Evidence map›Paper›PMID 39358734›Full record

ArticleBMC gastroenterology2024

Lead poisoning as a differential diagnosis in pediatric patients with chronic abdominal pain: a case-control study in Tehran-Iran.

Reihaneh Mohsenipour, Majid Aflatoonian, Hossein Alimadadi, Parisa Rahmani, Nazanin Esmaeili, Mohammad Yazdi, Farzaneh Abbasi, Fatemeh Solgi, Farshad Sharifi, Nahid Vafaii and 2 more

Abstract read
In one paragraph

Article in BMC gastroenterology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. Review
  2. Review
  3. 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.

Reihaneh MohsenipourDepartment of Pediatrics, School of Medicine, Growth and Development Research Center, Children's Medical Center, Tehran University of Medical Sciences, Tehran, Iran.
Majid AflatoonianChildren Growth Disorder Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
Hossein AlimadadiChildren's Medical Center, Tehran University of Medical Sciences, Tehran, Iran.
Parisa RahmaniChildren's Medical Center, Tehran University of Medical Sciences, Tehran, Iran.
Nazanin EsmaeiliStudents' Scientific Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Mohammad YazdiStudents' Scientific Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Farzaneh AbbasiDepartment of Pediatrics, School of Medicine, Growth and Development Research Center, Children's Medical Center, Tehran University of Medical Sciences, Tehran, Iran.
Fatemeh SolgiDepartment of Pediatrics, School of Medicine, Growth and Development Research Center, Children's Medical Center, Tehran University of Medical Sciences, Tehran, Iran.
Farshad SharifiElderly Health Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Nahid VafaiiGrowth and Development Research Center, Children's Medical Center, Tehran University of Medical Sciences, tehran, Iran.
Ali MohebbiStem Cell & Regenerative Medicine Innovation Center, Tehran University of Medical Sciences, Tehran, Iran. Alimohebbi.tums@gmail.com.
Maryam KhazdouzAli Asghar Children's Hospital, Iran University of Medical Sciences, Tehran, Iran. Maryam.khazdouz@hotmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChronic abdominal pain is a potential symptom of lead poisoning, which is often challenging to diagnose. This case-control study aimed to evaluate blood lead levels in pediatric patients with chronic abdominal pain.

methodsThe case-control study was conducted on 190 pediatrics who presented to the Children's Medical Center Hospital clinics, Tehran between April 2021- 2023. The children were divided into two groups: the case group, consisting of 81 patients with chronic abdominal pain, and the matched control group; 109 children without any gastrointestinal symptoms. The statistical analysis of the data was performed using STATA 16. A multiple logistic regression model was used to assess the association of different independent variables with chronic abdominal pain.

resultsThere was no significant difference between mean (± standard deviation [SD]) of age (8.80(2.7) years vs. control group: 9.23(3.9) years), sex, and BMI (16.55(4.6) vs. 17.32(4.7)) of the patients with chronic abdominal pain (case group) and the control group, whereas the mean weight was remarkably low in patients with chronic abdominal pain: 27.25(± 12.1) kg vs. 31.70(± 14.7) kg (P value = 0.028). Fifty-nine percent of children with chronic abdominal pain had serum lead levels ≥ 10 µg/dL. The mean (SD) of blood lead levels was statistically high in the case group: 11.09 (± 5.35) µg/dL vs. control group: 8.26 (± 5.01) µg/dL) (P value ≤ 0.05). The appetite level was significantly low in the case group: 3.8 (± 2.5) vs. control group 5.4 (± 1.3).

conclusionsLead poisoning could be a possible cause of children's chronic abdominal pain. Regarding the high rate of lead poisoning in children exerting appropriate measures to reduce their exposure to lead is necessary.

Indexed as

Abdominal PainChronic PainLeadLead PoisoningAdolescentCase-Control StudiesChildChild, PreschoolDiagnosis, DifferentialFemaleHumansIranLogistic ModelsMaleLeadChronic abdominal painLeadPediatricsPoisoning

Identifiers

PMID39358734
PMCPMC11446077

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.