Evidence map›Paper›PMID 38671702›Full record

ArticleChildren (Basel, Switzerland)2024

Definition and Assessment of Paediatric Breakthrough Pain: A Qualitative Interview Study.

Eleanor Dawson, Katie Greenfield, Bernie Carter, Simon Bailey, Anna-Karenia Anderson, Dilini Rajapakse, Kate Renton, Christine Mott, Richard Hain, Emily Harrop and 2 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Children (Basel, Switzerland), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06790719 (Development and Validation of a Paediatric Breakthrough Pain Assessment Tool), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.1field-weighted citation impact, top 22% 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.

NCT06790719 not yet recruitingnot on this mapstarted 2025, after this paper: background citation

Development and Validation of a Paediatric Breakthrough Pain Assessment Tool

TypeobservationalSponsorUniversity of SouthamptonRan2025 to 2025Enrolled210ConditionsBreakthrough Pain, Palliative Medicine, Oncology Pain, Pediatric ALL
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. 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

12 authors at 9 institutions in 1 country.

Eleanor DawsonSchool of Psychology, University of Southampton, Highfield SO17 1BJ, UK.ORCID 0000-0002-4883-7307
Katie GreenfieldSchool of Psychology, University of Southampton, Highfield SO17 1BJ, UK.
Bernie CarterFaculty of Health, Social Care and Medicine, Edge Hill University, St Helens Road, Ormskirk L39 4QP, UK.ORCID 0000-0001-5226-9878
Simon BaileyDepartment of Children's Oncology, Great North Children's Hospital, Queen Victoria Road, Newcastle upon Tyne NE1 4LP, UK.ORCID 0000-0003-4763-4329
Anna-Karenia AndersonRoyal Marsden Hospital, Downs Road, Sutton SM2 5PT, UK.
Dilini RajapakseThe Louis Dundas Centre, Hospital for Children NHS Foundation Trust, Great Ormond Street, London WC1N 3JH, UK.
Kate RentonUniversity Hospital Southampton NHS Trust, Tremona Road, Southampton SO16 6YD, UK.
Christine MottAcorns Children's Hospice, 103 Oak Tree Lane, Selly Oak, Birmingham B29 6HZ, UK.
Richard HainDepartment of Child Health, Swansea University, Swansea SA2 8PP, UK.
Emily HarropHelen & Douglas House Hospices, 14A Magdalen Road, Oxford OX4 1RW, UK.ORCID 0000-0002-2480-2062
Margaret JohnsonPatient & Public Representative, Oxford OX4 1RW, UK.
Christina LiossiSchool of Psychology, University of Southampton, Highfield SO17 1BJ, UK.ORCID 0000-0003-0627-6377
Great Ormond Street Hospital for Children NHS Foundation Trust · GBUniversity of Southampton · GBEdge Hill University · GBGreat North Children's Hospital · GBJohn Radcliffe Hospital · GBRoyal Marsden Hospital · GBSelly Oak Hospital · GBSwansea University · GBUniversity Hospital Southampton NHS Foundation Trust · GB

Funding

Cancer Research UK DRCRPG-NOV22/100002Great Ormond Street Hospital Children's Charity V5118, V4421
6 · The paper itself

Abstract

Infants, children and young people with life-limiting or life-threatening conditions often experience acute, transient pain episodes known as breakthrough pain. There is currently no established way to assess breakthrough pain in paediatric palliative care. Anecdotal evidence suggests that it is frequently underdiagnosed and undertreated, resulting in reduced quality of life. The development of a standardised paediatric breakthrough pain assessment, based on healthcare professionals' insights, could improve patient outcomes. This study aimed to explore how healthcare professionals define and assess breakthrough pain in paediatric palliative care and their attitudes towards a validated paediatric breakthrough pain assessment. This was a descriptive qualitative interview study. Semi-structured interviews were conducted with 29 healthcare professionals working in paediatric palliative care across the UK. An inductive thematic analysis was conducted on the data. Five themes were generated: 'the elusive nature of breakthrough pain', 'breakthrough pain assessment', 'positive attitudes towards', 'reservations towards' and 'features to include in' a paediatric breakthrough pain assessment. The definition and assessment of breakthrough pain is inconsistent in paediatric palliative care. There is a clear need for a validated assessment questionnaire to improve assessment, diagnosis and management of breakthrough pain followed by increased healthcare professional education on the concept.

Indexed as

breakthrough paindelivery of healthcareinterviewpain measurementpalliative carepediatrics

Identifiers

PMID38671702
PMCPMC11049523
OpenAlexW4394913292

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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.