Chronic Pain after Open Appendectomy and Its Effects on Quality of Life in Children Aged 8–18 Years

Background. Chronic postsurgical pain is an important problem for both children and adults. This study aims to investigate the prevalence of chronic postappendectomy pain (CPAP) in children and its social and physical effects. Methods. This prospective observational study was conducted on children a...

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Veröffentlicht in:Pain research & management 2021, Vol.2021, p.6643714-6, Article 6643714
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description Background. Chronic postsurgical pain is an important problem for both children and adults. This study aims to investigate the prevalence of chronic postappendectomy pain (CPAP) in children and its social and physical effects. Methods. This prospective observational study was conducted on children aged 8–18 years who had undergone open appendectomies. In the sixth month after the surgical procedure, the presence of chronic pain was examined in the lower right abdominal area. CPAP and its effects on children’s daily life activities were assessed using the numeric rating scale (NRS) and the Pediatric Quality of Life Scale (PedsQL). Results. Analysis was performed on 158 children, 97 of whom were boys (61.4%) and 61 were girls (38.6%). The average age was 12.8 ± 3 years, the average NRS was 4.48 ± 1.1, and the average scar length was 6.09 ± 1.6 cm. Twenty-nine children described CPAP, and its prevalence at six months after the surgery was 18.4%. Of these, 16 (55.2%) complained of pain only during exercise and 13 (44.8%) experienced pain while resting. The rate of CPAP was significantly higher in girls. Female gender and longer scar length were associated with the development of chronic pain. The PedsQL scores from the children’s self-reports and their parents’ reports were significantly lower for children who described CPAP as compared to those without CPAP. Conclusion. CPAP occurs quite frequently in children, especially in girls, and negatively affects children’s quality of life.
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Chronic postsurgical pain is an important problem for both children and adults. This study aims to investigate the prevalence of chronic postappendectomy pain (CPAP) in children and its social and physical effects. Methods. This prospective observational study was conducted on children aged 8–18 years who had undergone open appendectomies. In the sixth month after the surgical procedure, the presence of chronic pain was examined in the lower right abdominal area. CPAP and its effects on children’s daily life activities were assessed using the numeric rating scale (NRS) and the Pediatric Quality of Life Scale (PedsQL). Results. Analysis was performed on 158 children, 97 of whom were boys (61.4%) and 61 were girls (38.6%). The average age was 12.8 ± 3 years, the average NRS was 4.48 ± 1.1, and the average scar length was 6.09 ± 1.6 cm. Twenty-nine children described CPAP, and its prevalence at six months after the surgery was 18.4%. Of these, 16 (55.2%) complained of pain only during exercise and 13 (44.8%) experienced pain while resting. The rate of CPAP was significantly higher in girls. Female gender and longer scar length were associated with the development of chronic pain. The PedsQL scores from the children’s self-reports and their parents’ reports were significantly lower for children who described CPAP as compared to those without CPAP. Conclusion. CPAP occurs quite frequently in children, especially in girls, and negatively affects children’s quality of life.</description><identifier>ISSN: 1203-6765</identifier><identifier>EISSN: 1918-1523</identifier><identifier>DOI: 10.1155/2021/6643714</identifier><identifier>PMID: 33680224</identifier><language>eng</language><publisher>LONDON: Hindawi</publisher><subject>Abdomen ; Age ; Appendectomy ; Boys ; Children &amp; youth ; Chronic pain ; Clinical Neurology ; Complications and side effects ; Continuous positive airway pressure ; Demographic aspects ; Gender ; Girls ; Health aspects ; Hospitals ; Laparoscopy ; Life Sciences &amp; Biomedicine ; Neurosciences &amp; Neurology ; Pain ; Pain management ; Parents &amp; parenting ; Pediatrics ; Physiological aspects ; Quality of life ; Regression analysis ; Science &amp; Technology ; Social aspects ; Surgery</subject><ispartof>Pain research &amp; management, 2021, Vol.2021, p.6643714-6, Article 6643714</ispartof><rights>Copyright © 2021 Onur Palabiyik and Gurkan Demir.</rights><rights>COPYRIGHT 2021 John Wiley &amp; Sons, Inc.</rights><rights>Copyright © 2021 Onur Palabiyik and Gurkan Demir. 