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Updated: Aug 28, 2025

An Experimental Paradigm for the Prediction of Post-Operative Pain PPOP
Published on: January 27, 2010
Perioperative pain disparity in children: A call for action
Heidi Tan1, Beverly A Mendoza2,3,4, Michelle A Fortier2,3,4,5,6
1School of Medicine, University of California, Irvine, California, USA.
Insights
Racial and ethnic disparities impact pediatric surgical care, leading to worse outcomes and pain management for minority children. More research is urgently needed to address these critical gaps in care.
Area of Science:
- Pediatric Surgery
- Health Disparities Research
- Pain Management
Background:
- Racial and ethnic disparities in healthcare are well-documented.
- Minority children in the U.S. face worse surgical outcomes and pain management.
- A need for research into pediatric perioperative pain disparities has been identified.
Purpose of the Study:
- To review existing literature on pediatric perioperative pain disparities in the U.S.
- To highlight the limited research in this specific area.
- To emphasize the need for further investigation and intervention.
Main Methods:
- Literature review of existing studies on pediatric perioperative pain disparities.
- Identification of research gaps and areas for future study.
- Synthesis of findings to inform future research directions.
Main Results:
- Existing literature on pediatric perioperative pain disparities is limited.
- There is a significant paucity of research in this domain.
- Current data indicates potential disparities in pain management for minority children.
Conclusions:
- Urgent need for increased research, including randomized control trials and health services research, on pediatric perioperative pain disparities.
- A multidisciplinary, systems-based approach is essential for translating research into practice.
- Ensuring optimal perioperative care for all children, regardless of background, requires addressing these disparities.
Abstract:
Racial and ethnic disparities in both healthcare management and delivery have been extensively documented in medical literature. For example, patients from non-White minority backgrounds in the United States have been found to experience worse clinical outcomes after surgery, to receive fewer surgical procedures, and to experience worse perioperative pain management compared with patients from non-minority backgrounds. A recent NIH-ACS Symposium on Surgical Disparities Research has identified an urgent need for research aimed at addressing and understanding these disparities. The present review summarizes existing literature describing perioperative pain disparities in children in the United States, as well as highlights the paucity of research in this domain. Specifically, there is a need for randomized control trials and health services research studying pediatric perioperative pain disparities. A multidisciplinary systems-based approach would help translate findings from scientific research to clinical practice and is a crucial step to ensuring all children of diverse backgrounds receive optimal perioperative care.
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