Evidence map›Paper›PMID 40993366›Full record

ArticleJournal of perinatology : official journal of the California Perinatal Association2026

Validation and reliability of a scale for prolonged pain assessment in Brazilian neonates.

Amanda Dos Santos Erhardt, Mariana Bueno, Taís Beppler Martins, Natália Alves Menegol, André Luís Ferreira Meireles, Dayane Montemezzo, Monique van Dijk, Luciana Sayuri Sanada

Abstract readValidation Study
PubMed Publisher
In one paragraph

Article in Journal of perinatology : official journal of the California Perinatal Association, 2026. 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

8 authors.

Amanda Dos Santos ErhardtPrograma de Pós-graduação em Fisioterapia, Department of Physical Therapy, Universidade do Estado de Santa Catarina, Florianópolis, SC, Brazil.
Mariana BuenoLawrence Bloomberg Faculty of Nursing, University of Toronto, Toronto, Canada.
Taís Beppler MartinsPrograma de Pós-graduação em Fisioterapia, Department of Physical Therapy, Universidade do Estado de Santa Catarina, Florianópolis, SC, Brazil.
Natália Alves MenegolPrograma de Pós-graduação em Fisioterapia, Department of Physical Therapy, Universidade do Estado de Santa Catarina, Florianópolis, SC, Brazil.
André Luís Ferreira MeirelesPrograma de Pós-graduação em Fisioterapia, Department of Physical Therapy, Universidade do Estado de Santa Catarina, Florianópolis, SC, Brazil.
Dayane MontemezzoPrograma de Pós-graduação em Fisioterapia, Department of Physical Therapy, Universidade do Estado de Santa Catarina, Florianópolis, SC, Brazil.
Monique van DijkDepartment of Internal Medicine & Department of Neonatal and Pediatric Intensive Care, Erasmus MC - University Medical Center Rotterdam, Rotterdam, Netherlands.
Luciana Sayuri SanadaPrograma de Pós-graduação em Fisioterapia, Department of Physical Therapy, Universidade do Estado de Santa Catarina, Florianópolis, SC, Brazil. luciana.sanada@udesc.br.ORCID http://orcid.org/0000-0002-6530-6831

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

To evaluate the convergent construct validity, intra- and inter-rater reliability, and internal consistency of the COMFORTneo-Brazil scale. STUDY

designThe study included neonates between 24 and 42 weeks of gestational age. Convergent construct validity was analyzed by comparing COMFORTneo-Brazil scores with those from the Échelle Douleur Inconfort Nouveau-Né (EDIN) scale. Two trained raters performed bedside evaluations and video assessments, separated by 10-14 days, to assess intra- and inter-rater reliability. Spearman's correlation, linear weighted kappa, intraclass correlation coefficient (ICC), Bland-Altman plots, and Cronbach's alpha were used in the analysis.

resultsOne hundred and thirty-three evaluations were conducted. There was excellent convergent validity between COMFORTneo-Brazil and EDIN scores (rho = 0.929; p < 0.001). The COMFORTneo-Brazil demonstrated excellent intra- and inter-rater reliability (ICC > 0.9). Internal consistency was also high (Cronbach's alpha = 0.858).

conclusionsThe COMFORTneo-Brazil is a valid and reliable tool for prolonged pain assessment in neonates.

Indexed as

Pain MeasurementBrazilFemaleGestational AgeHumansInfant, NewbornInfant, PrematureMaleObserver VariationReproducibility of Results

Identifiers

PMID40993366

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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.