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Chronic postsurgical pain is an important problem for both children and adults. This study aims to investigate the prevalence of chronic postappendectomy pain (CPAP) in children and its social and physical effects. Methods. This prospective observational study was conducted on children aged 8–18 years who had undergone open appendectomies. In the sixth month after the surgical procedure, the presence of chronic pain was examined in the lower right abdominal area. CPAP and its effects on children’s daily life activities were assessed using the numeric rating scale (NRS) and the Pediatric Quality of Life Scale (PedsQL). Results. Analysis was performed on 158 children, 97 of whom were boys (61.4%) and 61 were girls (38.6%). The average age was 12.8 ± 3 years, the average NRS was 4.48 ± 1.1, and the average scar length was 6.09 ± 1.6 cm. Twenty-nine children described CPAP, and its prevalence at six months after the surgery was 18.4%. 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Technology</topic><topic>Social aspects</topic><topic>Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Palabiyik, Onur</creatorcontrib><creatorcontrib>Demir, Gurkan</creatorcontrib><collection>Hindawi Publishing Complete</collection><collection>Hindawi Publishing Subscription Journals</collection><collection>Hindawi Publishing Open Access</collection><collection>Web of Science Core Collection</collection><collection>Science Citation Index Expanded</collection><collection>Web of Science - Science Citation Index Expanded - 2021</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Docstoc</collection><collection>University Readers</collection><collection>Health &amp; Medical Collection (Proquest)</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Canadian Business &amp; 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management</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Palabiyik, Onur</au><au>Demir, Gurkan</au><au>Varrassi, Giustino</au><au>Giustino Varrassi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Chronic Pain after Open Appendectomy and Its Effects on Quality of Life in Children Aged 8–18 Years</atitle><jtitle>Pain research &amp; management</jtitle><stitle>PAIN RES MANAG</stitle><addtitle>Pain Res Manag</addtitle><date>2021</date><risdate>2021</risdate><volume>2021</volume><spage>6643714</spage><epage>6</epage><pages>6643714-6</pages><artnum>6643714</artnum><issn>1203-6765</issn><eissn>1918-1523</eissn><abstract>Background. Chronic postsurgical pain is an important problem for both children and adults. This study aims to investigate the prevalence of chronic postappendectomy pain (CPAP) in children and its social and physical effects. Methods. This prospective observational study was conducted on children aged 8–18 years who had undergone open appendectomies. In the sixth month after the surgical procedure, the presence of chronic pain was examined in the lower right abdominal area. CPAP and its effects on children’s daily life activities were assessed using the numeric rating scale (NRS) and the Pediatric Quality of Life Scale (PedsQL). Results. Analysis was performed on 158 children, 97 of whom were boys (61.4%) and 61 were girls (38.6%). The average age was 12.8 ± 3 years, the average NRS was 4.48 ± 1.1, and the average scar length was 6.09 ± 1.6 cm. Twenty-nine children described CPAP, and its prevalence at six months after the surgery was 18.4%. Of these, 16 (55.2%) complained of pain only during exercise and 13 (44.8%) experienced pain while resting. The rate of CPAP was significantly higher in girls. Female gender and longer scar length were associated with the development of chronic pain. The PedsQL scores from the children’s self-reports and their parents’ reports were significantly lower for children who described CPAP as compared to those without CPAP. Conclusion. CPAP occurs quite frequently in children, especially in girls, and negatively affects children’s quality of life.</abstract><cop>LONDON</cop><pub>Hindawi</pub><pmid>33680224</pmid><doi>10.1155/2021/6643714</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-7193-5394</orcidid><orcidid>https://orcid.org/0000-0003-3876-4279</orcidid><oa>free_for_read</oa></addata></record>
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subjects Abdomen
Age
Appendectomy
Boys
Children & youth
Chronic pain
Clinical Neurology
Complications and side effects
Continuous positive airway pressure
Demographic aspects
Gender
Girls
Health aspects
Hospitals
Laparoscopy
Life Sciences & Biomedicine
Neurosciences & Neurology
Pain
Pain management
Parents & parenting
Pediatrics
Physiological aspects
Quality of life
Regression analysis
Science & Technology
Social aspects
Surgery
title Chronic Pain after Open Appendectomy and Its Effects on Quality of Life in Children Aged 8–18 Years
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