PedSQL™ Family Impact Module as an Instrument foe Quality of Life Assessment (PedsQL™) in Children with Chronic Postsurgical Pain

Yaroslav Semkovych; Dmytro Dmytriiev; Oleksandr Dobrovanov

doi:10.3889/oamjms.2023.11434

Authors

Yaroslav Semkovych Department of Anesthesiology and Intensive Care, Ivano-Frankivsk Regional Children’s Clinical Hospital of Ivano-Frankivsk Regional Council, Ivano-Frankivsk, Ukraine https://orcid.org/0000-0002-9025-9141
Dmytro Dmytriiev Department of Anesthesiology and Intensive Care, Vinnytsia National Pirogov Memorial Medical University, Vinnytsia, Ukraine https://orcid.org/0000-0001-6067-681X
Oleksandr Dobrovanov A. Getlik Clinic for Children and Adolescents, Slovak Medical University and University Hospital of Medicine, Bratislava, Slovakia; Department of Pediatrics, Slovak Medical University, Bratislava, Slovakia https://orcid.org/0000-0002-9025-9141

DOI:

https://doi.org/10.3889/oamjms.2023.11434

Keywords:

Chronic pain, Quality of life, Children, Regional analgesia

Abstract

BACKGROUND: The concept of quality of life (QoL) is today an integral part of the health-care system and clinical, medical, and social research. Untreated chronic pain in children increases the risk of developing mental disorders later in life. The pediatric QoL inventory 3.0 (PedsQL™) is one of the most valid and widely used tools for assessing pediatric QoL.

AIM: The study was to assess QoL in children with chronic postsurgical pain 7 days, 3 months, and 6 months after surgery with different analgesic techniques by means of the PedsQL™ 3.0 Family Impact Module questionnaires.

METHODS: Following the inclusion and exclusion criteria, a total of 80 children undergoing treatment at the surgical department of a Communal Non-Profit Enterprise “Ivano-Frankivsk Regional Children’s Clinical Hospital of Ivano-Frankivsk Regional Council” were enrolled in the study. Among them, 60 children underwent anterior abdominal wall surgery with various types of anesthetic techniques. The patients were asked to fill in the questionnaires repeatedly 3 and 6 months after hospital discharge.

RESULTS: QoL in patients with chronic pain syndrome reduced significantly (p < 0.001) on the scales of physical functioning, emotional functioning, social functioning, cognitive functioning, communication, worry, daily activities, family relationships, as well as pediatric QoL summary score, parent QoL summary score, and family functioning summary score 3 and 6 months after surgery with conventional analgesic techniques.

CONCLUSIONS: Chronic pain syndrome reduces QoL in children aged 7–18 years after anterior abdominal wall surgery by reducing their physical, emotional, social, and cognitive functioning. The myofascial block in conjunction with general anesthesia accelerates patient’s recovery, relieves pain, and reduces emotional stress.

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References

Varni JW, Seid M, Kurtin PS. Pediatric health-related quality of life measurement technology: A guide for health care decision makers. JCOM. 1999;6:33-44.

Matza LS, Swensen AR, Flood EM, Secnik K, Leidy NK. Assessment of health-related quality of life in children: A review of conceptual, methodological, and regulatory issues. Value Health. 2004;7(1):79-92. https://doi.org/10.1111/j.1524-4733.2004.71273.x PMid:14720133 DOI: https://doi.org/10.1111/j.1524-4733.2004.71273.x

Varni JW, Wallander JL. Pediatric chronic disabilities. In: Routh DK, editor. Handbook of Pediatric Psychology. New York: The Guilford Press; 1988. p. 190-221.

Varni JW, Katz ER, Colegrove R Jr., Dolgin M. Family functioning predictors of adjustment of children with newly diagnosed cancer: A prospective analysis. J Child Psychol Psychiatry. 1996;37(3):321-8. https://doi.org/10.1111/j.1469-7610.1996.tb01409.x PMid:8707915 DOI: https://doi.org/10.1111/j.1469-7610.1996.tb01409.x

Thompson RJ, Gustafson KE. Adaptation to Chronic Childhood Illness. United States: American Psychological Association; 1996. https://doi.org/10.1037/10188-000 DOI: https://doi.org/10.1037/10188-000

Groenewald CB, Rabbitts JA, Schroeder DR, Harrison TE. Prevalence of moderate-severe pain in hospitalized children. Paediatr Anaesth. 2012;22(7):661-8. https://doi.org/10.1111/j.1460-9592.2012.03807.x PMid:22332912 DOI: https://doi.org/10.1111/j.1460-9592.2012.03807.x

