scholarly journals Methodological flaws on “manual therapy for the pediatric population: a systematic review” by Prevost et al. (2019)

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Hainan Yu ◽  
Heather Shearer ◽  
Anne Taylor-Vaisey ◽  
Silvano Mior ◽  
Leslie Verville ◽  
...  
Keyword(s):  
Systematic Review ◽  
Manual Therapy ◽  
Clinical Management ◽  
Pediatric Patients ◽  
Pediatric Population ◽  
Internal Validity ◽  
Clinical Conditions

AbstractPrevost et al. published a systematic review evaluating the use of manual therapy for clinical conditions in the pediatric population in 2019. However, several methodological flaws in the conduct of the review limit the internal validity of its conclusions. We caution readers about the validity of the recommendations and suggest that the review not be used to inform the clinical management of pediatric patients.

scholarly journals Manual therapy for the pediatric population: a systematic review

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Carol Parnell Prevost ◽  
Brian Gleberzon ◽  
Beth Carleo ◽  
Kristian Anderson ◽  
Morgan Cark ◽  
...  
Keyword(s):  
Systematic Review ◽  
Manual Therapy ◽  
Pediatric Population

scholarly journals Refill Adherence Measures and Its Association with Economic, Clinical, and Humanistic Outcomes Among Pediatric Patients: A Systematic Review

2020 ◽  
Vol 17 (6) ◽  
pp. 2133
Author(s):  
Brandon Chua ◽  
James Morgan ◽  
Kai Zhen Yap
Keyword(s):  
Systematic Review ◽  
Clinical Outcomes ◽  
Low Income ◽  
Pediatric Patients ◽  
Electronic Monitoring ◽  
Pediatric Population ◽  
Self Report ◽  
Low Income Countries ◽  
Humanistic Outcomes ◽  
Refill Adherence

Although refill adherence measures (RAMs) are widely reviewed on their use among adult patients, existing reviews on adherence among children have only focused on self-report measures and electronic monitoring. Hence, this systematic review aims to examine the use of RAMs and their association with economic, clinical, and humanistic outcomes (ECHO) among pediatric patients. A literature search was conducted in Pubmed, Embase, CINAHL, and PsycINFO. Studies published in English involving subjects aged ≤18 years were included if RAMs were analyzed with ECHO. Of the 35 included studies, the majority (n = 33) were conducted in high-income countries. Asthma was the most common condition (n = 9) studied. Overall, 60.6% of 33 clinical outcomes reported among 22 studies was positive (improved clinical outcomes with improved adherence), while 21.9% of 32 economic outcomes reported among 16 studies was positive (reduced healthcare utilization or cost outcomes with improved adherence). Only four studies evaluated the relationship of adherence with 11 humanistic outcomes, where the majority (72.7%) were considered unclear. RAMs are associated with ECHO and can be considered for use in the pediatric population. Future studies could explore the use of RAMs in low-income countries, and the association of RAMs with quality of life.

scholarly journals (A109) Systematic Literature Review on Pediatric Sleep Disturbance Management Post-Disaster: Implications of Post-Disaster Pediatric Clinical Management in Developing Countries

2011 ◽  
Vol 26 (S1) ◽  
pp. s38-s38
Author(s):  
E.Y.Y. Chan ◽  
S.D. Koo
Keyword(s):  
Developing Countries ◽  
Sleep Disturbance ◽  
Clinical Management ◽  
Sleep Disturbances ◽  
Pediatric Patients ◽  
Pediatric Population ◽  
Traumatic Events ◽  
Clinical Effectiveness ◽  
Post Disaster ◽  
Pediatric Sleep

