Risk Categorization Predicts Disability in Pain-associated Functional Gastrointestinal Disorders After 6 Months.
J Pediatr Gastroenterol Nutr
; 64(5): 685-690, 2017 05.
Article
em En
| MEDLINE
| ID: mdl-27437930
ABSTRACT
INTRODUCTION:
For a large portion of youth, pain-associated functional gastrointestinal disorders (FGIDs) are associated with significant impairment over time. Clinically feasible methods to categorize youth with FGIDs at greatest risk for persistent pain-related impairment have not yet been identified.METHODS:
Measures of functional disability, pain intensity, and anxiety were collected on 99 patients with FGIDs (ages 8-18) during a visit to a pediatric gastroenterology office to assess for the presence of risk. Follow-up data were obtained on a subset of this sample (nâ=â64) after 6 months, either in person or via mail. The present study examined whether a greater number of risk factors at baseline predicted greater pain-related disability at follow-up.RESULTS:
Patients were divided into 4 groups based on number of risk factors present at the initial assessment 0 (18.2%), 1 (24.2%), 2 (26.3%), and 3 (31.3%). The presence of 2 or 3 risk factors significantly predicted greater disability at follow-up compared to those with 0 risk factors (Râ=â0.311) and those with just 1 risk factor (Cohen's d values of -1.07 and -1.44, respectively).DISCUSSION:
A simple approach to risk categorization can identify youth with FGIDs who are most likely to report increased levels of pain-related impairment over time. These findings have important clinical implications that support the utility of a brief screening process during medical care to inform referral for targeted treatment approaches to FGIDs.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Índice de Gravidade de Doença
/
Medição da Dor
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Dor Abdominal
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Avaliação da Deficiência
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Gastroenteropatias
Tipo de estudo:
Diagnostic_studies
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Etiology_studies
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Observational_studies
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Prognostic_studies
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Risk_factors_studies
Limite:
Adolescent
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Child
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Female
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Humans
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Male
Idioma:
En
Ano de publicação:
2017
Tipo de documento:
Article