Evidence map›Paper›PMID 36698086›Full record

ArticleBMC pediatrics2023

Quantifying side effects and caregiver burdens of pediatric pulmonary hypertension therapies.

Erik J Nelson, Ella Cook, Samara Nelson, Rebecca Brown, Megan Pierce, Ashley Bangerter Seelos, Heather Stickle, Michael Johansen

Abstract read
In one paragraph

Article in BMC pediatrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Parenteral treprostinil in paediatric pulmonary arterial hypertension: a systematic review and meta-analysis.European respiratory review : an official journal of the European Respiratory Society · 2026
    Pooled it
  2. Review
  3. Article
  4. Article
  5. 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

8 authors.

Erik J NelsonDepartment of Public Health, Brigham Young University, 2148 LSB, Provo, UT, 84660, USA. Erik_nelson@byu.edu.
Ella CookDepartment of Public Health, Brigham Young University, 2148 LSB, Provo, UT, 84660, USA.
Samara NelsonEmma Eccles Jones College of Education & Human Services, Utah State University, Logan, UT, USA.
Rebecca BrownDepartment of Public Health, Brigham Young University, 2148 LSB, Provo, UT, 84660, USA.
Megan PierceDepartment of Public Health, Brigham Young University, 2148 LSB, Provo, UT, 84660, USA.
Ashley Bangerter SeelosDepartment of Public Health, Brigham Young University, 2148 LSB, Provo, UT, 84660, USA.
Heather StickleDepartment of Public Health, Brigham Young University, 2148 LSB, Provo, UT, 84660, USA.
Michael JohansenIndiana University School of Medicine, Indianapolis, IN, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesPulmonary hypertension (PH) is a rare, but serious disease among children. However, PH has been primarily evaluated among adults. Consequently, treatment therapies have not been fully evaluated among pediatric populations and are used in an 'off label' manner. The purpose of this study was to estimate the side effect profiles of the most commonly prescribed pediatric PH therapies and to understand the burdens placed upon families caring for children living with PH.

methodsParticipants were recruited online through the "Families of children with pulmonary hypertension" Facebook group and asked to complete a survey about PH treatments.

resultsA total of 139 parents of a child living with PH completed the survey. Almost all children used ≥ 1 medication to treat PH, with 52% using ≥ 3 medications. The highest average number of side effects was reported by users of Treprostinil, Selexipag and type-5 phosphodiesterase (PDE

conclusionsWe found an array of treatment combinations employed to mitigate symptoms of PH in children, with a wide range of side effects. We also found a large, unseen economic, emotional, and time burden of caring for a child living with PH. Further research is warranted to understand the clinical implications of these side effects to move towards labeled usage of these therapies rather than post-hoc off-label usage.

Indexed as

Caregiver BurdenDrug-Related Side Effects and Adverse ReactionsHypertension, PulmonaryChildHumansAccess to careCaregiver burdenFacebookPulmonary hypertensionTreatment side effects

Identifiers

PMID36698086
PMCPMC9875396

What OpenQuestion holds

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LicenceCC BY
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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.