{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T10:47:04Z","timestamp":1780656424838,"version":"3.54.1"},"reference-count":34,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2017,10,13]],"date-time":"2017-10-13T00:00:00Z","timestamp":1507852800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100010289","name":"Princess Margaret Hospital Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100010289","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pediatric Anesthesia"],"published-print":{"date-parts":[[2017,11]]},"abstract":"<jats:title>Summary<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Postoperative pain is frequently undertreated in children both in hospital and at home following discharge. Pain has both short\u2010 and long\u2010term consequences for children, their families, and the healthcare system. A greater understanding of procedure\u2010specific postoperative pain trajectories is required to improve pain management.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>To determine the duration and severity of acute postoperative pain experienced by children undergoing 8 different general and urological procedures (primary outcomes). Behavioral disturbance rates, nausea and vomiting scores, and parental satisfaction were also examined during the follow\u2010up period (secondary outcomes).<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Families of children (0\u201018\u00a0years) undergoing common general and urological procedures were invited to enroll in the study. Children's pain scores, measured using a parental proxy 0\u201010 numerical rating scale, were collected by telephone interview until pain was resolved. Analgesia prescribed and given, behavioral disturbance, nausea and vomiting scores, the method of medication education communication, and parental satisfaction were also measured.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 360 patients recruited, 326 complete datasets were available. Patients underwent laparoscopic appendicectomy (57), open appendicectomy (19), circumcision (50), cystoscopy (52), hypospadias repair (22), inguinal hernia repair (51), orchidopexy (51), or umbilical hernia repair (24). Postoperative pain peaked on the day of or the day after surgery in all groups, and decreased over time. Pain lasted a median duration of 5 postoperative days following open appendicectomy, and 0\u20102 postoperative days for other procedures. Behavioral disturbance rates closely followed pain scores. Analgesia administration at home varied widely between and within groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Pain management was inadequate in most of the groups studied, particularly after appendicectomy or umbilical hernia repair, with most children experiencing at least moderate pain on the day of and day after surgery. There was a need for a standardized management, with increased dual analgesia prescribing, to ensure that children receive adequate postoperative analgesia in hospital and at home.<\/jats:p><\/jats:sec>","DOI":"10.1111\/pan.13256","type":"journal-article","created":{"date-parts":[[2017,10,14]],"date-time":"2017-10-14T04:30:26Z","timestamp":1507955426000},"page":"1155-1164","source":"Crossref","is-referenced-by-count":33,"title":["A prospective audit of pain profiles following general and urological surgery in children"],"prefix":"10.1111","volume":"27","author":[{"given":"Caroline A.","family":"Wilson","sequence":"first","affiliation":[{"name":"Department of Paediatric Anaesthesia Bristol Royal Hospital for Children Bristol UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Sommerfield","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia and Pain Management Princess Margaret Hospital for Children Perth WA Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7649-3951","authenticated-orcid":false,"given":"Thomas F. E.","family":"Drake\u2010Brockman","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia and Pain Management Princess Margaret Hospital for Children Perth WA Australia"},{"name":"School of Medicine and Pharmacology The University of Western Australia Perth WA Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudia","family":"Lagrange","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia and Pain Management Princess Margaret Hospital for Children Perth WA Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anoop","family":"Ramgolam","sequence":"additional","affiliation":[{"name":"Telethon Kids Institute Perth WA Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8043-8541","authenticated-orcid":false,"given":"Britta S.","family":"von Ungern\u2010Sternberg","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia and Pain Management Princess Margaret Hospital for Children Perth WA Australia"},{"name":"School of Medicine and Pharmacology The University of Western Australia Perth WA Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,10,13]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/0304-3959(83)90062-3"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1744-6155.2012.00326.x"},{"key":"e_1_2_9_4_1","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1542\/peds.77.1.11","article-title":"Status of pediatric pain control: a comparison of hospital analgesic usage in children and adults","volume":"77","author":"Schechter NL","year":"1986","journal-title":"Pediatrics"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1155\/2008\/146749"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/82.3.319"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2044.1997.202-az0337.x"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1460-9592.1994.tb00121.x"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/MOP.0b013e328355b2c5"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/pan.12170"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1460-9592.2011.03713.x"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.2147\/JPR.S40846"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aes250"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2011.03.074"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2008-3529"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/pan.12974"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/83.1.104"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0304-3959(03)00256-2"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1460-9592.2011.03711.x"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/pan.12271"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/82.5.715"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1460-9592.2012.03838.x"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12630-009-9239-y"},{"key":"e_1_2_9_24_1","doi-asserted-by":"crossref","first-page":"998","DOI":"10.1213\/ANE.0b013e3181ee7bba","article-title":"Ipsilateral transversus abdominis plane block provides effective analgesia after appendectomy in children: a randomized controlled trial","volume":"111","author":"Carney J","year":"2010","journal-title":"Anest Analg"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2044.1997.203-az0338.x"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1460-9592.2000.0531a.x"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.1111\/pan.12749"},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.1111\/pan.12811"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.1111\/pan.12438"},{"key":"e_1_2_9_30_1","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aer263"},{"key":"e_1_2_9_31_1","doi-asserted-by":"crossref","unstructured":"BlountRL LoiselleKA.Behavioural assessment of pediatric pain. Pain Research and Management.2009. p.47\u201052.","DOI":"10.1155\/2009\/348184"},{"key":"e_1_2_9_32_1","doi-asserted-by":"publisher","DOI":"10.1111\/pan.12484"},{"key":"e_1_2_9_33_1","doi-asserted-by":"publisher","DOI":"10.1213\/ANE.0b013e318203f495"},{"key":"e_1_2_9_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pain.2006.08.014"},{"key":"e_1_2_9_35_1","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild-2011-301378"}],"container-title":["Pediatric Anesthesia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fpan.13256","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/pan.13256","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,24]],"date-time":"2023-09-24T14:17:38Z","timestamp":1695565058000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/pan.13256"}},"subtitle":[],"editor":[{"given":"Jerrold","family":"Lerman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2017,10,13]]},"references-count":34,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2017,11]]}},"alternative-id":["10.1111\/pan.13256"],"URL":"https:\/\/doi.org\/10.1111\/pan.13256","archive":["Portico"],"relation":{},"ISSN":["1155-5645","1460-9592"],"issn-type":[{"value":"1155-5645","type":"print"},{"value":"1460-9592","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,10,13]]}}}