IntroductionSleep disturbances are common symptoms during the immediate and long-term aftermath of exposure of traumatic events. While stress affects sleep in all age groups, due to differences in physiological, psychological, and socio-behavorial risk factors, the clinical management of pediatric patients with sleep disturbances post-disaster might be different. This study aims to systematically review scientific literature on the clinical management of pediatric sleep disturbances post-disaster and its clinical implication in developing countries. Methods: A keyword-based, systematic review was conducted for scientific publication in academic and disaster literature databases (Medline, PUBMED, Academic Search Premier, Google Scholar, ELDIS, PsycINFO, PILOTS and RELIEFWEB) until October 2010. Abstracts of all the hits were inspected to remove non-relevant articles, and all relevant articles were reviewed and scored by two reviewers to determine relevancy before being included in the final study database. Quality, relevance, and applicability of the reported literature were examined critically with the EBM level of evidence and EPPHPPQ (2003) assessment tool.Results and DiscussionThe literature disproportionally emphasized the clinical effects and psychological impacts of traumatic events on pediatric patients, and most reported studies were reported as a subset within PTSD study literature. Management of younger children, gender differences, clinical effectiveness of cross-disciplinary management modalities, and experiences in middle- and low-income countries were extremely limited. While principles of sleep hygiene and clinical guidelines for management of adult sleep disturbance are available, the application of clinical effectiveness and appropriateness of these guidelines in pediatric population must be examined further.Conclusion and ImplicationsCurrently, there is limited literature on the acute management of pediatric sleep disturbances post-disaster in developing countries. Evidence-based studies are needed to identify the appropriate clinical approaches to support the pediatric population with sleep disturbances post-disaster.

scholarly journals Oral Submucous Fibrosis in Pediatric Patients: A Systematic Review and Protocol for Management

2019 ◽  
Vol 2019 ◽  
pp. 1-6 ◽  
Author(s):  
Anuj Jain ◽  
Saumya Taneja
Keyword(s):  
Systematic Review ◽  
Pediatric Patients ◽  
Clinical Presentation ◽  
Pediatric Population ◽  
Oral Submucous Fibrosis ◽  
Areca Nut ◽  
Health Consciousness ◽  
Patient Reported ◽  
Submucous Fibrosis ◽  
Major Factors

Aim. To conduct a systematic review evaluating the cases of oral submucous fibrosis in pediatric patients. Material and Method. Systematic review was conducted using PRISMA guidelines. The article focused on oral submucous fibrosis in pediatric patients were included. A total of five manuscripts were included in our systematic review. The prevalence of OSMF in pediatric patients, gender distribution, causes, and clinical presentation were reviewed. Results. On systematically reviewing, a total of 10 cases of OSMF in pediatric patients were found. The youngest patient reported to be diagnosed with OSMF was of 2.5 years of age. Female preponderance was noticed. All the patients had the habit of areca nut chewing which subsequently led to fibrosis. Conclusion. Such a rapid increase in the rate of OSMF among pediatric population is a potential danger to the society. The habit of areca nut chewing is the major cause for this dreadful condition. Lack of health consciousness and low level of education are the major factors for initiation of this habit among children. Therefore it is imperative for the parents and school as well as government authorities to take serious actions.

scholarly journals Response to ‘Methodological flaws on “manual therapy for the pediatric population: a systematic review” by Prevost et al. (2019)’

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Katherine A. Pohlman ◽  
Kristian Anderson ◽  
Beth Carleo ◽  
Brian Gleberzon
Keyword(s):  
Systematic Review ◽  
Pediatric Patient ◽  
Manual Therapy ◽  
Research Study ◽  
Pediatric Population ◽  
Manual Therapies ◽  
Methodological Issues ◽  
Comprehensive Overview

AbstractCorrespondence from Yu et al. identify methodological issues with the systematic review of manual therapy for pediatric manuscript. Like any research study, limitations are important for readers to keep in consideration when reviewing study findings. The primary authors maintain full confidence in the use of the review to provide practicing clinicians with a comprehensive overview of the limited and low-quality available evidence regarding manual therapies for the pediatric patient.

