Profile Of Children With Developmental Disabilities Attending A Complex Pain Clinic Of A Children's Hospital In Australia

Title

Profile Of Children With Developmental Disabilities Attending A Complex Pain Clinic Of A Children's Hospital In Australia

Creator

Garg P; Haynes N; De Lima J; Collins J J

Identifier

10.1111/jpc.13633

Publisher

Journal Of Paediatrics And Child Health

Date

2017

Subject

Children; Chronic Pain; Developmental Disability; Disability

Description

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.

Rights

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).

Citation List Month

October 2017 List

Notes

1440-1754
Garg, Pankaj
Haynes, Natasha
De Lima, Jonathan
Collins, John J
Journal Article
Australia
J Paediatr Child Health. 2017 Aug 8. doi: 10.1111/jpc.13633.

Citation

Garg P; Haynes N; De Lima J; Collins J J, “Profile Of Children With Developmental Disabilities Attending A Complex Pain Clinic Of A Children's Hospital In Australia,” Pediatric Palliative Care Library, accessed December 3, 2021, https://pedpalascnetlibrary.omeka.net/items/show/10823.

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