The care of constipated children in primary care in different countries.
作者： Rosa Burgers , Elvira Bonanno , Elisa Madarena , Francesca Graziano , Licia Pensabene
DOI: 10.1111/J.1651-2227.2012.02632.X
关键词:
摘要: Aim: To investigate and compare the approach to childhood constipation by primary care physicians (PCP) in three Western countries give insight into adherence current guidelines actual care. Methods: Prospective study utilizing a two-page survey regarding children suspected have functional (FC). A total of 413 1016 (41%) distributed surveys were returned out which 383 suitable for analysis. Surveys answered anonymously. Survey responses analysed are reported descriptive way. Results: In Italy, Netherlands, USA, respectively, 75, 187 121 PCP. The majority PCP (62%) considered stool withholding as result painful defecation be most common cause constipation. Rectal examination was used standard diagnostic tool evaluation FC only 31% with significant differences among (p < 0.05) minimum Netherlands (11%). Abdominal X-ray is 49% diagnose FC. 63% convinced that hard can softened drinking more water. Polyethylene glycol prescribed drug (85%). Significant found use senna bisacodyl suppositories (p < 0.05). Conclusion: practice exist from different performance digital rectal examination, need additional tests laxatives
core.ac.uk
narcis.nl参考文章(19)
H. Juhling Mcclung, Carol Potter, Rational use of laxatives in children. Advances in Pediatrics. ,vol. 51, pp. 231- 262 ,(2004)
Susan S. Baker, Gregory S. Liptak, Richard B. Colletti, Joseph M. Croffie, Carlo Di Lorenzo, Walton Ector, Samuel Nurko, Constipation in infants and children: evaluation and treatment. A medical position statement of the North American Society for Pediatric Gastroenterology and Nutrition. Journal of Pediatric Gastroenterology and Nutrition. ,vol. 29, pp. 612- 626 ,(1999) , 10.1097/00005176-199911000-00029
Licia Pensabene, Carlo Buonomo, Laurie Fishman, Denesh Chitkara, Samuel Nurko, Lack of utility of abdominal x-rays in the evaluation of children with constipation: comparison of different scoring methods. Journal of Pediatric Gastroenterology and Nutrition. ,vol. 51, pp. 155- 159 ,(2010) , 10.1097/MPG.0B013E3181CB4309
Stefan A. Muller-Lissner, Michael A. Kamm, Carmelo Scarpignato, Arnold Wald, Myths and misconceptions about chronic constipation. The American Journal of Gastroenterology. ,vol. 100, pp. 232- 242 ,(2005) , 10.1111/J.1572-0241.2005.40885.X
Lauren Bardisa-Ezcurra, Roz Ullman, Jenny Gordon, None, Diagnosis and management of idiopathic childhood constipation: summary of NICE guidance BMJ. ,vol. 340, ,(2010) , 10.1136/BMJ.C2585
Arnold Wald, Constipation in the primary care setting: current concepts and misconceptions. The American Journal of Medicine. ,vol. 119, pp. 736- 739 ,(2006) , 10.1016/J.AMJMED.2006.03.025
R. L. Phillips, A. W. Bazemore, M. S. Dodoo, S. A. Shipman, L. A. Green, Family Physicians in the Child Health Care Workforce: Opportunities for Collaboration in Improving the Health of Children Pediatrics. ,vol. 118, pp. 1200- 1206 ,(2006) , 10.1542/PEDS.2006-0051
S. M. Borowitz, D. J. Cox, B. Kovatchev, L. M. Ritterband, J. Sheen, J. Sutphen, Treatment of childhood constipation by primary care physicians : Efficacy and predictors of outcome Pediatrics. ,vol. 115, pp. 873- 877 ,(2005) , 10.1542/PEDS.2004-0537
Fleur de Lorijn, Rick R. van Rijn, Jarom Heijmans, Johannes B. Reitsma, Wieger P. Voskuijl, Onno D. F. Henneman, Jan A. Taminiau, Marc A. Benninga, The Leech method for diagnosing constipation: intra- and interobserver variability and accuracy. Pediatric Radiology. ,vol. 36, pp. 43- 49 ,(2006) , 10.1007/S00247-005-0031-Z
Carlo Di Lorenzo, David Forbes, Ernesto Guiraldes, JS Hyams, Annamaria Staiano, LS Walker, Childhood Functional Gastrointestinal Disorders: Child/Adolescent Gastroenterology. ,vol. 130, pp. 1527- 1537 ,(2006) , 10.1053/J.GASTRO.2005.08.063