Surgical Management of Pediatric Lymphedema: A Systematic Review

2019 ◽  
Vol 35 (06) ◽  
pp. 462-470 ◽  
Author(s):  
Aditi M. Kanth ◽  
Max Krevalin ◽  
Oluwaseun A. Adetayo ◽  
Ashit Patel
Keyword(s):  
Systematic Review ◽  
Surgical Treatment ◽  
Surgical Management ◽  
Conservative Management ◽  
Pediatric Patients ◽  
Lymphatic System ◽  
Pediatric Population ◽  
Small Population ◽  
Protein Rich ◽  
Genital Lymphedema

Background Lymphedema is a rare, progressive, and debilitating condition caused by failure of the lymphatic system to adequately drain the protein-rich fluid exiting the capillaries. Conservative management is often emphasized in pediatric patients, resulting in a paucity of literature describing surgical treatment in this population. Methods A systematic review was performed using PubMed, ScienceDirect, and Google Scholar to identify all studies describing surgical management of lymphedema in the pediatric population. Results Of the 343 relevant articles identified, 14 met the criteria for full review. Articles were divided into the following treatment categories: genital lymphedema, excisional procedures for extremity lymphedema, and physiologic procedures for extremity lymphedema. Outcomes for genital lymphedema were overall positive. For extremity lymphedema, excisional procedures yielded good results overall and included the majority of patients in this study. Physiologic procedures had mixed outcomes in the small population included in this study, but definitive conclusions cannot be drawn due to the paucity of existing data. Conclusion While conservative management of pediatric lymphedema is well described, the literature remains sparse regarding surgical treatment. Further studies are needed to evaluate efficacy and outcomes in all three categories in this population.

scholarly journals Spinal manual therapy interventions for pediatric patients: a systematic review

2012 ◽  
Vol 20 (3) ◽  
pp. 153-159 ◽  
Author(s):  
Daniel W. Vaughn ◽  
Lisa K. Kenyon ◽  
Corey M. Sobeck ◽  
Robyn E. Smith
Keyword(s):  
Systematic Review ◽  
Manual Therapy ◽  
Pediatric Patients ◽  
Therapy Interventions

scholarly journals Biologic Use in Pediatric Patients With Hidradenitis Suppurativa: A Systematic Review

2021 ◽  
pp. 120347542110497
Author(s):  
Muskaan Sachdeva ◽  
Patrick Kim ◽  
Asfandyar Mufti ◽  
Khalad Maliyar ◽  
Cathryn Sibbald ◽  
...  
Keyword(s):  
Systematic Review ◽  
Complete Resolution ◽  
Hidradenitis Suppurativa ◽  
Large Scale ◽  
Pediatric Patients ◽  
Biologic Therapy ◽  
Pediatric Population ◽  
Safety Data ◽  
Tnf Alpha ◽  
The Mean

Background: There is currently at least 1 biologic (adalimumab) approved in North America for treatment of Hidradenitis Suppurativa in the pediatric population. However, no reviews or clinical trials have specifically analyzed the effectiveness and safety data of biologic use in this population. The objective of this systematic review is to identify and summarize the outcomes of biologic therapy in pediatric patients with HS. Methods: MEDLINE and EMBASE databases were used to conduct the search on Sept 18, 2020. Results: The 15 included studies consisted of 26 patients, with the mean age of 15 ± 2.3 years. Females accounted for 53.8% ( n = 14/26) of cases. The mean duration of HS prior to biologic initiation was 3.5 ± 2.9 years, with the majority having Hurley Stage II. The 26 patients received 34 biologics in total: 85.3% treated with TNF alpha inhibitors (adalimumab n = 17, infliximab n = 10, etanercept n = 1, unspecified n = 1), 5.9% with IL-12/23 inhibitors (ustekinumab n = 2), 5.9% with IL-1 inhibitors (i.e., anakinra n = 2) and 2.9% received IL-23 inhibitors (i.e., guselkumab n = 1) biologics. Of the 26 patients, 23.1% ( n = 6/26) experienced complete resolution (CR), 73.1% ( n = 19/26) experienced partial resolution (PR), and 3.8% ( n = 1/26) had no resolution outcomes reported. The time to resolution of HS lesions after biologic initiation ranged from 10 days to 11.5 months (mean: 5.1 months). No adverse events were reported in the studies. Conclusion: Although anti-TNF alpha were the most common biologics used for HS in pediatric cases, large-scale trials specific to pediatric patients with HS are needed to confirm these findings.

