{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T02:36:21Z","timestamp":1790735781675,"version":"4.1.0"},"reference-count":41,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2015,9,25]],"date-time":"2015-09-25T00:00:00Z","timestamp":1443139200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"The Association of Paediatric Anaesthetists of Great Britain and Ireland (APAGBI)"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pediatric Anesthesia"],"published-print":{"date-parts":[[2015,12]]},"abstract":"<jats:title>Summary<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The potential for pain at home in children following day case surgery has long been recognized. Pain has also been associated with behavioral disturbances and sleep disruption in children following surgery and may also impact negatively on recovery, parental and patient satisfaction, family life, healthcare use, and have an economic cost.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>To investigate the prevalence of pain at home, and its consequences, in children following two types of short stay surgery across eight pediatric centers in the <jats:styled-content style=\"fixed-case\">UK<\/jats:styled-content> in an observational cohort study. Reporting of the study was done in adherence with <jats:styled-content style=\"fixed-case\">STROBE<\/jats:styled-content> guidelines.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Two hundred and forty\u2010one children undergoing either Tonsillectomy with or without Adenoidectomy (T's \u00b1 A's) or Orchidopexy surgery (either by Open or Laparoscopic) were recruited. Data collection was via three structured telephone interviews [Day (D) 2, 7 and 14] conducted from a clinical research facility. The normal clinical practices of the centers involved in the study were not altered in any way. Outcomes studied were (i) Pain incidence and severity; (ii) Associated consequences\u2014incidence of psychological disturbances, unplanned use of healthcare services, and social\/economic cost to families; and (iii) Comparative pain and associated outcomes for two types of surgery (T's \u00b1 A's vs Orchidopexy).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The incidence of pain following both operative models was high though it differed between the two groups. In the T's \u00b1 A's group, the incidence of pain was high throughout the study period (D2 90.1%, D3\u20107 88.1%, D8\u201014 61.8%). The Orchidopexy group demonstrated a similar pattern, though with decreased rates (D2 70.4%, D3\u20107 34.7%, D8\u201014 17.1%). Both groups showed similar patterns for the rates of behavioral disturbances (T's &amp; A's: D2 76%, D3\u20107 73%, D8\u201014 30% and Orchidopexy: D2 37%, D3\u20107 20%, D8\u201014 10%). Seventy percent of the families reported unplanned healthcare use with pain the primary reason in 79% of these.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The prevalence of pain at home, and its potential associated consequences, is high following short stay surgery in children in the <jats:styled-content style=\"fixed-case\">UK<\/jats:styled-content>. In both groups, high incidences were seen for longer periods than is commonly perceived. These findings were consistent between the centers involved suggesting that this is a significant national healthcare issue with potential short\u2010 and long\u2010term consequences for the child, their family, and health services.<\/jats:p><\/jats:sec>","DOI":"10.1111\/pan.12749","type":"journal-article","created":{"date-parts":[[2015,9,25]],"date-time":"2015-09-25T13:56:06Z","timestamp":1443189366000},"page":"1254-1263","source":"Crossref","is-referenced-by-count":32,"title":["The prevalence of pain at home and its consequences in children following two types of short stay surgery: a multicenter observational cohort study"],"prefix":"10.1111","volume":"25","author":[{"given":"Glyn","family":"Williams","sequence":"first","affiliation":[{"name":"Department of Anaesthesia Great Ormond Street Hospital for Children NHS Foundation Trust London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Graham","family":"Bell","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia Royal Hospital for Sick Children Glasgow UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Justin","family":"Buys","sequence":"additional","affiliation":[{"name":"Surgical Directorate Great Ormond Street Hospital for Children NHS Foundation Trust London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tony","family":"Moriarty","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia Birmingham Children's Hospital Birmingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anil","family":"Patel","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia Royal National Throat Nose &amp; Ear Hospital University College Hospital London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robin","family":"Sunderland","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia St Georges Healthcare NHS Trust London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liz","family":"Shepherd","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia Sheffield Children's Hospital Sheffield UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Brooks","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia Chelsea and Westminster Healthcare NHS Foundation Trust London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara","family":"Polhill","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia University College Hospital London London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,9,25]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0889-8537(02)00073-1"},{"key":"e_1_2_9_3_1","doi-asserted-by":"crossref","first-page":"1011","DOI":"10.1213\/ANE.0b013e3181ee8479","article-title":"Epidemiology of ambulatory anesthesia for children in the United States: 2006 and 1996","volume":"111","author":"Rabbitts JA","year":"2010","journal-title":"Anest Analg"},{"key":"e_1_2_9_4_1","unstructured":"Department of Health.The NHS Plan. 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