Parent responses to pediatric pain: The differential effects of ethnicity on opioid consumption

Donaldson, Candice D.; Jenkins, Brooke N.; Fortier, Michelle A.; Phan, Michael; Tomaszewski, D.; Yang, Sun; Kain, Zeev N.

doi:10.1016/j.jpsychores.2020.110251

Cited by 15 publications

(6 citation statements)

References 72 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…70,71 Further, parents of Hispanic youth have been found to be less likely to treat pain with prescribed opioids despite higher pain intensity scores in their children after surgery compared with White children. 72 Similar findings in another study were attributed, in part, to parents' negative perceptions of analgesics. 73 Parents' negative perceptions of analgesics, in turn, have been noted as contributing to diminished opioid analgesic use within these populations despite severe pain presence.…”

Section: Discussionsupporting

confidence: 64%

“…These data are juxtaposed against studies suggesting cultural preferences among Black and Hispanic adults for nonopioid and nonpharmacological pain remedies 70,71. Further, parents of Hispanic youth have been found to be less likely to treat pain with prescribed opioids despite higher pain intensity scores in their children after surgery compared with White children 72. Similar findings in another study were attributed, in part, to parents’ negative perceptions of analgesics 73.…”

Section: Discussionmentioning

confidence: 55%

See 1 more Smart Citation

Biopsychosocial Attributes of Single-region and Multi-region Body Pain During Early Adolescence

Senger-Carpenter¹,

Scott

Isaman³

et al. 2022

The Clinical Journal of Pain

View full text Add to dashboard Cite

Objectives: Multi-region pain during adolescence is associated with a higher symptom burden and lower quality of life. The purpose of this study was to describe and compare the biopsychosocial attributes of single-region and multi-region pain among healthy young adolescents. Materials and Methods: We analyzed data from 10,320 children aged 10.6 to 14 years who self-reported pain in the Adolescent Brain and Cognitive Development Study. Pain was coded as single-region or multi-region based on body map data. Results: One in 5 young adolescents indicated recent multi-region pain. Sequential regression supported improved model fit when psychological and sociocultural factors were added to a biological model of pain; however, these models improved the classification of multi-region but not single-region pain. A significant interaction effect of sex and puberty remained constant across models with increased odds of pain at each advancing pubertal stage for both sexes compared with prepuberty, but no difference between girls and boys at late puberty (adjusted odds ratio [OR]=2.45 [1.72, 3.49] and adjusted OR=1.63 [1.20, 2.23], respectively). Psychological factors improved the classification of multi-region pain with significant effects of anxiety, somatic symptoms, and somnolence. Finally, compared with White and non-Hispanic children, Black and Hispanic children were less likely to report pain (adjusted OR=0.70 [0.61, 0.80]; adjusted OR=0.88 [0.78, 0.99], respectively) but had significantly higher pain interference when pain was present (adjusted OR=1.49 [1.29, 1.73] and adjusted OR=1.20 [1.06, 1.35], respectively). Discussion: Pain is a biopsychosocial phenomenon, but psychological and sociocultural features may be more relevant for multi-region compared with single-region pain during early adolescence.

show abstract

Section: Discussionsupporting

confidence: 64%

Section: Discussionmentioning

confidence: 55%

Biopsychosocial Attributes of Single-region and Multi-region Body Pain During Early Adolescence

Senger-Carpenter¹,

Scott

Isaman³

et al. 2022

The Clinical Journal of Pain

View full text Add to dashboard Cite

show abstract

“…These findings have been seen in the previous surgical literature; however, it has not been explored previously in a neurosurgical context. 1,10,22,23 In 2020, King and Liu 24 described racial disparities in opioid receipt for the treatment of back pain in the outpatient setting with White patients being more likely to receive opioid medications than Asian and Hispanic patients. Interestingly, in contrast to our study, Black patients were more likely to receive opioids for back pain treatment when compared with White patients.…”

Section: Discussionmentioning

confidence: 99%

Racial Differences in Postoperative Opioid Prescribing Practices in Spine Surgical Patients

