The care of constipated children in primary care in different countries

Acta Paediatrica
Rosa BurgersCarlo Di Lorenzo

Abstract

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. 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. 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 sen...Continue Reading

References

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Citations

Dec 12, 2012·Expert Opinion on Pharmacotherapy·Daniël Robin Hoekman, Marc Alexander Benninga
Aug 2, 2015·Jornal de pediatria·Célia A V BeleliElizete A Lomazi
Feb 13, 2015·Pediatric Surgery International·John M HutsonBridget R Southwell
Jan 8, 2015·Journal of Pediatric Gastroenterology and Nutrition·Manu R Sood
Mar 29, 2013·Journal of Pediatric Gastroenterology and Nutrition·Mohammed HasosahCarlo Di Lorenzo
Jun 27, 2015·Journal of Pediatric Gastroenterology and Nutrition·Marcia R F TorresHenrique C Rocha
May 26, 2017·Journal of Pediatric Gastroenterology and Nutrition·Elena ScarpatoAnnamaria Staiano
May 2, 2018·Pediatric Gastroenterology, Hepatology & Nutrition·Reema GulatiRobert Needlman

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