Person:
Gómez Fraile, Andrés

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First Name
Andrés
Last Name
Gómez Fraile
URI
https://hdl.handle.net/20.500.14352/79500
Affiliation
Universidad Complutense de Madrid
Faculty / Institute
Medicina
Department
Salud Pública y Materno-Infantil
Area
Pediatría
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2002 - 200912020 - 20233
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    Cross-cultural adaptation and psychometric properties of Spanish Child Pain Anxiety Symptoms Scale
    (Anales de Pediatría (English Edition), 2023) López De Uralde Villanueva, Ibai Julio; Gómez Fraile, Andrés; Ceniza Bordallo, Guillermo; Martín Casas, Patricia
    Introduction Pain anxiety is a psychological component that can regulate and modulate the experience of pain in children and adolescents. It can also have an impact on the outcomes of surgical procedures, chronic pain management and psychological interventions. The aim of our study was to translate the Child Pain Anxiety Symptoms Scale (CPASS) into Spanish and assess the psychometric properties of the Spanish version. Patients and methods First, the CPASS was translated according to international guidelines. Secondly, to assess the psychometric properties of the translated version, we conducted an analysis in a paediatric sample. A total of 160 children, 49.37% female, with a mean age of 14.5 years (SD, 2.3; range, 8−18 years) completed pain catastrophising, health-related quality of life, pain interference and pain intensity scales. We assessed the following psychometric properties: construct validity (exploratory and confirmatory factor analysis), internal consistency, floor and ceiling effects and convergent validity (correlation of CPASS to the other completed questionnaires completed and with objective aspects of the health history). Results In the exploratory factor analysis, the final 18-item version (having excluded items 18 and 19) of the CPASS was the best fit, with all items included in the hypothetical construct and exhibiting optimal factor loadings. The confirmatory factor analysis showed that the final 18-item, 4-factor model was adequate for the scale structure. We did not detect any floor or ceiling effects in the final version. Lastly, the results confirmed that the Spanish version has good internal consistency (Cronbach α, 0.88) and an adequate convergent validity. Conclusion The Spanish CPASS exhibits good psychometric proprieties and it can be used to assess pain anxiety in the paediatric population.
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    Validation of the Spanish version of the Pain Catastrophizing Scale for Children (PCS-C)
    (Anales de Pediatría, 2023) Ceniza Bordallo, Guillermo; Gómez Fraile, Andrés; Martín Casas, Patricia; López De Uralde Villanueva, Ibai Julio
    Introduction: Pain catastrophizing is a powerful factor that can affect health care outcomes as well as emotional and physical well-being. The Pain Catastrophizing Scale for Children (PCS-C) is widely used, but it is not validated in Spanish. The aim of the study was to translate the PCS-C to Spanish and assess the validity and reliability of the translated version. Patients and methods: This study was carried out in two phases: (a) instrument translation (via a translation-back-translation process) and (b) psychometric analysis (construct validity: exploratory and confirmatory factor analysis, internal consistency, floor and ceiling effects and convergent validity). It had a cross-sectional design and was conducted on a sample of children aged 8-18 years was selected by convenience in a paediatric hospital. The study followed the STARD checklist. Results: The sample included 150 children and adolescents (mean age, 12.45 years; 63.8% male) and their parents. The exploratory and the confirmatory analysis showed a good adjustment of the model to the original 3-model structure with 13 items. The internal consistency of the scale was excellent (Cronbach α, 0.904), and no floor or ceiling effects were detected. In the convergent validity analysis, the Spanish version of the PCS-C showed a moderate correlation with pain interference (r=0.400) and with health-related quality of life (r=0.217-0.303). Conclusions: These results show that the Spanish version of the PCS-C is a valid and reliable scale to assess pain catastrophizing in children and adolescents.
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    Hidronefrosis en la infancia : Valoración de las técnicas del diagnóstico y de seguimiento
    (2002) Gómez Fraile, Andrés; Nogales Espert, Ángel
    Se ha realizado un estudio de 146 casos con diagnóstico de hidronefrosis tratados por la sección de urología infantil del hospital "12 de octubre" desde 1.981 a junio de 1.994 con objeto de valorar procedimientos diagnósticos y planteamientos terapéuticos. De estos 101 fueron varones y 44 hembras con una edad media 2,19 años. El 35% tenían diagnóstico prenatal. El 8% tuvo alteraciones perinatales y el 34% presentó anomalías asociadas siendo las urológicas con un 16% las más frecuentes. El tiempo de seguimiento varió de 8 meses a 13 años. Se dividieron en dos grupos según el tratamiento aplicado: quirúrgico (103 casos) y conservador (43 casos). En ambos grupos se analizan las pruebas realizadas(ecografía, urografía, cisto-uretrografía, renograma diurético, test de flujo/presión y técnicas de derivación temporal. Las indicaciones del tratamiento se basaron principalmente en el tipo de curva del renograma, valorándose en segundo lugar la función renal diferencial y su clínica y en menor cuantía el tiempo medio de lavado y el grado de dilatación. La actitud tomada ha sido correcta en todos los casos operados y en el 98% de los tratados de forma conservadora. Evolutivamente se controlaron ambos grupos con eco y renograma, teniéndose en cuenta también la clínica, considerándose como buena (incluidos los regulares) en el 98% del grupo quirúrgico y 95% de los conservadores. De los parámetros renográficos la curva muestra una sensibilidad más temprana, para detectar variaciones, que la función renal diferencial. La urografía y la cistografía quedan para casos precisos. Hemos concluido que actualmente no se puede valorar ninguna hidronefrosis sin renograma diurético ya que la dilatación no significa obtrucion, hecho confirmado en el estudio.
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    Validity and reliability of Spanish PROMIS pediatric pain interference short form
    (Journal of Pediatric Nursing, 2022) Ceniza Bordallo, Guillermo; Gómez Fraile, Andrés; Martín Casas, Patricia; López De Uralde Villanueva, Ibai Julio
    Background: The goal of this study was to analyze psychometric properties of the Spanish PROMIS Pediatric Pain Interference short form (PROMIS-PPI) in a sample of Spanish children and adolescents. Methods: In a hospital pediatric sample itwas studied the structure scale (exploratory and confirmatory analysis), construct validity, convergent validity, and reliability (internal consistency). Findings: 163 children and adolescents (mean age 13.3 years; SD 2.01; 39.26% female) with and without chronic pain completed measures pertaining to their pain experience. Psychometric analysis showed the PROMIS-PPI Spanish version maintains the original one-factor model of the scale, excellent internal consistency (Cronbach's α coefficient 0.90 (95% CI 0.88–0.92)), and convergent validity (showed a positive, significant, and moderate magnitude correlation [r from 0.330 to 0.604] with pediatric quality of life, child and parent pain intensity, and showed a low correlation with the number of medical consultations in the last year). Discussion: The Spanish PROMIS-PPI scale is a valid and reliable tool. It is recommended for research and clinical care in pediatric populations. Application to practice: The results provide evidence that the Spanish version of PROMIS-PPI is valid and reliable tool. Health professionals who work with children in risk to develop persistent pain, will have access to short tool with highest evidence, for assess pain interference.