ArticleThe Clinical journal of pain2025
Attrition From Pediatric Interdisciplinary Chronic Pain Clinics: Utilizing the "Paediatric Electronic Persistent Pain Outcomes Collaboration (PaedePPOC) Database".
Article in The Clinical journal of pain, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesAttrition from pediatric chronic pain clinics limits patients from receiving maximum benefit from evidence-based interventions, with likely persistence of chronic pain and functional and psychosocial impairments. We aimed to determine attrition prevalence from interdisciplinary pediatric outpatient chronic pain clinics and identify any associated patient and caregiver factors.
methodsA retrospective analysis was performed of longitudinal data from patients and caregivers attending 10 interdisciplinary pediatric outpatient chronic pain clinics in Australia or New Zealand contributing to the Paediatric electronic Persistent Pain Outcomes Collaboration (PaedePPOC) database. Data were retrieved for patient attrition, patient, and caregiver factors at treatment commencement and subsequent documentation of the episode end for treatment completers and noncompleters. Statistical associations with patient attrition were assessed using logistic regression analyses.
resultsThe prevalence of patient attrition was 19.3% in the PaedePPOC cohort (N = 1051), occurring steadily over 11 months. Patients ending their treatment prematurely presented with longer pain duration (>12 mo) [χ 2 (1, n=879)=8.23, P =0.004] than treatment completers. In the regression model, only older patient age ( P =0.010) and higher caregiver psychosocial burden ( P =0.025) at treatment commencement were associated with attrition. While pain intensity, patient physical and psychosocial functioning scores, and caregiver partner status were not. DISCUSSION: One in 5 patients commencing an interdisciplinary pediatric outpatient chronic pain clinic intervention did not complete it. Identifying patients at preintervention screening with longer pain duration, older in age, and from families with greater reported caregiver burden and providing tailored supports may minimize attrition, therefore optimizing efficiency of service provision.
Indexed as
Identifiers
What OpenQuestion holds
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.