Pain and Health-Related Quality of Life After Pediatric Inpatient Surgery

Rabbitts, Jennifer A.; Palermo, Tonya M.; Zhou, Chuan; Mangione-Smith, Rita

doi:10.1016/j.jpain.2015.09.005

Cited by 60 publications

(52 citation statements)

References 36 publications

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“…The same NRS scale was used to assess parents’ ratings of child pain intensity in previous research on children’s post-operative pain (Rabbitts, Palermo, Zhou, & Mangione-Smith, 2015). …”

Section: Methodsmentioning

confidence: 99%

The influence of pain memories on children’s and adolescents’ post-surgical pain experience: A longitudinal dyadic analysis.

Noel¹,

Rabbitts²,

Fales³

et al. 2017

Health Psychology

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Objective Although children’s pain memories have been shown to be a powerful predictor of subsequent pain experiences in acute procedural and experimental pain settings, little is known about the influence of children’s and parents’ pain memories on children’s future pain experiences in other painful contexts. This study used a dyadic approach to examine the roles of children’s and parents’ memories of pain on their subsequent reporting of post-surgical pain several months after the child underwent a major surgical procedure. Methods The sample included 66 parent-child dyads (Mage youth = 14.73 years, SD = 2.01) recruited from two tertiary level pediatric hospitals. At baseline, children and parents reported on their catastrophic thinking about the child’s pain. Parent and child reports of child pain were collected at approximately 1 month and 5 months post-surgery. At 2–4 months post-surgery, children’s and parents’ memories for post-surgical pain were assessed. Results Results revealed that children’s, but not parents’, pain memories were a strong predictor of subsequent pain experienced at 5 months post-surgery. Children’s and parents’ memories for pain did not influence each others’ subsequent pain reporting. Conclusions Findings suggest that children’s pain memories influence their continued recovery from post-surgical pain and may contribute to pain persistence. Implications for intervention and prevention are discussed.

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Section: Methodsmentioning

confidence: 99%

The influence of pain memories on children’s and adolescents’ post-surgical pain experience: A longitudinal dyadic analysis.

Noel¹,

Rabbitts²,

Fales³

et al. 2017

Health Psychology

Self Cite

View full text Add to dashboard Cite

show abstract

“…Therefore, when children return home from the hospital, they often face weeks of continued healing and recovery. During this time, many children experience significant postsurgical pain which can impact their health outcomes 20 . Recent studies indicate that about 20% of children report persistent postsurgical pain at 6 to 12 months after major surgery, 18,21 which is associated with functional disability and decreased quality of life 21 .…”

Section: Introductionmentioning

confidence: 99%

Long-Term Pain and Recovery After Major Pediatric Surgery: A Qualitative Study With Teens, Parents, and Perioperative Care Providers

Rabbitts

Aaron

Fisher

et al. 2017

The Journal of Pain

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Research developing targeted treatment focused on coping with children’s long-term pain after surgery is needed due to the high prevalence of chronic pain after surgery. This qualitative study aimed to 1) understand the child’s and family’s experiences of pain over the course of their surgical experience, and 2) gather stakeholder input regarding potential barriers and facilitators of perioperative intervention delivery. Fifteen children ages 10–18 years who underwent recent major surgery, their primary caregivers, and 17 perioperative healthcare providers were interviewed. Interviews were coded using semantic thematic analysis. The perioperative period presented emotional challenges for families. Families felt unprepared for surgery and pain. Recovery and regaining physical functioning at home was challenging. Families struggled to return to valued activities. Families reported interest in a perioperative psychosocial intervention. Providers endorsed that families would benefit from enhanced coping skills. They emphasized that families would benefit from more detailed preparatory information. Providers suggested that flexible intervention delivery at home would be ideal. Research developing interventions addressing pain and anxiety in children undergoing major surgery is critically needed. The findings of the present study can inform intervention development with the aim of improving both short and long-term recovery in children undergoing major surgery.

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“…Of those six recipients, five required surgical revisions of their previously reconstructed lower urinary tracts, three of whom required multiple repeat operations (Table ). The need for multiple repeat operations to address patients’ complex anatomy is associated with an increased risk of chronic pain and with a decreased quality of life …”

Section: Discussionmentioning

confidence: 99%

Outcomes of kidney transplants in pediatric patients with the vertebral defects, anal atresia, cardiac defects, tracheoesophageal fistula, renal anomalies, limb abnormalities association

Diaz

Chavers

Chinnakotla

et al. 2018

Pediatric Transplantation

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In this single‐center retrospective study, we analyzed kidney transplant outcomes in nine pediatric patients with VACTERL [vertebral defects, anal atresia, cardiac defects, tracheoesophageal fistula, renal anomalies, limb abnormalities] association—making this the largest study of its kind. Of 743 pediatric kidney transplant recipients at our center (1980‐2017), nine had documented diagnoses of VACTERL association. All nine had congenital anorectal malformations and renal anomalies, five had vertebral defects, and one had a bifid thumb and tracheoesophageal fistula. Renal anomalies included dysplasia (n = 6), aplasia (n = 3), and horseshoe kidney (n = 2). Congenital lower urinary tract anomalies included neurogenic bladder (n = 6), obstructive uropathy (n = 4), anovesicular fistula (n = 1), rectourethral fistula (n = 1), and posterior urethral valves (n = 1). Age at transplant ranged from 1.2 to 15 years (mean, 7.3; standard deviation [SD], 5.5); 6 (67%) were male, and 3 (33%) were female; 6 (67%) had a living related donor, and 3 (33%) had a deceased donor. The overall graft survival rate was 78% (range, 1.5 to 25.2 years; mean, 10.5; SD, 8.9). One month post‐transplant, one recipient died with a functioning graft. At 3.7 years post‐transplant, one graft failed because of recurrent pyelonephritis. Post‐transplant urologic complications included pyelonephritis (n = 6), vesicoureteral reflux (n = 5), and graft hydronephrosis (n = 4). We conclude that pediatric patients with VACTERL association can be safely transplanted—careful patient selection with vigilance and intervention for pre‐ and post‐transplant urologic complications is essential.

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Pain and Health-Related Quality of Life After Pediatric Inpatient Surgery

Cited by 60 publications

References 36 publications

The influence of pain memories on children’s and adolescents’ post-surgical pain experience: A longitudinal dyadic analysis.

The influence of pain memories on children’s and adolescents’ post-surgical pain experience: A longitudinal dyadic analysis.

Long-Term Pain and Recovery After Major Pediatric Surgery: A Qualitative Study With Teens, Parents, and Perioperative Care Providers

Outcomes of kidney transplants in pediatric patients with the vertebral defects, anal atresia, cardiac defects, tracheoesophageal fistula, renal anomalies, limb abnormalities association

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