Cornelius Botha Groenewald

Associate Professor of Anesthesiology, Perioperative and Pain Medicine (Pediatric)

Bio

Dr. Groenewald is Director of Pediatric Anesthesiology Research at Stanford University School of Medicine. He conducts clinical research that crosses several areas related to child health, including epidemiology, health services research, pediatric pain, sleep deficiency, and opioid use behaviors. His research is funded by the National Institutes of Health, International Association for the Study of Pain, and the Society for Pediatric Anesthesiology. His work on pediatric pain, sleep disturbance, and opioid use has been published in JAMA Pediatrics, Pediatrics, PAIN, Journal of Pain, SLEEP, and JAMA Psychiatry. Dr. Groenewald holds national leadership positions in the United States Association for the Study of Pain, including being elected as inaugural Chair of the Pediatric Special Interest Group in 2020 and co-chair of the Advocacy committee in 2022. He serves on the editorial boards of the Journal of Pain and Pediatric Anesthesiology.

Clinical Focus

Anesthesia

Academic Appointments

Associate Professor - University Medical Line, Anesthesiology, Perioperative and Pain Medicine
Member, Maternal & Child Health Research Institute (MCHRI)

Administrative Appointments

Director of Pediatric Anesthesiology Research, Stanford University School of Medicine (2023 - Present)

Boards, Advisory Committees, Professional Organizations

Co-Chair, Advocacy Committee, United States Association for the Study of Pain (2023 - Present)
Editorial Board, Pediatric Anesthesia (2023 - Present)
Chair, Pediatric Special Interest Group, United States Association for the Study of Pain (2021 - 2023)
Editorial Board, Journal of Pain (2019 - Present)
Organizing Committee, United States Association for the Study of Pain (2019 - 2021)

Projects

Sleep Disturbances and Long-term Outcomes after Critical Illness in Children (K23HL138155), National Heart, Lung, and Blood Institute (NHLBI,NIH), Seattle Children's Hospital and University of Washington, Seattle WA (2017 - 2023)

Annually 250,000 critically ill children are admitted to 350 pediatric intensive care units (ICUs) in the United States. Most (>97%) survive, however many critical illness survivors suffer significant long-term health impairments that result in lower quality of life (HRQL) and increased health care use. Acute sleep deficiency is common following critical illness. However, limited knowledge exists of the potential impact of deficient sleep on markers of health following critical illness such as physical and mental health, HRQL, or health services utilization. Thus, the primary objective of this proposal is to systematically document for the first time the impact of sleep deficiency on health, quality of life, and health care utilization in children surviving critical illness. The central hypothesis is that sleep deficiency persist and negatively impact health following critical illness.

The research plan involves 2 studies: 1) a prospective cohort study using objective and subjective measures of sleep over 12 months in children with critical illness and controls (80=critically ill and 40=age and sex matched controls)(study 1), and 2) a qualitative study to understand child and parent perspectives on managing sleep deficiency following critical illness (study 2). Primary aims are to 1) characterize the nature, trajectories, and impact of sleep deficiency experienced by children following critical illness (study 1), 2) identify risk factors associated with persistent sleep deficiency over 12 months in children following critical illness (study 1), and 3) identify, directly from children and their parents, perspectives on the barriers and facilitators of implementing interventions to manage sleep deficiency following critical illness (study 2).

Location

Seattle, WA
Sleep deficiency and opioid use/misuse in adolescents following surgery (R01HL166337), National Heart, Lung, and Blood Institute (NHLBI, NIH), Stanford University School of Medicine (2023 - 2028)

Prescription opioid misuse is a significant burden on adolescent public health in the United States. Opioid misuse often starts with prescribed opioids, with surgery representing a key pathway by which adolescents are first prescribed opioids for the management of acute pain. Yet, little is known about the critical period following surgery during which adolescents initiate prescription opioid misuse or the modifiable behavioral mechanisms contributing to this process. These are critical gaps in our knowledge impeding our ability to identify adolescents at increased risk for opioid misuse and to develop interventions aimed at reducing prescription opioid misuse.

