Evidence map›Paper›PMID 40734957›Full record

ArticleBMJ public health2025

Landscape of paediatric pain in Sub-Saharan Africa: a scoping review.

Anisa Bhettay, Kotie Bester, Romy Parker, Kim MacQuilkan, Salome Maswime, Raymond Ndikontar, Rebecca Gray

Abstract read
In one paragraph

Article in BMJ public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
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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

7 authors.

Anisa BhettayDepartment of Anaesthesia and Perioperative Medicine, University of Cape Town, Cape Town, South Africa.ORCID https://orcid.org/0000-0003-4835-1777
Kotie BesterDepartment of Anaesthesia and Perioperative Medicine, University of Cape Town, Cape Town, South Africa.ORCID https://orcid.org/0000-0001-8698-1206
Romy ParkerDepartment of Anaesthesia and Perioperative Medicine, University of Cape Town, Cape Town, South Africa.
Kim MacQuilkanIndependent Public Health Consultant, Cape Town, Western Cape, South Africa.ORCID https://orcid.org/0000-0002-9785-6934
Salome MaswimeDivision of Global Surgery, University of Cape Town, Cape Town, South Africa.
Raymond NdikontarFaculty of Medicine and Biomedical Sciences, University of Yaounde I, Yaounde, Cameroon.
Rebecca GrayDepartment of Anaesthesia and Perioperative Medicine, University of Cape Town, Cape Town, South Africa.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Pain is impacted by various biopsychosocial factors, including context and culture. Children in Sub-Saharan Africa present with unique diseases with a high pain burden. Robust scientific research on paediatric pain in Sub-Saharan Africa is lacking. Methods: A scoping review was conducted to describe the pain prevalence, pain management practices and health system factors impacting pain management and to map the relevant research landscape in sub-Saharan Africa. The search strategy combined pain, location and age-related terms. Studies from 2000 to 2022 from countries in Sub-Saharan Africa pertaining to acute, procedural and chronic pain in children from birth to 18 years were included. Searches were conducted in African-Wide EBSCO, CINAHL, Epistemonikos, PubMed, Scopus, Web of Science, Scielo and the Cochrane Library. A thematic approach was applied for data synthesis through an iterative process, and results presented narratively. Results: After applying eligibility criteria, 68 studies were included. Studies demonstrated a high prevalence of acute and procedural pain in hospitalised children, with neonates a particularly vulnerable group. While various tools were validated for local populations, evidence-based pain assessment and management was lacking. Demonstrated knowledge deficits among healthcare workers translated into inadequate pain management. Utilisation of non-pharmacological strategies was varied. Resource limitations pose substantial obstacles to effective pain control. Data on chronic pain remains scant. Conclusion: This review presents a comprehensive synthesis of the evidence on paediatric pain management in Sub-Saharan Africa. It highlights the need to direct resources towards addressing deficits in paediatric pain management. Training of healthcare providers and developing evidence-based guidelines is imperative. Robust research on paediatric pain in Sub-Saharan Africa is needed to inform targeted interventions to improve pain management, reducing the pain burden in children in the region.

Indexed as

EducationEpidemiologyPublic Health

Identifiers

PMID40734957
PMCPMC12306223

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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.