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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Main Authors: Onur Palabiyik, Gurkan Demir
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Pain Research and Management
Online Access:http://dx.doi.org/10.1155/2021/6643714
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author Onur Palabiyik
Gurkan Demir
author_facet Onur Palabiyik
Gurkan Demir
author_sort Onur Palabiyik
collection DOAJ
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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spelling doaj-art-bf6e2e7a4a9d46bc8aba423f27887ffb2025-02-03T00:58:50ZengWileyPain Research and Management1203-67651918-15232021-01-01202110.1155/2021/66437146643714Chronic Pain after Open Appendectomy and Its Effects on Quality of Life in Children Aged 8–18 YearsOnur Palabiyik0Gurkan Demir1Sakarya University, Faculty of Medicine, Department of Anesthesiology and Reanimation, Sakarya, TurkeySakarya University, Faculty of Medicine, Department of Anesthesiology and Reanimation, Sakarya, TurkeyBackground. 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.http://dx.doi.org/10.1155/2021/6643714
spellingShingle Onur Palabiyik
Gurkan Demir
Chronic Pain after Open Appendectomy and Its Effects on Quality of Life in Children Aged 8–18 Years
Pain Research and Management
title Chronic Pain after Open Appendectomy and Its Effects on Quality of Life in Children Aged 8–18 Years
title_full Chronic Pain after Open Appendectomy and Its Effects on Quality of Life in Children Aged 8–18 Years
title_fullStr Chronic Pain after Open Appendectomy and Its Effects on Quality of Life in Children Aged 8–18 Years
title_full_unstemmed Chronic Pain after Open Appendectomy and Its Effects on Quality of Life in Children Aged 8–18 Years
title_short Chronic Pain after Open Appendectomy and Its Effects on Quality of Life in Children Aged 8–18 Years
title_sort chronic pain after open appendectomy and its effects on quality of life in children aged 8 18 years
url http://dx.doi.org/10.1155/2021/6643714
work_keys_str_mv AT onurpalabiyik chronicpainafteropenappendectomyanditseffectsonqualityoflifeinchildrenaged818years
AT gurkandemir chronicpainafteropenappendectomyanditseffectsonqualityoflifeinchildrenaged818years