Sleep deficiency (including sleep deprivation, noncircadian sleep, sleep disorders, and poor sleep quality) is an important proximal risk factor for prescription opioid misuse. Sleep is often disturbed during the perioperative period, a time when many adolescents are exposed to their first opioid prescription. Indeed, in our own preliminary study, we found that sleep deficiency present both before surgery and during the immediate postsurgical period was associated with increased opioid use. However, this pilot study did not allow us to characterize aspects of sleep most strongly related to opioid use and did not allow us to evaluate mechanisms, such as pain and psychological factors, underlying the sleep – opioid use relationship. Furthermore, data are urgently needed to determine how sleep deficiency prospectively predicts the development of opioid misuse behaviors in the context of other putative factors, such as a history of substance use, pain intensity, psychosocial (e.g., depression), peer, and family factors. Given that sleep deficiency is modifiable, it is a critical focus of research aimed at reducing the development of adolescent opioid misuse behaviors.

Therefore, this project aims to 1) test the direct and mediation pathways of sleep deficiency, pain, psychological factors, and opioid use following sports-injury surgery, and 2) develop and validate a multivariable prediction model to identify adolescents at increased risk of prescription opioid misuse over the 24 months following surgery. To address these aims, we propose a prospective, observational study of N= 400 adolescents (10-19 years) who receive their first ever opioid following sports injury surgery. Presurgery, participants will undergo comprehensive multimodal sleep assessments (surveys and actigraphy monitoring) to measure sleep deficiency. Participants will also report on previous substance use, pain intensity, psychosocial, peer, and family factors. Adolescents will then be followed over the first 14 days after surgery using ecological momentary assessment to capture real-time daily data on sleep, pain, psychological factors, and opioid use. We will use an innovative electronic medication monitoring methodology to accurately measure opioid use (total number of doses and duration) following surgery. Follow-up assessments at 3-months, 6-months, 12- months, and 24-months will track opioid misuse developing over time. We will apply modern machine learning algorithms to develop and validate models predicting adolescent prescription opioid misuse.

Location

Stanford CA

Professional Education

Residency: Mayo Clinic College of Medicine and Science Rochester (2011) MN
Board Certification: American Board of Anesthesiology, Anesthesia (2023)
Board Certification: American Board of Anesthesiology, Pediatric Anesthesiology (2015)
Research Fellowship, Seattle Children's Hospital and the University of Washington, Seattle, WA (2013)
Fellowship, Seattle Children's Hospital and the University of Washington, Seattle WA (2012)
Residency, Mayo Clinic, Rochester MN (2011)
Medical Education, Faculty of Medicine and Health Sciences, Stellenbosch University, South Africa (2002)

Contact

Academic cgroen@stanford.edu

Administrative Contact Jared Corbett Research Administrative Associate jcorbett@stanford.edu Tel: 650.736.0838

Clinical (Primary)

This is the primary clinic for this clinical provider. For additional clinical locations and information, please visit the link(s) listed below in the 'Additional Clinical Info' section.

Anesthesia Department 300 Pasteur Dr Rm H3580 MC 5640 Stanford CA 94305 Tel: (650) 723-6412 Fax: (650) 725-8544

Additional Clinical Info

Stanford Medicine Children's Health

2024-25 Courses

Independent Studies
- Undergraduate Research
  ANES 199 (Aut, Win, Spr, Sum)

Stanford Advisees

Postdoctoral Faculty Sponsor
Leo Kameni

All Publications

Profiles With Related Publications

close
Leslie Adams

Assistant Professor of Psychiatry and Behavioral Sciences (Public Mental Health) and, by courtesy, of Pediatrics

45 Total Publications
close
Terence Lee Ahern

Clinical Assistant Professor, Emergency Medicine
Clinical Focus
Emergency Medicine

11 Total Publications
close
Kanwaljeet S. Anand

Professor of Pediatrics (Pediatric Critical Care) and of Anesthesiology, Perioperative and Pain Medicine
Clinical Focus
Pediatric Critical Care Medicine

258 Total Publications
close
Bruce Arnow, Ph.D.

Professor of Psychiatry and Behavioral Sciences (General Psychiatry and Psychology - Adult)
Clinical Focus
Depression, Psychotherapy, Clinical Psychology
Research Interests
Current research interests include treatment outcome for major depression, particularly treatment refractory and chronic forms of major depression, as well as mediators and moderators of outcome; the epidemiology of chronic pain and depression; relationships between child maltreatment and adult sequelae, including psychiatric, medical and health care utilization.

