Chronic Pain Among Children and Adolescents: Physician Consultation and Medication Use

Perquin, Christel W.; Hazebroek-Kampschreur, Alice A.J.M.; Hunfeld, J. A. M.; Suijlekom-Smit, Lisette W. A. van; Passchier, Jan; Wouden, Johannes C. van der

doi:10.1097/00002508-200009000-00008

Cited by 136 publications

(117 citation statements)

References 16 publications

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“…[10][11][12][13] Still, research on consultation patterns for pediatric FSS remains scarce. The prevailing research data indicate that even though many parents cope with their child' s symptoms without resorting to medical care, [14][15][16] children' s use of general practitioner services has increased in particular in North European countries. 17 Suggested explanations for this trend include higher parental awareness and increases in both chronic disease and FSS among children in general.…”

Section: Discussionmentioning

confidence: 99%

Functional Somatic Symptoms and Consultation Patterns in 5- to 7-Year-Olds

et al. 2013

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OBJECTIVE: To investigate the frequency of and factors linked to medical consultation for functional somatic symptoms (FSS) among 5- to 7-year-old children. METHODS: We assessed 1327 children from the Copenhagen Child Cohort 2000 for FSS at ages 5 to 7 years. Register data on past health care use in general practice were compared between children with and those without parent-reported medical consultation for FSS at the age of 5 to 7 years: respective consulters (n = 96) and nonconsulters (n = 211) and children without FSS (n = 1019). Degree of parental worries about the child’s symptoms and parent-reported symptom characteristics and associated impacts were compared between consulters and nonconsulters. RESULTS: Among 308 children with FSS, 31.1% were consulters. Being a consulter was significantly associated with multisymptomatic presentation, parental worries about the symptoms, symptom impact, and a higher past health care use in general practice. Multiple logistic regression analysis controlled for gender, comorbid physical disease, and symptom severity revealed that the number of face-to-face contacts in general practice during the child’s first 4 years of life predicted being an consulter for FSS at 5 to 7 years (odds ratio 1.03, 95% confidence interval 1.00–1.06; odds ratio interpreted per unit change in number of contacts). CONCLUSIONS: This study adds to our understanding of health care use for FSS in childhood by highlighting the influence of parents’ early consultation patterns with their child and the influence of parental perceptions of their child’s health and FSS-related impact on pediatric health care use for FSS. Management of health care use in children with FSS should address these aspects.

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Section: Discussionmentioning

confidence: 99%

Functional Somatic Symptoms and Consultation Patterns in 5- to 7-Year-Olds

et al. 2013

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“…Parents completed a basic demographic form, which provided information on the adolescent's age, race, sex, height and weight, and family income. Adolescents completed a questionnaire reporting pain location on a validated body diagram and they completed the Center for Epidemiological Studies Depression Scale (CES-D) 26 to assess baseline depressive symptoms. During this visit, participants were also given instructions for: 1) completing electronic diaries (Palm® PDA with custom software) to record daily pain, medication use, mood, and sleep quality; and 2) wearing the Actiwatch to record daily activity levels.…”

Section: Methodsmentioning

confidence: 99%

Bidirectional associations between pain and physical activity in adolescents

Rabbitts

Lewandowski

Tai

et al. 2012

The Journal of Pain

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“…5,[15][16][17][18][19] These factors, in turn, have resulted in increased resource utilization, health care costs, and missed school days, especially among adolescents. 10,[20][21][22][23][24] The potential long-term impact on patients with chronic pain is not insignificant. Chronic pain in children has been associated with poor social functioning and peer relationships.…”

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confidence: 99%

Inpatient Characteristics of the Child Admitted With Chronic Pain

2013

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WHAT'S KNOWN ON THIS SUBJECT: Children with chronic pain complaints seem to represent an increasing portion of general pediatric inpatient services. Few data exist, however, on the characteristics of this population, their length of stay, or the best approach to their evaluation and management. WHAT THIS STUDY ADDS:This study defines the demographic, diagnostic, procedural, and episode of care characteristics for children admitted to the acute care setting with chronic pain syndromes. Admission rates are rising, lengths of stay are substantial, and comorbid diagnoses are common. abstract OBJECTIVE: To define the demographic, diagnostic, procedural, and episode of care characteristics for children admitted with chronic pain. METHODS:We used the Pediatric Health Information System database to obtain data on demographic characteristics, length of stay, readmission rates, diagnoses, and procedures for children admitted with chronic pain. Patients with sickle cell disease, cancer, burns, cerebral palsy, transplants, and ventilator-dependent children were excluded. RESULTS:A total of 3752 patients with chronic pain were identified from 2004 through 2010. Admissions increased by 831% over this time period. The mean age of these patients was 13.5 years, the most common race was white (79%), and female subjects outnumbered male subjects by 2.41 to 1. The most common admission and principal discharge diagnosis was abdominal pain; comorbid diagnoses were common, with a mean of 10 diagnoses per patient. In total, 65% of patients had a comorbid gastrointestinal diagnosis and 44% had a psychiatric diagnosis. The mean length of stay was 7.32 days, with an expected length of stay of 4.24 days; 12.5% were readmitted at least once within 1 year. They underwent a mean of 3.18 procedures per patient. CONCLUSIONS:The average child admitted with chronic pain is a teenaged female with a wide variety of comorbid conditions, many of which are gastrointestinal and psychiatric in nature. Admissions for chronic pain are rising and account for substantial resource utilization. Future studies should further characterize this population, with the overall objective of improving outcomes and optimizing cost-effective care.

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Chronic Pain Among Children and Adolescents: Physician Consultation and Medication Use

Abstract: Chronic pain is a common complaint in children and adolescents, frequently resulting in consultation of a physician and medication use. Regarding physician consultation, children and adolescents with a lower educational level seem to be a group at risk.

Cited by 136 publications

References 16 publications

Functional Somatic Symptoms and Consultation Patterns in 5- to 7-Year-Olds

Functional Somatic Symptoms and Consultation Patterns in 5- to 7-Year-Olds

Bidirectional associations between pain and physical activity in adolescents

Inpatient Characteristics of the Child Admitted With Chronic Pain

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