Follow-up in Childhood Functional Constipation: A Randomized, Controlled Clinical Trial

Journal of Pediatric Gastroenterology and Nutrition
Line ModinMarianne S Jakobsen

Abstract

Guidelines recommend close follow-up during the treatment of childhood functional constipation. Only sparse evidence exists on how follow-up is best implemented. Our aim was to evaluate whether follow-up by phone or self-management through Web-based information improved treatment outcomes. In this randomized controlled trial, conducted in secondary care, 235 children, ages 2 to 16 years, who fulfilled the Rome III criteria of childhood constipation, were assigned to 1 of the 3 follow-up regimens: control group (no scheduled contact), phone group (2 scheduled phone contacts), and Web group (access to Web-based information). number of successfully treated children after 3, 6, and 12 months. phone contacts, relapse, fecal incontinence, and laxative use. After 3 and 6 months, significantly more children in the Web group (79.7%/75.9%) were successfully treated compared with the control and phone groups (59.7%/63.6% and 63.3%/64.6%) (P = 0.007/P = 0.03). No difference was found after 12 months (control, 72.7%; phone, 68.4%; Web group, 78.5%; P = 0.40). Extra phone consultations were significantly more frequent in the Web group (44.3%) compared with the control group (28.6%) (P = 0.04). Before 3 months, 45.5% of phone consultations we...Continue Reading

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References

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Citations

Jun 29, 2018·Journal of Pediatric Gastroenterology and Nutrition·Line ModinMarianne Skytte Jakobsen
May 2, 2018·Pediatric Gastroenterology, Hepatology & Nutrition·Atchariya Chanpong, Seksit Osatakul
Oct 13, 2020·Journal of Advanced Nursing·Gunilla FlankegårdPatrik Rytterström

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NCT01582659

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