Pediatric thoracolumbar spine surgery and return to athletics: a systematic review

2019 ◽  
Vol 24 (6) ◽  
pp. 702-712
Author(s):  
Georgina E. Sellyn ◽  
Andrew T. Hale ◽  
Alan R. Tang ◽  
Alaina Waters ◽  
Chevis N. Shannon ◽  
...  
Keyword(s):  
Systematic Review ◽  
Spinal Surgery ◽  
Literature Search ◽  
Pediatric Patients ◽  
Pediatric Population ◽  
Thoracolumbar Spine ◽  
Case Series ◽  
Return To Play ◽  
Case Control Studies ◽  
Athletic Activity

OBJECTIVESpinal conditions and injuries in the pediatric population can necessitate surgical treatment. For many pediatric patients, a return to athletic activity after spinal surgery is a significant postoperative focus. However, there is a lack of standardized guidelines to determine criteria for safe return to play (RTP). To understand clinical criteria for patients to safely RTP, the authors conducted a systematic review of outcomes and the period of time before physicians recommend an RTP for pediatric patients undergoing spinal surgery.METHODSEnglish-language publications were searched systematically in the PubMed electronic database, and a review was conducted in accordance with the PRISMA guidelines. Additional relevant studies found via a supplementary literature search were also included. Studies assessing return to athletic activity in a pediatric population after spinal surgery were included. Studies without an RTP, postsurgical activity outcomes, or surgical intervention were excluded.RESULTSA PubMed search identified 295 articles, with 29 included for the systematic review. In addition, 4 studies were included from a supplementary literature search. The majority of these studies were retrospective case series and cohort studies, and the remaining studies included questionnaire-based studies, prospective cohorts, and case-control studies. The most common spinal conditions or injuries included spondylolysis, and this was followed by adolescent idiopathic scoliosis. Overall, the most frequent recommendation for RTP for noncontact and contact sports was 6 months after surgery (range 1–12 months), and for collision sports it was 12 months after surgery. However, some physicians recommended never returning to collision sports after spinal intervention.CONCLUSIONSMost pediatric patients are able to return to some level of sports after spinal surgery. However, no standardized criteria have been proposed, and RTP recommendations vary according to the treating surgeon. In addition, limited data are published on the variation in timelines for RTP with regard to classifications of sports (noncontact, contact, and collision). Further analysis of specific spinal conditions and injuries with postoperative athletic recovery is needed.

A-129 The Association between Parental Migraine History and Persistent Post Traumatic Headaches

2021 ◽  
Vol 36 (6) ◽  
pp. 1180-1180
Author(s):  
Ronnise Owens ◽  
Sherly Smith ◽  
Craig Marker
Keyword(s):  
Systematic Review ◽  
Pediatric Patients ◽  
Pediatric Population ◽  
Significant Risk ◽  
Significant Risk Factor ◽  
Parental History ◽  
Pediatric Concussion ◽  
History Of ◽  
Rate Of Recovery ◽  
Post Traumatic

Abstract Objective Literature indicates persistent concussive symptoms beyond the typical recovery time of days or weeks are attributable to factors other than concussion or mild traumatic brain injury (mTBI) (Scott et al., 2020). Post traumatic headaches (PTH) are a frequent complaint of pediatric patients who have sustained a mTBI. Research have indicated that parental migraine and mTBI may put children at risk for PTH (Whitecross, 2020). This systematic review aims to further investigate the relationship between parental history of migraine and PTH in pediatric patients who have sustained a concussion. Data Selection A search was conducted using, Medline, PubMed, and Google Scholar databases with the terms “pediatric”, “concussion”, “parental”, and “headache” between 2011 and 2021. A total of 200 relevant articles were screened and 14 were selected for this review. Exclusion criteria included studies unrelated child migraines, concussion or mTBI diagnosis, and parental history. Data Synthesis A review of literature indicates a 42% heritability and earlier onset of migraine diagnosis for children with parental migraine history (Dao et al., 2018; Eidlitz-Markus et al 2015). This indicates a significant risk factor for persistent post concussive symptoms and possibly direct implications in the slower rate of recovery (Sufrinko et al., 2018). Conclusion Overall, this systematic review strongly suggests that a genetic predisposition for migraines may serve as a catalyst for onset and duration of PTH and the earlier diagnosis of pediatric migraines. Consideration of these predispositions can aid the multidisciplinary approach to improve cognitive and neurobehavioral health in the pediatric population.

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