Rabbitts JA, Fisher E, Rosenbloom BN, Palermo TM. Prevalence and predictors of chronic postsurgical pain in children: A systematic review and meta-analysis. J Pain. 2017;18(6):605-14. https://doi.org/10.1016/j.jpain.2017.03.007 PMid:28363861 DOI: https://doi.org/10.1016/j.jpain.2017.03.007

Eccleston C, Fisher E, Howard RF, Slater R, Forgeron P, Palermo TM, et al. Delivering transformative action in paediatric pain: A Lancet Child & Adolescent Health Commission. Lancet Child Adolesc Health. 2021;5(1):47-87. https://doi.org/10.1016/S2352-4642(20)30277-7 PMid:33064998 DOI: https://doi.org/10.1016/S2352-4642(20)30277-7

Batoz H, Semjen F, Bordes-Demolis M, Bénard A, Nouette- Gaulain K. Chronic postsurgical pain in children: Prevalence and risk factors. A prospective observational study. Br J Anaesth. 2016;117(4):489-96. https://doi.org/10.1093/bja/aew260 PMid:28077537 DOI: https://doi.org/10.1093/bja/aew260

Varni JW, Seid M, Rode CA. The PedsQL™: Measurement model for the pediatric quality of life inventory. Med Care. 1999;37(2):126-39. https://doi.org/10.1097/00005650-199902000-00003 PMid:10024117 DOI: https://doi.org/10.1097/00005650-199902000-00003

Varni JW, Seid M, Kurtin PS. PedsQL 4.0: Reliability and validity of the pediatric quality of life inventory version 4.0 generic core scales in healthy and patient populations. Med Care. 2001;39(8):800-12. https://doi.org/10.1097/00005650-200108000-00006 PMid:11468499 DOI: https://doi.org/10.1097/00005650-200108000-00006

Varni JW, Seid M, Knight TS, Uzark K, Szer IS. The PedsQL 4.0 generic core scales: Sensitivity, responsiveness, and impact on clinical decision-making. J Behav Med. 2002;25(2):175-93. https://doi.org/10.1023/a:1014836921812 PMid:11977437 DOI: https://doi.org/10.1023/A:1014836921812

Varni JW, Burwinkle TM, Seid M, Skarr D. The PedsQL 4.0 as a pediatric population health measure: Feasibility, reliability, and validity. Ambul Pediatr. 2003;3(6):329-41. https://doi.org/10.1367/1539-4409(2003)003<0329:tpaapp>2.0.co;2 PMid:14616041 DOI: https://doi.org/10.1367/1539-4409(2003)003<0329:TPAAPP>2.0.CO;2

Varni JW, Seid M, Knight TS, Burwinkle TM, Brown J, Szer IS. The PedsQL in pediatric rheumatology: Reliability, validity, and responsiveness of the pediatric quality of life inventory generic core scales and rheumatology module. Arthritis Rheum. 2002;46(3):714-25. https://doi.org/10.1002/art.10095 PMid:11920407 DOI: https://doi.org/10.1002/art.10095

Varni JW, Burwinkle TM, Katz ER, Meeske K, Dickinson P. The PedsQL in pediatric cancer: Reliability and validity of the pediatric quality of life inventory generic core scales, multidimensional fatigue scale, and cancer module. Cancer. 2002;94(7):2090-106. https://doi.org/10.1002/cncr.10428 PMid:11932914 DOI: https://doi.org/10.1002/cncr.10428

Varni JW, Burwinkle TM, Jacobs JR, Gottschalk M, Kaufman F, Jones KL. The PedsQL in Type 1 and Type 2 diabetes: Reliability and validity of the pediatric quality of life inventory generic core scales and Type 1 diabetes module. Diabetes Care. 2003;26(3):631-7. https://doi.org/10.2337/diacare.26.3.631 PMid:12610013 DOI: https://doi.org/10.2337/diacare.26.3.631

Varni JW, Burwinkle TM, Rapoff MA, Kamps JL, Olson N. The PedsQL in pediatric asthma: Reliability and validity of the pediatric quality of life inventory generic core scales and asthma module. J Behav Med. 2004;27(3):297-318. https://doi.org/10.1023/b:jobm.0000028500.53608.2c PMid:15259457 DOI: https://doi.org/10.1023/B:JOBM.0000028500.53608.2c

Uzark K, Jones K, Burwinkle TM, Varni JW. The pediatric quality of life inventory™ in children with heart disease. Prog Pediatr Cardiol. 2003;18(2):141-8. https://doi.org/10.1016/S1058-9813(03)00087-0 DOI: https://doi.org/10.1016/S1058-9813(03)00087-0

