AIM: To investigate and compare the approach to childhood constipation by primary care physicians (PCP) in three Western countries to give insight into adherence to current guidelines and in actual care. METHODS: Prospective study utilizing a two-page survey regarding the approach to children suspected to have functional constipation (FC). A total of 413 of 1016 (41%) distributed surveys were returned out of which 383 were suitable for analysis. Surveys were answered anonymously. Survey responses were analysed and are reported in a descriptive way. RESULTS: In Italy, the Netherlands, and the USA, respectively, 75, 187 and 121 surveys were returned by PCP. The majority of PCP (62%) considered stool withholding as a result of painful defecation to be the most common cause of childhood constipation. Rectal examination was used as a standard diagnostic tool for the evaluation of FC by only 31% of PCP with significant differences among the countries (p < 0.05) and a minimum in the Netherlands (11%). Abdominal X-ray is used by 49% to diagnose FC. 63% of PCP were convinced that hard stool can be softened by drinking more water. Polyethylene glycol was the most common prescribed drug (85%). Significant differences were found among countries in the use of senna and bisacodyl suppositories (p < 0.05). CONCLUSION: Significant differences in practice exist among PCP from different countries regarding the performance of a digital rectal examination, need for additional diagnostic tests and use of laxatives in childhood constipation.
AIM: To investigate and compare the approach to childhood constipation by primary care physicians (PCP) in three Western countries to give insight into adherence to current guidelines and in actual care. METHODS: Prospective study utilizing a two-page survey regarding the approach to children suspected to have functional constipation (FC). A total of 413 of 1016 (41%) distributed surveys were returned out of which 383 were suitable for analysis. Surveys were answered anonymously. Survey responses were analysed and are reported in a descriptive way. RESULTS: In Italy, the Netherlands, and the USA, respectively, 75, 187 and 121 surveys were returned by PCP. The majority of PCP (62%) considered stool withholding as a result of painful defecation to be the most common cause of childhood constipation. Rectal examination was used as a standard diagnostic tool for the evaluation of FC by only 31% of PCP with significant differences among the countries (p < 0.05) and a minimum in the Netherlands (11%). Abdominal X-ray is used by 49% to diagnose FC. 63% of PCP were convinced that hard stool can be softened by drinking more water. Polyethylene glycol was the most common prescribed drug (85%). Significant differences were found among countries in the use of senna and bisacodyl suppositories (p < 0.05). CONCLUSION: Significant differences in practice exist among PCP from different countries regarding the performance of a digital rectal examination, need for additional diagnostic tests and use of laxatives in childhood constipation.
Authors: Valentina Giorgio; Gaia Margiotta; Giuseppe Stella; Federica Di Cicco; Chiara Leoni; Francesco Proli; Giuseppe Zampino; Antonio Gasbarrini; Roberta Onesimo Journal: Nutrients Date: 2022-04-11 Impact factor: 6.706
Authors: Soo Hee Chang; Kie Young Park; Sung Kil Kang; Ki Soo Kang; So Young Na; Hye Ran Yang; Ji Hyun Uhm; Eell Ryoo Journal: J Korean Med Sci Date: 2013-08-28 Impact factor: 2.153
Authors: Jojanneke J G T van Summeren; Gea A Holtman; Yvonne Lisman-van Leeuwen; Lisa E A M Louer; Alice H C van Ulsen-Rust; Karin M Vermeulen; Boudewijn J Kollen; Janny H Dekker; Marjolein Y Berger Journal: BMC Pediatr Date: 2018-07-31 Impact factor: 2.125