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. 2018 Oct 4;2018(10):CD005179. doi: 10.1002/14651858.CD005179.pub4

Summary of findings 7. Memory alteration compared to control for needle‐related procedural pain and distress in children and adolescents.

Memory alteration compared to control for needle‐related procedural pain and distress in children and adolescents
Patient or population: children aged 3‐18 years with chronic illness (leukemia) undergoing lumbar puncture
Setting: hospital (inpatient)
Intervention: memory alteration
Comparison: control
Outcomes Anticipated absolute effects* (95% CI) № of participants
(studies) Certainty of the evidence
(GRADE) Comments**
Risk with control Risk with memory alteration
Self‐reported pain See comment See comment 24
(1 RCT) This outcome was assessed in one study only
Self‐reported distress See comment See comment See comment This outcome was not assessed in any study
Observer‐reported pain See comment See comment 42
(1 RCT) This outcome was assessed in one study only
Observer‐reported distress See comment See comment 50
(1 RCT) This outcome was assessed in one study only
Behavioral measures‐ pain See comment See comment See comment This outcome was not assessed in any study
Behavioral measures‐ distress See comment See comment 50
(1 RCT) This outcome was assessed in one study only
*The risk in the intervention group (and its 95% confidence interval) is based on the assumed risk in the comparison group and the relative effect of the intervention (and its 95% CI).
**One 'rule of thumb' for interpreting the relative effect is that 0.2 represents a small difference, 0.5 a moderate difference and 0.8 a large difference.
CI: Confidence interval; SMD: standardized mean difference; RCT: randomized controlled trial
GRADE Working Group grades of evidenceHigh certainty: We are very confident that the true effect lies close to that of the estimate of the effect
Moderate certainty: We are moderately confident in the effect estimate: The true effect is likely to be close to the estimate of the effect, but there is a possibility that it is substantially different
Low certainty: Our confidence in the effect estimate is limited: The true effect may be substantially different from the estimate of the effect
Very low certainty: We have very little confidence in the effect estimate: The true effect is likely to be substantially different from the estimate of effect