Predictors of chronic abdominal pain affecting the well-being of children in primary care

Annals of Family Medicine
Leo A A SpeeMarjolein Y Berger

Abstract

Abdominal pain is a frequent symptom among children but is rarely associated with organic disease. Although it may persist for years, no factors have been identified that predict its prognosis. Our aim was to determine whether patient characteristics at initial consultation can predict chronic abdominal pain severe enough to influence the child's well-being at 1 year of follow-up. We conducted this prospective cohort study in primary care, including consecutive children aged 4 to 17 years seen for abdominal pain by their family physician. Multivariate logistic regression analysis was used to identify prognostic factors that predicted chronic abdominal pain 1 year later. Discriminative ability of identified predictors was assessed using the area under the receiver operating characteristic curve and explained variance. The risk of having chronic abdominal pain at 1 year of follow-up was 37.1% in the cohort overall. Increasing age, waking up at night with pain, high levels of other somatic complaints, and chronic abdominal pain at baseline independently predicted chronic abdominal pain at 1 year. These predictors had a poor to moderate discriminative ability, however; the area under the receiver operating characteristic curve was ...Continue Reading

References

Feb 1, 1995·Journal of Pediatric Gastroenterology and Nutrition·J S HyamsG Burke
Oct 26, 1999·Journal of Developmental and Behavioral Pediatrics : JDBP·J S HyamsA Rasquin-Weber
Aug 12, 2000·Journal of Paediatrics and Child Health·R C HuangD A Forbes
Oct 25, 2003·European Journal of Pain : EJP·Christel W PerquinJohannes C van der Wouden
Mar 1, 2005·Journal of Pediatric Gastroenterology and Nutrition·Carlo Di LorenzoUNKNOWN NASPGHAN Committee on Chronic Abdominal Pain
May 9, 2006·Gastroenterology·Andrée RasquinLynn S Walker
May 25, 2006·Journal of the American Academy of Child and Adolescent Psychiatry·Shelagh MulvaneyLynn S Walker
Mar 30, 2007·Acta Paediatrica·Hoda M MalatyDavid R Hollier
Jul 14, 2007·Journal of Pediatric Psychology·Edward D HuntleyDaniel S Lewin
Aug 30, 2008·Journal of Pediatric Gastroenterology and Nutrition·Marieke J GietelingMarjolein Y Berger
Feb 17, 2010·Pediatrics·Leo A A SpeeMarjolein Y Berger
Nov 9, 2010·Journal of Pediatric Gastroenterology and Nutrition·Marieke J GietelingMarjolein Y Berger
Dec 3, 2010·Neurogastroenterology and Motility : the Official Journal of the European Gastrointestinal Motility Society·M KuboT Arakawa
Dec 15, 2010·Journal of Pediatric Gastroenterology and Nutrition·Christine M Dengler-CrishLynn S Walker
Jul 13, 2011·Annals of Family Medicine·Marieke J GietelingMarjolein Y Berger
Nov 1, 2012·Journal of Pediatric Gastroenterology and Nutrition·Robert J Shulman
Sep 3, 2014·Social Psychiatry and Psychiatric Epidemiology·Eva C Sundin, Thom Baguley

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Citations

Jul 18, 2018·Clinical Pediatrics·Erica C JansenLouise M O'Brien
Aug 24, 2020·International Journal of Adolescent Medicine and Health·Shadman MemarianShaundreal D Jamison
Aug 12, 2021·Journal of Child Health Care : for Professionals Working with Children in the Hospital and Community·Jessica A SchultsMark Alcock

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