Perioperative factors associated with persistent opioid use after extensive abdominal surgery in children and adolescents: A retrospective cohort study

• DOI: 10.1111/pan.13386
• Publication Date: 2018-05-12T12:25:16Z
• Authors: Pascal Owusu‐Agye...; Juan P. Cata; Antoinette Van Meter; Ravish Kapoor; Acsa M. Zavala; Uduak U. Williams; January Tsai; Elizabeth Rebello; Lei Feng; Andrea Hayes‐Jordan
• Keywords: Male; Pain, Postoperative; Adolescent; Cytoreduction Surgical Procedures; Hyperthermia, Induced; Drug Administration Schedule; Time; 3. Good health; Analgesics, Opioid; Cohort Studies; 03 medical and health sciences; 0302 clinical medicine; Abdominal Neoplasms; Abdomen; Prevalence; Humans; Female; Chronic Pain; Child; Perioperative Period; Retrospective Studies

Summary Background In adults, preoperative opioid use and higher perioperative consumption have been associated with odds of persistent after surgery. There are limited data on the prevalence factors major oncologic surgery in children. Aims this study, we sought to determine development a group children adolescents who had undergone cytoreductive hyperthermic intraperitoneal chemotherapy. Methods A retrospective study patients ≤19 years age was performed. Univariable logistic regression used assess postdischarge up 6 months. Results Eighty‐six were identified. The median 12 years, 43% female. proportion over immediate 3, 6, 24 months 54/77 (70%), 18/51 (35%), 13/45 (29%), 3/24 (13%), respectively. daily average in‐patient pain scores subsequently developed (estimated difference 0.5, 95% confidence interval [ CI ]: 0.3, 0.8, P < .01). Furthermore, postoperative greater subsequent (odds ratio 1.03, : 1.00, 1.07, = .05). Conclusion surgery,