{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,27]],"date-time":"2025-10-27T11:43:11Z","timestamp":1761565391606,"version":"build-2065373602"},"reference-count":34,"publisher":"Oxford University Press (OUP)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2017,5,1]]},"abstract":"<jats:p>Objective. The objective of this survey was to describe trends over time in medicalization of children with Amplified Musculoskeletal Pain Syndrome (AMPS).<\/jats:p>\n                  <jats:p>Design. A retrospective evaluation was conducted using self-reported data from patients presenting to the pain clinic between January 1, 2008 and December 31, 2014, who were diagnosed with AMPS.<\/jats:p>\n                  <jats:p>Setting and Subjects. This was a medical record review of 899 subjects ages 3\u201320 presenting with Amplified Musculoskeletal Pain Syndrome. Subjects were included if they presented to a single tertiary specialized clinic and obtained a diagnosis of AMPS between January 1, 2008 and December 31, 2014.<\/jats:p>\n                  <jats:p>Methods. Information collected from subjects\u2019 medical records included: past medications, current outpatient medications, procedures, aids, therapies, studies, professionals seen, hospitalizations, and surgeries. Trends in medicalization were analyzed by year of initial visit.<\/jats:p>\n                  <jats:p>Results. Medication use, procedures, studies, therapies, professionals seen, hospitalizations, and surgeries in children with AMPS all increased significantly by year (P\u2009&amp;lt;\u20090.001). The degree of physical dysfunction, pain, and the use of aids did not significantly increase.<\/jats:p>\n                  <jats:p>Conclusions. Children with amplified musculoskeletal pain syndrome are becoming increasingly medicalized. Increased medicalization introduces risk of iatrogenic injury and burdens families with unnecessary medical costs. The significant increase in medicalization of children with AMPS is not related to an increase in patient reported pain, which is evidenced by the lack of significant increase in patients\u2019 pain score, pain duration, or functional disability at the time of their initial evaluation.<\/jats:p>","DOI":"10.1093\/pm\/pnw188","type":"journal-article","created":{"date-parts":[[2016,8,6]],"date-time":"2016-08-06T20:58:04Z","timestamp":1470517084000},"page":"825-831","source":"Crossref","is-referenced-by-count":8,"title":["Trends in Medicalization of Children with Amplified Musculoskeletal Pain Syndrome"],"prefix":"10.1093","volume":"18","author":[{"given":"Elizabeth L.","family":"Kaufman","sequence":"first","affiliation":[{"name":"Division of Rheumatology, The Children\u2019s Hospital of Philadelphia, Philadelphia, Pennsylvania, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jenna","family":"Tress","sequence":"additional","affiliation":[{"name":"Division of Rheumatology, The Children\u2019s Hospital of Philadelphia, Philadelphia, Pennsylvania, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David D.","family":"Sherry","sequence":"additional","affiliation":[{"name":"Division of Rheumatology, The Children\u2019s Hospital of Philadelphia, Philadelphia, Pennsylvania, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2016,8,5]]},"reference":[{"key":"2025102706405708400_pnw188-B1","first-page":"44","article-title":"An overview of amplified musculoskeletal pain syndromes","volume":"58","author":"Sherry","year":"2000","journal-title":"J Rheumatol Suppl"},{"issue":"7","key":"2025102706405708400_pnw188-B2","doi-asserted-by":"crossref","first-page":"494","DOI":"10.1136\/ard.52.7.494","article-title":"Joint hypermobility and fibromyalgia in schoolchildren","volume":"52","author":"Gedalia","year":"1993","journal-title":"Ann Rheum Dis"},{"issue":"1","key":"2025102706405708400_pnw188-B3","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1016\/S0304-3959(97)00073-0","article-title":"Non-specific musculoskeletal pain in preadolescents. 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