Presurgical Psychosocial Predictors of Acute Postsurgical Pain and Quality of Life in Children Undergoing Major Surgery

Rabbitts, Jennifer A.; Groenewald, Cornelius B.; Tai, G.; Palermo, Tonya M.

doi:10.1016/j.jpain.2014.11.015

Cited by 92 publications

(110 citation statements)

References 47 publications

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“…In this same sample, we previously reported that parents have a significant impact on their children’s acute postsurgical pain, as well as on their subsequent memories of acute postsurgical pain [13,21]. The present study revealed that parent behaviors and cognitions may continue to exert an influence on their children’s long-term pain recovery after surgery.…”

Section: Discussionsupporting

confidence: 54%

“…Data were collected over a 3 year period from March 2012 to February 2015. The acute outcomes (two weeks) after surgery have been described in two prior manuscripts reporting predictors of poorer acute postsurgical outcomes [21] and predictors of memories of acute postsurgical pain [13]. The present report is the first to report the long-term (four month and 12 month) outcomes in this sample.…”

Section: Methodsmentioning

confidence: 63%

“…Emerging research indicates that many of these children have problems with pain after hospital discharge [21], with 80% of children experiencing moderate-severe pain at home two weeks after major surgery. Furthermore, recent studies suggest that pain may persist long-term for a sizeable portion of these children, with around 20% of children reporting significant pain beyond the expected healing period after major surgeries [4,7,17].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Trajectories of postsurgical pain in children

Rabbitts

Zhou

Groenewald

et al. 2015

Pain

Self Cite

116

119

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Section: Discussionsupporting

confidence: 54%

Section: Methodsmentioning

confidence: 63%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Trajectories of postsurgical pain in children

Rabbitts

Zhou

Groenewald

et al. 2015

Pain

Self Cite

116

119

View full text Add to dashboard Cite

“…Importantly, short-term outcomes after surgery may impact long-term outcomes in pediatric surgical populations. For example, postsurgical pain, sleep disturbance, and immobilization may have deleterious effects on multiple organ systems in the acute postsurgical period, with significant potential implications for continued recovery 16,26 . Studies are needed examining longer-term health outcomes and with inclusion of additional clinical and behavioral factors that may predict outcomes in broad pediatric postsurgical populations.…”

Section: Discussionmentioning

confidence: 99%

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

Rabbitts

Palermo

Zhou

et al. 2015

The Journal of Pain

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Around 4 million children undergo inpatient surgery in the U.S. each year, however little is known about the impact of surgery and postoperative pain on children’s health-related quality of life (HRQOL) during the weeks and months after surgery. We measured pain and HRQOL in a large, heterogeneous pediatric postsurgical population from baseline to 1-month follow-up. Over a 20-month period, parents of 915 children age 2–18 years (Mean=9.6 years), 50% male, 56% white, admitted to surgical services at a children’s hospital enrolled in the study. Parent participants reported on sociodemographics, child HRQOL and pain characteristics at baseline and 1 month post-discharge. While the majority of children recovered to baseline by 1-month post-hospital discharge, 23% of children had a significant declination in HRQOL. Multivariate logistic regression analyses found that increasing child age (OR=2.1 for age 13–18), and presence of moderate-severe postsurgical pain at 1-month (OR=5.7) were significantly associated with deterioration in HRQOL from baseline to 1-month follow-up (p’s<0.05). While HRQOL returns to baseline for most children, a sizeable proportion have significant deterioration in HRQOL, which is associated with continued postsurgical pain at 1-month after hospital discharge from surgery.

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“…Existing longitudinal studies have examined the influence of parent factors on child outcomes in the context of surgery. These studies have identified parent catastrophizing as a key cognitive bias associated with worse outcomes in children 243225 .…”

Section: Introductionmentioning

confidence: 99%

The Longitudinal Impact of Parent Distress and Behavior on Functional Outcomes Among Youth With Chronic Pain

Chow

Otis

Simons

2016

The Journal of Pain

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Accumulating evidence supports the concurrent association between parent distress and behavior and child functioning in the context of chronic pain, with existing longitudinal studies limited to a pediatric surgical context that identify parent catastrophizing as influential. In this study, we examined how parent factors assessed at a multidisciplinary pediatric pain clinic evaluation impact child psychological and functional outcomes over time. A cohort of 195 patients with chronic pain (ages 8–17) and their parents who presented for a multidisciplinary evaluation completed measures at baseline and at four-month follow-up. Patients completed measures of pain catastrophizing, pain-related fear and avoidance, generalized anxiety, depressive symptoms, and functional disability. Parents completed measures of pain catastrophizing, pain-related fear and avoidance, and protective responses to child pain. Parent reported child school functioning was also collected. Parent distress and behavior was concurrently associated with child distress and functioning at evaluation. After controlling for baseline child functioning, baseline parent avoidance and protective behavior emerged as significant predictors of child functioning at four-month follow-up. Parent distress and behavior influence child distress and functioning over time and these findings identify key parent domains to target in the context of a child’s pain treatment.

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Presurgical Psychosocial Predictors of Acute Postsurgical Pain and Quality of Life in Children Undergoing Major Surgery

Cited by 92 publications

References 47 publications

Trajectories of postsurgical pain in children

Trajectories of postsurgical pain in children

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

The Longitudinal Impact of Parent Distress and Behavior on Functional Outcomes Among Youth With Chronic Pain

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