Evidence map›Paper›PMID 26495079›Full record

ArticleThe Korean journal of pain2015

Predictive Factors of Postoperative Pain and Postoperative Anxiety in Children Undergoing Elective Circumcision: A Prospective Cohort Study.

Nick Zavras, Stella Tsamoudaki, Vasileia Ntomi, Ioannis Yiannopoulos, Efstratios Christianakis, Emmanuel Pikoulis

Abstract read
In one paragraph

Article in The Korean journal of pain, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
  4. Article
  5. Article
  6. [Clinical effectiveness of disposable circumcision suture in children: a prospective randomized controlled trial].Nan fang yi ke da xue xue bao = Journal of Southern Medical University · 2018
    Article
  7. Behavioral Changes in Children After Emergency Department Procedural Sedation.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2018
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Nick Zavras3 Department of Surgery, General University Hospital "ATTIKON", Athens, Greece.
Stella TsamoudakiPenteli General Children's Hospital, Palaia Penteli, Athens, Greece.
Vasileia Ntomi3 Department of Surgery, General University Hospital "ATTIKON", Athens, Greece.
Ioannis YiannopoulosGeneral Hospital of Lamia, Lamia, Greece.
Efstratios ChristianakisPenteli General Children's Hospital, Palaia Penteli, Athens, Greece.
Emmanuel Pikoulis1 Department of General Surgery, General University Hospital "LAIKO", Athens, Greece.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough circumcision for phimosis in children is a minor surgical procedure, it is followed by pain and carries the risk of increased postoperative anxiety. This study examined predictive factors of postoperative pain and anxiety in children undergoing circumcision.

methodsWe conducted a prospective cohort study of children scheduled for elective circumcision. Circumcision was performed applying one of the following surgical techniques: sutureless prepuceplasty (SP), preputial plasty technique (PP), and conventional circumcision (CC). Demographics and base-line clinical characteristics were collected, and assessment of the level of preoperative anxiety was performed. Subsequently, a statistical model was designed in order to examine predictive factors of postoperative pain and postoperative anxiety. Assessment of postoperative pain was performed using the Faces Pain Scale (FPS). The Post Hospitalization Behavior Questionnaire study was used to assess negative behavioral manifestations.

resultsA total of 301 children with a mean age of 7.56 ± 2.61 years were included in the study. Predictive factors of postoperative pain measured with the FPS included a) the type of surgical technique, b) the absence of siblings, and c) the presence of postoperative complications. Predictive factors of postoperative anxiety included a) the type of surgical technique, b) the level of education of mothers, c) the presence of preoperative anxiety, and d) a history of previous surgery.

conclusionsAlthough our study was not without its limitations, it expands current knowledge by adding new predictive factors of postoperative pain and postoperative anxiety. Clearly, further randomized controlled studies are needed to confirm its results.

Indexed as

Anxiety, ChildCircumcisionPain measurementPhimosisPostoperative painPredictive value of testsQuestionnaires

Identifiers

PMID26495079
PMCPMC4610938

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.