129 Total Publications
close
Brian T. Bateman

Anesthesiology, Perioperative and Pain Medicine Professor and Professor, by courtesy, of Epidemiology and Population Health
Clinical Focus
Anesthesia

514 Total Publications
close
Christine Blasey

Clinical Professor, Psychiatry and Behavioral Sciences

74 Total Publications
close
Beth Darnall

Professor of Anesthesiology, Perioperative and Pain Medicine (Adult Pain) and, by courtesy, of Psychiatry and Behavioral Sciences (General Psychiatry & Psychology (Adult))
Research Interests
The Stanford Pain Relief Innovations Lab is dedicated to better characterizing and treating pain with patient-centered solutions. We specialize in the conduct of large-scale acute and chronic pain clinical trials that aim to (1) expand and scale access to behavioral medicine via digital and brief treatments; (2) reduce opioid risks via reduction for some and improved opioid access for others; (3) equip healthcare providers with brief behavioral medicine interventions to optimize health outcomes.

205 Total Publications
close
Troy Christopher Dildine

Postdoctoral Scholar, Anesthesiology, Perioperative and Pain Medicine

11 Total Publications
close
Jennifer Hah

Associate Professor of Anesthesiology, Perioperative and Pain Medicine (Adult Pain)
Clinical Focus
Pelvic Pain, Interstitial Cystitis, Painful Bladder Syndrome, Perioperative Pain Management, Pain Medicine Ultrasonography, Pain Medicine

70 Total Publications
close
Ariel Whitney Knight

Clinical Assistant Professor, Surgery - General Surgery
Clinical Focus
General Surgery

16 Total Publications
close
Helena Chmura Kraemer

Professor of Biostatistics in Psychiatry, Emerita
Research Interests
I am interested in the methodology pertinent to dealing with research problems where biological and behavioral interests meet. These interests have been applied not only in psychiatric research, but in those areas of Cardiology, Pediatrics and other fields of medicine in which behavioral research is becoming ever more salient.

482 Total Publications
close
Elliot J. Krane

Professor of Anesthesiology, Perioperative and Pain Medicine (Pediatric Anesthesia) at the Stanford University Medical Center, Emeritus
Research Interests
The management of pain in children using intraspinal opioids, regional anesthetics, and novel analgesic agents; cerebral and osmolar complications of diabetic ketoacidosis in children.

119 Total Publications

Find a doctor

Clinics & Services

Research Resources

Professional Training

Education Resources

Cornelius Botha Groenewald

Associate Professor of Anesthesiology, Perioperative and Pain Medicine (Pediatric)

Location

Location

2024-25 Courses

Stanford Advisees

Cornelius Botha Groenewald

Associate Professor of Anesthesiology, Perioperative and Pain Medicine (Pediatric)

Location

Location

Leslie Adams

Assistant Professor of Psychiatry and Behavioral Sciences (Public Mental Health) and, by courtesy, of Pediatrics

Terence Lee Ahern

Clinical Assistant Professor, Emergency Medicine

Kanwaljeet S. Anand

Professor of Pediatrics (Pediatric Critical Care) and of Anesthesiology, Perioperative and Pain Medicine

Bruce Arnow, Ph.D.

Professor of Psychiatry and Behavioral Sciences (General Psychiatry and Psychology - Adult)

Brian T. Bateman

Anesthesiology, Perioperative and Pain Medicine Professor and Professor, by courtesy, of Epidemiology and Population Health

Christine Blasey

Clinical Professor, Psychiatry and Behavioral Sciences

Beth Darnall

Professor of Anesthesiology, Perioperative and Pain Medicine (Adult Pain) and, by courtesy, of Psychiatry and Behavioral Sciences (General Psychiatry & Psychology (Adult))

Troy Christopher Dildine

Postdoctoral Scholar, Anesthesiology, Perioperative and Pain Medicine

Jennifer Hah

Associate Professor of Anesthesiology, Perioperative and Pain Medicine (Adult Pain)

Ariel Whitney Knight

Clinical Assistant Professor, Surgery - General Surgery

Helena Chmura Kraemer

Professor of Biostatistics in Psychiatry, Emerita

Elliot J. Krane

Professor of Anesthesiology, Perioperative and Pain Medicine (Pediatric Anesthesia) at the Stanford University Medical Center, Emeritus