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Text
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Citation List Month
October 2017 List
Notes
<p>1440-1754<br />Garg, Pankaj<br />Haynes, Natasha<br />De Lima, Jonathan<br />Collins, John J<br />Journal Article<br />Australia<br />J Paediatr Child Health. 2017 Aug 8. doi: 10.1111/jpc.13633.</p>
Dublin Core
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Title
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Profile Of Children With Developmental Disabilities Attending A Complex Pain Clinic Of A Children's Hospital In Australia
Publisher
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Journal Of Paediatrics And Child Health
Date
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2017
Subject
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Children; Chronic Pain; Developmental Disability; Disability
Creator
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Garg P; Haynes N; De Lima J; Collins J J
Description
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AIM: To document the profile and management of children with developmental disabilities (DD) attending an outpatient complex pain clinic at a Children's Hospital in Sydney, Australia. METHODS: Children with DD from 2011 to 2014 were identified from a clinic database, and pain relevant data was collected. RESULTS: A total of 107 (19.6%) of 544 children were identified with DD, and accounted for one-third of clinic attendances. The median age was 14 years (interquartile range: 11-16) and females were slightly over-represented (62, 57.9%). About one-third of children had cerebral palsy (CP) from a variety of prenatal, natal and post-neonatal causes. The lower limb was the most common site for pain in children with CP, while back pain was more frequent in children with other disabilities. Comorbid emotional disorders were significantly associated with the non-CP disabilities. Children who required more than four clinic attendances were more likely to have comorbid anxiety/depression and to be reviewed by multiple specialists. CONCLUSIONS: Long-term persistent pain in children with DD forms a significant cohort of children requiring tertiary level paediatric pain services. Multisystem comorbidities and emotional disorders predict greater service utilisation. Further research into the effectiveness of multidisciplinary pain teams and interventions in this cohort of children is required.
Identifier
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10.1111/jpc.13633
Rights
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Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
2017
Children
Chronic Pain
Collins J J
De Lima J
Developmental Disability
Disability
Garg P
Haynes N
Journal of Paediatrics and Child Health
October 2017 List