hospital for Children · USUniversity of Toronto · CA

Funding

Multi-site Randomized Clinical Trial of FIT Teens for Juvenile FibromyalgiaR01AR070474 · NIAMS · CINCINNATI CHILDRENS HOSP MED CTR · PI KASHIKAR-ZUCK, SUSMITA · 2017 to 2023
$8.7M
Pediatric musculOskeletal & RheumaTology Innovation COre center (PORTICO)P30AR076316 · NIAMS · CINCINNATI CHILDRENS HOSP MED CTR · PI DUMOULIN, CHARLES L. · 2019 to 2023
$3.4M
Randomized Clinical Trial of FIT Teens for Juvenile Fibromyalgia (JFM)U34AR067978 · NIAMS · CINCINNATI CHILDRENS HOSP MED CTR · PI KASHIKAR-ZUCK, SUSMITA · 2015 to 2015
$363k
NIAMS NIH HHS P30 AR076316NIAMS NIH HHS P30-AR-076316NIAMS NIH HHS R01 AR070474NIAMS NIH HHS R01-AR-070474NIAMS NIH HHS U34 AR067978NIAMS NIH HHS U34-AR-067978
6 · The paper itself

Abstract

objectiveJuvenile fibromyalgia (JFM) is a complex chronic pain condition that remains poorly understood. The study aimed to expand the clinical characterization of JFM in a large representative sample of adolescents with JFM and identify psychological factors that predict pain interference.

methodsParticipants were 203 adolescents (ages 12-17 years) who completed baseline assessments for the multisite Fibromyalgia Integrative Training for Teens (FIT Teens) randomized control trial. Participants completed the Pain and Symptom Assessment Tool, which includes a Widespread Pain Index (WPI; 0-18 pain locations) and Symptom Severity checklist of associated somatic symptoms (SS; 0-12) based on the 2010 American College of Rheumatology criteria for fibromyalgia. Participants also completed self-report measures of pain intensity, functional impairment, and psychological functioning.

resultsParticipants endorsed a median of 11 painful body sites (WPI score) and had a median SS score of 9. Fatigue and nonrestorative sleep were prominent features and rated as moderate to severe by 85% of participants. Additionally, neurologic, autonomic, gastroenterologic, and psychological symptoms were frequently endorsed. The WPI score was significantly correlated with pain intensity and catastrophizing, while SS scores were associated with pain intensity and all domains of physical and psychological functioning. Depressive symptoms, fatigue, and pain catastrophizing predicted severity of pain impairment.

conclusionJFM is characterized by chronic widespread pain with fatigue, nonrestorative sleep, and other somatic symptoms. However, how diffusely pain is distributed appears less important to clinical outcomes and impairment than other somatic and psychological factors, highlighting the need for a broader approach to the assessment and treatment of JFM.

Indexed as

Chronic PainFibromyalgiaMedically Unexplained SymptomsAdolescentCatastrophizationFatigueHumans

Identifiers

PMID36537193
PMCPMC11284638
OpenAlexW4312019637

What OpenQuestion holds

Textmetadata
LicenceTDM
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.