Evidence map›Paper›PMID 40746647›Full record

ArticleFrontiers in neurology2025

Selecting outcome measures to validate prognostic biomarkers of paediatric mild traumatic brain injury: challenges and priorities.

Jonathan E Attwood, Izabelle Lövgren, Rob Forsyth, Célia Demarchi, Tony Thayanandan, Lara Prisco, Mario Ganau, Rebecca Roberts, Kate Scarff, Julia L Newton and 2 more

Abstract read
In one paragraph

Article in Frontiers in neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
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.

Jonathan E AttwoodNuffield Department of Clinical Neurosciences, University of Oxford, Oxford, United Kingdom.
Izabelle LövgrenNuffield Department of Clinical Neurosciences, University of Oxford, Oxford, United Kingdom.
Rob ForsythTranslational and Clinical Research Institute, Newcastle University, Newcastle upon Tyne, United Kingdom.
Célia DemarchiDepartment of Brain Sciences, Imperial College London, London, United Kingdom.
Tony ThayanandanDepartment of Psychiatry, University of Oxford, Oxford, United Kingdom.
Lara PriscoNuffield Department of Clinical Neurosciences, University of Oxford, Oxford, United Kingdom.
Mario GanauNuffield Department of Clinical Neurosciences, University of Oxford, Oxford, United Kingdom.
Rebecca RobertsOxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom.
Kate ScarffOxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom.
Julia L NewtonOxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom.
Gabriele C DeLucaNuffield Department of Clinical Neurosciences, University of Oxford, Oxford, United Kingdom.
Tim LawrenceNuffield Department of Clinical Neurosciences, University of Oxford, Oxford, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Outcomes following paediatric mild traumatic brain injury (mTBI) are extremely heterogenous. While emerging biomarkers promise enhanced prognostic accuracy, a critical question remains unanswered-which outcome measures provide the most accurate assessment of injury impact? In this article, we highlight barriers to selecting appropriate outcome measures, including variability in how outcomes are defined and the wide range of assessment tools used. With reference to the most recent literature, we summarise current evidence of adverse outcomes following paediatric mTBI and highlight emerging candidate biomarkers of these outcomes. We emphasise the unique challenges associated with interpreting outcome measures in younger patients, from the impact of developmental stage and assessment timing to the influence of injury-independent factors. We assert the need to consider these obstacles when designing and interpreting mTBI biomarker studies. To realise the potential of prognostic biomarkers, future research should prioritise establishing consensus definitions, compiling a set of accessible and comprehensive outcome measures, and capturing injury-independent factors through longitudinal study designs.

Indexed as

neurodevelopmentoutcomes assessmentpaediatric mild traumatic brain injuryprognostic biomarkersvalidation

Identifiers

PMID40746647
PMCPMC12310454

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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.