Evidence map›Paper›PMID 40758548›Full record

Trial reportThe Clinical journal of pain2025

Health Care Utilization Following Cognitive-Behavioral Therapy for Pediatric Abdominal Pain: A Randomized Clinical Trial.

Lauren M Fussner, Samuel Vyortkin, Steven J Pierce, Michael K Farrell, Natoshia R Cunningham

Abstract readRandomized Controlled Trial
In one paragraph

Trial report 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. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–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 synthesis or guideline pooled it.

  1. Pooled it
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

5 authors.

Lauren M FussnerComprehensive Pediatric Psychology, LLC, Columbus, OH.ORCID 0000-0002-3099-6828
Samuel VyortkinMichigan State University, College of Human Medicine.
Steven J PierceCenter for Statistical Training and Consulting, Michigan State University, East Lansing, MI.
Michael K FarrellDepartment of Pediatrics, University of Cincinnati College of Medicine.
Natoshia R CunninghamDivision of Gastroenterology, Hepatology and Nutrition, Cincinnati Children's Hospital Medical Center, Cincinnati, OH.

Funding

Using fMRI to understand response to an integrative treatment for pain and anxiety in pediatric functional abdominal pain disorders (FAPD)K23AT009458 · NCCIH · MICHIGAN STATE UNIVERSITY · PI CUNNINGHAM, NATOSHIA RAISHEVICH · 2018 to 2022
$548k
ADAPTing CBT for Youth with Functional Abdominal Pain and Co-occurring AnxietyF32HD078049 · NICHD · CINCINNATI CHILDRENS HOSP MED CTR · PI CUNNINGHAM, NATOSHIA RAISHEVICH · 2014 to 2014
$14k
NCCIH NIH HHS K23 AT009458NICHD NIH HHS F32 HD078049
6 · The paper itself

Abstract

objectivesThe current study assessed health care utilization (HCU) by pediatric patients with functional abdominal pain disorder (FAPD) and compared rates of HCU between youth who received cognitive-behavioral therapy (CBT) as part of a randomized clinical trial and those who received medical treatment as usual (TAU). MATERIALS AND

methodsParticipants between the ages of 9 to 14 were randomly assigned to receive either CBT (n=39) or TAU (n=39). Participants in the active arm received the Aim to Decrease Anxiety and Pain Treatment (ADAPT), an evidence-based CBT intervention targeting abdominal pain and mental health symptoms. The frequency of HCU 12 months postintervention was examined using objective data via the electronic medical record (EMR). HCU variables included outpatient gastroenterology (GI) clinic visits, outpatient psychology/psychiatry visits, Emergency Department visits, and hospitalizations. Count regression models tested the effect of ADAPT on HCU.

resultsIn the total sample, HCU of subspecialty and emergency treatment services was overall low. ADAPT participants may have had fewer GI clinic visits (IRR=0.86, CI=0.45-1.68), psychology/psychiatry visits (IRR=0.84, CI=0.10-6.88), and hospitalizations (IRR=0.37, CI=0.04-3.68) than TAU participants, though wide confidence intervals were noted. DISCUSSION: Findings suggest variation in HCU between youth with FAPD who received CBT and those who received TAU. More work is needed to examine how cognitive-behavioral interventions may impact HCU in pediatric patients with FAPD and related Disorders of Gut-Brain Interaction.

Indexed as

Abdominal PainCognitive Behavioral TherapyPatient Acceptance of Health CareAdolescentChildFemaleHumansMaleTreatment Outcomebehavioral health interventionDisorders of Gut-Brain Interactionhealth care visitspediatric chronic pain

Identifiers

PMID40758548
PMCPMC13678865

What OpenQuestion holds

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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.