Varni JW, Burwinkle TM, Szer IS. The PedsQL multidimensional fatigue scale in pediatric rheumatology: Reliability and validity. J Rheumatol. 2004;31(12):2494-500. PMid:15570657

Varni JW, Quiggins DJL, Ayala GX. Development of the pediatric hematology/oncology parent satisfaction survey. Child Health Care. 2000;29(4):243-55. https://doi.org/10.1207/s15326888chc2904_2 DOI: https://doi.org/10.1207/S15326888CHC2904_2

Varni JW, Burwinkle TM, Dickinson P, Sherman SA, Dixon P, Ervice JA, et al. Evaluation of the built environment at a children’s convalescent hospital: Development of the Pediatric Quality of Life Inventory parent and staff satisfaction measures for pediatric health care facilities. J Dev Behav Pediatr. 2004;25(1):10-20. https://doi.org/10.1097/00004703-200402000-00002 DOI: https://doi.org/10.1097/00004703-200402000-00002

Sherman SA, Eisen S, Burwinkle TM, Varni JW. The PedsQLTM present functioning visual analogue scales: Preliminary reliability and validity. Health Qual Life Outcomes. 2006;4:75. https://doi.org/10.1186/1477-7525-4-75 PMid:17020606 DOI: https://doi.org/10.1186/1477-7525-4-75

Varni JW, Katz ER, Colegrove R, Dolgin M. Adjustment of children with newly diagnosed cancer: Cross-informant variance. J Psychosoc Oncol. 1995;13(4):23-38. https://doi.org/10.1300/J077V13N04_02 DOI: https://doi.org/10.1300/J077V13N04_02

Gold M, Siegel J, Russell L, Weinstein M. Cost-Effectiveness in Health and Medicine. United Kingdom: Oxford University Press; 1996.

Woolf CJ. Central sensitization: Implications for the diagnosis and treatment of pain. Pain. 2011;152(3 Suppl):S2-15. https://doi.org/10.1016/j.pain.2010.09.030 PMid:20961685 DOI: https://doi.org/10.1016/j.pain.2010.09.030

Hassett AL, Hilliard PE, Goesling J, Clauw DJ, Harte SE, Brummett CM. Reports of chronic pain in childhood and adolescence among patients at a tertiary care pain clinic. J Pain. 2013;14(11):1390-7. https://doi.org/10.1016/j.jpain.2013.06.010 PMid:24021576 DOI: https://doi.org/10.1016/j.jpain.2013.06.010

Johannes CB, Le TK, Zhou X, Johnston JA, Dworkin RH. The prevalence of chronic pain in United States adults: Results of an Internet-based survey. J Pain. 2010;11(11):1230-9. https://doi.org/10.1016/j.jpain.2010.07.002 PMid:20797916 DOI: https://doi.org/10.1016/j.jpain.2010.07.002

Woolf CJ. Capturing Novel Non-opioid Pain Targets. Biol Psychiatry. 2020;87(1):74-81. https://doi.org/10.1016/j.biopsych.2019.06.017 PMid:31399256 DOI: https://doi.org/10.1016/j.biopsych.2019.06.017

Dmytriiev D, Dmytriiev K, Stoliarchuk O, Semenenko A. Multiple organ dysfunction syndrome: What do we know about pain management? A narrative review. Anaesth Intensive Care. 2019;23(1):84-91.

Dmytriiev D. Assessment and treatment of postoperative pain in children. Anaesth Intensive Care. 2018;22(3):392-400.

Semenkovych Y, Dmytriiev D, Dobrovanov O, Vidiščák M, Šupinová M. Acute and chronic pain in children. A modern view of the issue. Lek Obzor. 2022;71(9):338-42.

Panepinto, JA, Hoffmann RG, Pajewski NM. A psychometric evaluation of the PedsQL™ Family impact module in parents of children with sickle cell disease. Health Qual Life Outcomes. 2009;7:32. https://doi.org/10.1186/1477-7525-7-32 PMid:19371442 DOI: https://doi.org/10.1186/1477-7525-7-32

Trapanotto M, Giorgino D, Zulian F, Benini F, Varni JW. The Italian version of the PedsQLTM in children with rheumatic diseases. Clin Exp Rheumatol. 2009;27:373-80. PMid:19473585

Park KS, Hwang, YJ, Cho MH, Ko CW, Ha IS, Kang HG, et al. Quality of life in children with end-stage renal disease based on a PedsQL ESRD module. Pediatr Nephrol. 2012;27(12):2293-300. https://doi.org/10.1007/s00467-012-2262-1 PMid:22832667 DOI: https://doi.org/10.1007/s00467-012-2262-1