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Author Spotlight: Quantifying Pain Experience – An Illustrative Approach Using the Pain Body Diagram
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Reliability and refinement of a pain location tool for children's abdominal surgery

James K Hamill1, Jonathan Mair2, Hannah B Steedman3

  • 1Department of Paediatric Surgery, Starship Children's Hospital, Park Road, Auckland, New Zealand.

Pain Management
|September 13, 2016
PubMed

Insights

This study found that children reliably identify pain locations after laparoscopic surgery using a specific tool. An electronic version may improve its acceptance and professional usability.

Area of Science:

  • Pediatric Surgery
  • Pain Management
  • Reliability Studies

Background:

  • Accurate pain assessment in children post-surgery is crucial for effective management.
  • Existing pain location tools require validation for pediatric populations, especially after minimally invasive procedures.

Purpose of the Study:

  • To evaluate the inter-rater and test-retest reliability of a pain location tool in pediatric patients.
  • To explore children's preferences for tool format and identify areas for improvement.

Main Methods:

  • Children aged 5-14 years, post-laparoscopic surgery, reported pain at specific abdominal and shoulder locations.
  • Pain scores were recorded at baseline, 5 minutes, and 30 minutes to assess reliability.

Main Results:

  • The pain location tool demonstrated moderate to substantial inter-rater and test-retest reliability.
  • A significant majority (75%) of children expressed a preference for an electronic version of the tool.
  • Thematic analysis indicated opportunities to enhance accuracy, usability, and overall usefulness.

Conclusions:

  • The validated pain location tool enables reliable self-reporting of pain sites in children following laparoscopic surgery.
  • Transitioning to an electronic format could enhance patient acceptability and clinical utility.
Abstract

Keywords:
childdrawingspainpain measurementreliability

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