Letchuman

Mummaneni

et al. 2022

Neurosurgery

View full text Add to dashboard Cite

BACKGROUND:As the opioid epidemic accelerates in the United States, numerous sociodemographic factors have been implicated its development and are, furthermore, a driving factor of the disparities in postoperative pain management. Recent studies have suggested potential associations between the influence of race and ethnicity on pain perception but also the presence of unconscious biases in the treatment of pain in minority patients.OBJECTIVE:To characterize the perioperative opioid requirements across racial groups after spine surgery.METHODS:A retrospective, observational study of 1944 opioid-naive adult patients undergoing a neurosurgical spine procedure, from June 2012 to December 2019, was performed at a large, quaternary care institute. Postoperative inpatient and outpatient opioid usage was measured by oral morphine equivalents, across various racial groups.RESULTS:Case characteristics were similar between racial groups. In the postoperative period, White patients had shorter lengths of stay compared with Black and Asian patients (P < .05). Asian patients used lower postoperative inpatient opioid doses in comparison with White patients (P < .001). White patients were discharged with significantly higher doses of opioids compared with Black patients (P < .01); however, they were less likely to be readmitted within 30 days of discharge (P < .01).CONCLUSION:In a large cohort of opioid-naive postoperative neurosurgical patients, this study demonstrates higher inpatient and outpatient postoperative opioid usage among White patients. Increasing physician awareness to the effect of race on inpatient and outpatient pain management would allow for a modified opioid prescribing practice that ensures limited yet effective opioid dosages void of implicit biases.

show abstract

“…While our sample was consistent with patients who typically undergo pectus repair surgery, the lack of diversity limits study generalizability. Previous research has demonstrated that race, ethnicity, sex, and cultural beliefs may influence postoperative pain intensity (Perry et al, 2019) and parental approach to managing postoperative pain (Donaldson et al, 2020). It will be important to investigate any differential impact or need for the intervention according to patient- and family-relevant factors (e.g., socioeconomic status, ethnicity, culture, presence or absence of risk factors for poor postoperative adjustment, etc.).…”

Section: Discussionmentioning

confidence: 99%

A preoperative psychosocial intervention for youth undergoing pectus repair: Development and initial patient/caregiver experiences.

Brimeyer,

Czarnecki,

LiaBraaten

et al. 2024

Clinical Practice in Pediatric Psychology

View full text Add to dashboard Cite

Objective: Pectus repair surgery for chest wall abnormalities is associated with postoperative pain and worry. Effective psychosocial interventions that equip patients and families for surgery and promote adaptive coping with surgery-related pain and worry are needed, but lacking. In this article, we outline a novel preoperative, psychosocial intervention for youth undergoing pectus repair surgery and their caregivers and evaluate initial patient and caregiver satisfaction, perceived benefit, and acceptability of the intervention using multiple method analysis. Method: A pain psychologist developed the intervention to provide patients with adaptive coping skills for pain and surgery-related worry. Adolescent patients undergoing pectus repair (n = 26; 83% male, 100% White, Mdnage = 15) and their caregivers (n = 21) completed clinician-developed surveys to evaluate satisfaction, perceived benefit, and acceptability of the intervention. Results: Patients reported high satisfaction with learning strategies to manage pain (95%) and high overall acceptability (100%). Fewer patients (86%) than caregivers (95%) endorsed overall benefit. Caregivers reported a high degree of satisfaction with the intervention’s overall benefit (100%) and acceptability (99%), in addition to reporting observed benefit for managing pain (95%). Both caregivers (70%) and patients (47%) endorsed less perceived benefit for managing surgery-related worry. Themes from survey open-ended responses included intervention benefits, barriers to using skills learned, and suggestions for improvement. Conclusions: Providing psychosocial intervention during the preoperative period is highly satisfactory, beneficial, and acceptable to patients undergoing pectus repair and their caregivers. This newly developed, clinical intervention may guide the provision of preoperative psychosocial care in this population.

show abstract

Parent responses to pediatric pain: The differential effects of ethnicity on opioid consumption

Cited by 15 publications

References 72 publications

Biopsychosocial Attributes of Single-region and Multi-region Body Pain During Early Adolescence

Biopsychosocial Attributes of Single-region and Multi-region Body Pain During Early Adolescence

Racial Differences in Postoperative Opioid Prescribing Practices in Spine Surgical Patients

A preoperative psychosocial intervention for youth undergoing pectus repair: Development and initial patient/caregiver experiences.

Contact Info

Product

Resources

About