ReviewCurrent pain and headache reports2026
Disparities in Headache Care and Research in Children and Adolescents: A Narrative Review.
Review in Current pain and headache reports, 2026. 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
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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.
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Who cites it
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Authors and funding
5 authors.
Funding
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Abstract
purpose of reviewHeadache disorders are highly prevalent in children and adolescents and represent a significant source of disability during developmental years. Despite this, disparities in pediatric headache care and research remain insufficiently characterized. This narrative review synthesizes current evidence on inequities across epidemiology, diagnosis, treatment access, and research participation. RECENT
findingsMigraine and tension-type headache contribute substantially to years lived with disability in the pediatric population, with rising absolute burden over time. Important gaps persist between prevalence and formal diagnosis. Underdiagnosis is more common among younger children and among those from lower socioeconomic backgrounds, immigrant families, and marginalized racial and ethnic groups. Structural determinants, including insurance status, geographic maldistribution of specialists, language barriers, and limited caregiver health literacy, contribute to delayed diagnosis and fragmented care. Psychosocial stressors, adverse childhood experiences, discrimination, and pain-related stigma further influence headache frequency, disability, and healthcare engagement. Disparities also extend into pediatric headache research. Racial and ethnic minorities and non-English-speaking families remain underrepresented in clinical trials. Methodological challenges, including high placebo response rates and limited validation of patient-reported outcome measures in diverse populations, complicate evidence generation. Although telehealth and digital tools may expand access, unequal digital infrastructure may also reinforce existing inequities. Reducing differences in pediatric headache requires coordinated policy reform, strengthened primary care capacity, and developmentally informed transition planning. Centering equity in pediatric headache care is essential to improving long-term neurologic and psychosocial outcomes.
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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.