Evidence map›Paper›PMID 39778918›Full record

ArticleChild: care, health and development2025

Impact of Social Disadvantage on Medical and Functional Severity in Children With Cerebral Palsy.

Theresa Sukal-Moulton, Michael E Msall, Kristen Wroblewski, Sarah Safdar, Deborah J Gaebler-Spira

Abstract read
In one paragraph

Article in Child: care, health and development, 2025. 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. Article
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.

Theresa Sukal-MoultonFeinberg School of Medicine, Northwestern University, Chicago, Illinois, USA.ORCID https://orcid.org/0000-0001-6624-1999
Michael E MsallKennedy Research Center on Intellectual and Neurodevelopmental Disabilities, Comer Children's Hospital, University of Chicago, Chicago, Illinois, USA.ORCID https://orcid.org/0000-0003-2037-5769
Kristen WroblewskiDepartment of Public Health Sciences, University of Chicago, Chicago, Illinois, USA.
Sarah SafdarSection of Developmental and Behavioral Pediatrics, Comer Children's Hospital, University of Chicago, Chicago, Illinois, USA.
Deborah J Gaebler-SpiraShirley Ryan AbilityLab, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA.ORCID https://orcid.org/0000-0001-6827-4241

Funding

The Loss of Independent Joint Control of the Upper Limb in Spastic Hemiparetic CPR01NS058667 · NINDS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI DEWALD, JULIUS P · 2008 to 2022
$2.8M
HRSA HHS T73MC11047National Institute of Child Health and Human Development P30 HD054276NIH HHS R01 NS058667
6 · The paper itself

Abstract

backgroundThose with neurological disorders like cerebral palsy (CP) may experience an altered impact of social determinates of health on child functioning and well-being. We investigated the relationship between relative social advantage and medical and functional outcomes in a large cohort of children, adolescents and young adults with CP (n = 1269, aged 2-84 years).

methodsWe extracted data from the Cerebral Palsy Research Registry and dichotomized a range of independent factors (income, ethnicity and race) into advantaged and disadvantaged/vulnerable and a range of medical and functional outcomes (gross motor, manual ability, behaviour, breathing, nutritional intake, hearing, seizures, language and vision) and computed odds ratios using logistic regression.

resultsWe found significantly more gross and fine motor functional limitations for those with disadvantage in income (p = 0.002 and 0.006), marginalized race (p < 0.001 and 0.062) or ethnicity (p = 0.013 and 0.014). Ethnicity was further implicated in gestational age, whereas minority race played a role in more severe impairments in breathing, nutritional intake, language functioning and low birth weight status.

conclusionWe found evidence of more health and functional challenges for children with CP and social disadvantage in our cohort. Additional access to equitable resources may improve these imbalances and should be prioritized.

Indexed as

Cerebral PalsyAdolescentAdultAgedAged, 80 and overChildChild, PreschoolFemaleHealth Status DisparitiesHumansMaleMiddle AgedRegistriesSeverity of Illness IndexSocial Determinants of HealthSocioeconomic Factorscerebral palsycomorbiditiesfunctional outcomesocial determinants of healthsocial disparity

Identifiers

PMID39778918
PMCPMC11710948

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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 Socratic graph.