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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| 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 & 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</subject><ispartof>Pain research & management, 2021, Vol.2021, p.6643714-6, Article 6643714</ispartof><rights>Copyright © 2021 Onur Palabiyik and Gurkan Demir.</rights><rights>COPYRIGHT 2021 John Wiley & Sons, Inc.</rights><rights>Copyright © 2021 Onur Palabiyik and Gurkan Demir. This is an open access article distributed under the Creative Commons Attribution License (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. https://creativecommons.org/licenses/by/4.0</rights><rights>Copyright © 2021 Onur Palabiyik and Gurkan Demir. 2021</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>true</woscitedreferencessubscribed><woscitedreferencescount>6</woscitedreferencescount><woscitedreferencesoriginalsourcerecordid>wos000627143300002</woscitedreferencesoriginalsourcerecordid><citedby>FETCH-LOGICAL-c612t-e14290571e97a58100f4ab9cbea958905c12b6cdeea6302c363877baaed254b43</citedby><cites>FETCH-LOGICAL-c612t-e14290571e97a58100f4ab9cbea958905c12b6cdeea6302c363877baaed254b43</cites><orcidid>0000-0002-7193-5394 ; 0000-0003-3876-4279</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7925066/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7925066/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,315,729,782,786,866,879,887,2104,2116,4026,27930,27931,27932,39265,53798,53800</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33680224$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Varrassi, Giustino</contributor><contributor>Giustino Varrassi</contributor><creatorcontrib>Palabiyik, Onur</creatorcontrib><creatorcontrib>Demir, Gurkan</creatorcontrib><title>Chronic Pain after Open Appendectomy and Its Effects on Quality of Life in Children Aged 8–18 Years</title><title>Pain research & management</title><addtitle>PAIN RES MANAG</addtitle><addtitle>Pain Res Manag</addtitle><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.</description><subject>Abdomen</subject><subject>Age</subject><subject>Appendectomy</subject><subject>Boys</subject><subject>Children & youth</subject><subject>Chronic pain</subject><subject>Clinical Neurology</subject><subject>Complications and side effects</subject><subject>Continuous positive airway pressure</subject><subject>Demographic aspects</subject><subject>Gender</subject><subject>Girls</subject><subject>Health aspects</subject><subject>Hospitals</subject><subject>Laparoscopy</subject><subject>Life Sciences & Biomedicine</subject><subject>Neurosciences & Neurology</subject><subject>Pain</subject><subject>Pain management</subject><subject>Parents & parenting</subject><subject>Pediatrics</subject><subject>Physiological aspects</subject><subject>Quality of life</subject><subject>Regression analysis</subject><subject>Science & Technology</subject><subject>Social aspects</subject><subject>Surgery</subject><issn>1203-6765</issn><issn>1918-1523</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>RHX</sourceid><sourceid>HGBXW</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>DOA</sourceid><recordid>eNqNklFrFDEQxxdRbK2--SwBQQS9Nslms9kX4TiqFgpV0Aefwmx2cpeyl1yTXUvf_A5-Qz-JWa-2PRGRQDJMfv9_JsMUxVNGDxmrqiNOOTuSUpQ1E_eKfdYwNWMVL-_nmNNyJmtZ7RWPUjqnVDBFy4fFXllKRTkX-wUuVjF4Z8gHcJ6AHTCSsw16Mt_kvUMzhPUVAd-RkyGRY2tzJpHgyccRejdckWDJqbNIsnqxcn0XJ-0SO6J-fPvOFPmCENPj4oGFPuGT6_Og-Pz2-NPi_ez07N3JYn46M5LxYYZM8IZWNcOmhkoxSq2AtjEtQlOpfGMYb6XpEEGWlJtSlqquWwDseCVaUR4UJ1vfLsC53kS3hnilAzj9KxHiUkMcnOlRt1YixxoENJ2QrVHQguCl5bVStbVt9nqz9dqM7Ro7g36I0O-Y7t54t9LL8FXXDa-olNng5bVBDBcjpkGvXTLY9-AxjElz0aimqWnTZPT5H-h5GKPPrZqoXJFinN1SS8gfcN6G_K6ZTPVcMSFVTcXkdfgXKq8O184Ej9bl_I7gxR3BCqEfVin04-CCT7vg6y1oYkgpor1pBqN6mkU9zaK-nsWMP7vbwBv49_BlQG2BS2yDTcahN3iDUUoln3zKHFG-cANMFS3C6IcsffX_0lt65XwHl-7fdf8EtUoEDA</recordid><startdate>2021</startdate><enddate>2021</enddate><creator>Palabiyik, Onur</creator><creator>Demir, Gurkan</creator><general>Hindawi</general><general>Hindawi Publishing Group</general><general>John Wiley & Sons, Inc</general><general>Hindawi Limited</general><scope>RHU</scope><scope>RHW</scope><scope>RHX</scope><scope>BLEPL</scope><scope>DTL</scope><scope>HGBXW</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>4T-</scope><scope>4U-</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8FQ</scope><scope>8FV</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M3G</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0002-7193-5394</orcidid><orcidid>https://orcid.org/0000-0003-3876-4279</orcidid></search><sort><creationdate>2021</creationdate><title>Chronic Pain after Open Appendectomy and Its Effects on Quality of Life in Children Aged 8–18 Years</title><author>Palabiyik, Onur ; Demir, Gurkan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c612t-e14290571e97a58100f4ab9cbea958905c12b6cdeea6302c363877baaed254b43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Abdomen</topic><topic>Age</topic><topic>Appendectomy</topic><topic>Boys</topic><topic>Children & youth</topic><topic>Chronic pain</topic><topic>Clinical Neurology</topic><topic>Complications and side effects</topic><topic>Continuous positive airway pressure</topic><topic>Demographic aspects</topic><topic>Gender</topic><topic>Girls</topic><topic>Health aspects</topic><topic>Hospitals</topic><topic>Laparoscopy</topic><topic>Life Sciences & Biomedicine</topic><topic>Neurosciences & Neurology</topic><topic>Pain</topic><topic>Pain management</topic><topic>Parents & parenting</topic><topic>Pediatrics</topic><topic>Physiological aspects</topic><topic>Quality of life</topic><topic>Regression analysis</topic><topic>Science & 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 & Medical Collection</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 & Current Affairs Database</collection><collection>Canadian Business & Current Affairs Database (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>CBCA Reference & Current Events</collection><collection>Access via ProQuest (Open Access)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>Pain research & 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 & 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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