ArticleCanadian journal of pain = Revue canadienne de la douleur2020
Subacute Pain Trajectories following major musculoskeletal surgery in adolescents: A Pilot Study.
Article in Canadian journal of pain = Revue canadienne de la douleur, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.
- Prognostic factors of chronic postsurgical pain in children and adolescents: a systematic review and meta-analysis.Regional anesthesia and pain medicine · 2025Pooled it
- Pre-surgical quantitative sensory testing and post-surgical pain among adolescents undergoing spinal fusion surgery: A longitudinal cohort study.The journal of pain · 2026Article
- Pain, function, and acute neuropathic pain up to one month after surgery: a registry-based analysis.Pain reports · 2026Article
- Article
- Chronic Postsurgical Pain in Children and Adolescents: A Call for Action.Journal of pain research · 2024Review
- Virtual psychoeducation for improvement of pain catastrophizing in pediatric presurgical patients and caregivers: a proof-of-concept study.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2023Article
- A Brief Measure Assessing Adolescents' Daily In-Hospital Function Predicts Pain and Health Outcomes at Home After Major Surgery.Pain medicine (Malden, Mass.) · 2022Article
- Remote after-care using smartphones: A feasibility study of monitoring children's pain with automated SMS messaging.Paediatric anaesthesia · 2022Article
- Trajectories and biopsychosocial predictors of daily acute pain in adolescents receiving treatment for pain: a daily diary study.Journal of behavioral medicine · 2022Article
- Trajectories, Risk Factors, and Impact of Persistent Pain After Major Musculoskeletal Surgery in Adolescents: A Replication Study.The journal of pain · 2022Observational
- A memory-reframing intervention to reduce pain in youth undergoing major surgery: Pilot randomized controlled trial of feasibility and acceptability.Canadian journal of pain = Revue canadienne de la douleur · 2022Article
- Pediatric Pain Screening Tool: A Simple 9-Item Questionnaire Predicts Functional and Chronic Postsurgical Pain Outcomes After Major Musculoskeletal Surgeries.The journal of pain · 2022Observational
- Article
- AAAPT: Assessment of the Acute Pain Trajectory.Pain medicine (Malden, Mass.) · 2021Article
- A Conceptual Model of Biopsychosocial Mechanisms of Transition from Acute to Chronic Postsurgical Pain in Children and Adolescents.Journal of pain research · 2020Review
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundAdolescents who undergo major surgery experience high rates of disabling acute and chronic postsurgical pain (CPSP). However, little is known about the subacute period when acute to chronic pain transition occurs.
aimsExamine feasibility of electronic daily monitoring of pain and opioid use in adolescents during the first 30-days at home following major surgery, and identify target features of subacute pain curves associated with CPSP at 4 months.
methods25 youth (10-18 years) undergoing major musculoskeletal surgery reported daily pain severity, interference, and opioid use on the Brief Pain Inventory, each evening for 30 days after hospital discharge, to form short time series trajectories. At 4 months, youth reported on pain intensity and health-related quality of life. Characteristics of subacute pain severity and interference curves were compared by 4-month CPSP status.
resultsAt 4 months, 20.8% of youth met criteria for CPSP. During the 30-day monitoring period, youth who went on to develop CPSP reported high pain severity on 45.9% of days as compared to 2.9% of days in youth who recovered (P=0.005), and high pain interference on 49.4% of days vs. 9.7% in youth who recovered (P=0.01). Pain variability and rate of change were not significantly associated with CPSP in our pilot sample.
conclusionsWe found it feasible to collect daily pain data in youth recovering at home after major surgery. Pilot findings suggest that daily electronic monitoring may identify early recovery problems at home after surgery. Larger studies are needed to validate subacute pain trajectory features to identify risk for CPSP.
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