Nationwide Survey for Application of ROME IV Criteria and Clinical Practice for Functional Constipation in Children
Journal of Korean Medical Science
; : e183-2019.
Article
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| WPRIM
| ID: wpr-765013
Responsible library:
WPRO
ABSTRACT
BACKGROUND:
This study aimed to investigate the awareness and application of ROME IV criteria for functional constipation (FC) in real-world practices and assessed differences between pediatric gastroenterologists (PGs) and general pediatricians.METHODS:
A total of 239 (47.8%) out of 500 nationwide pediatricians answered a questionnaire for diagnosis and management of pediatric FC; 60 were PGs (75% of total PGs in Korea).RESULTS:
A total of 16.6% of pediatricians were aware of the exact ROME IV criteria. Perianal examination and digital rectal examination were practiced less, with a higher tendency among PGs (P 6 months (63.8%) than 1-year were lactulose (59.1%), followed by polyethylene glycol (PEG) 4000 (17.7%), and probiotics (11.8%). Prescription priority significantly differed between PGs and general pediatricians; lactulose or PEG 4000 were most commonly prescribed by PGs (89.7%), and lactulose or probiotics (75.7%) were prescribed by general pediatricians (P < 0.001). For patients aged < 1-year, lactulose (41.6%) and changing formula (31.7%) were commonly prescribed. Most participants recommended diet modification, and PGs more frequently used defecation diary (P = 0.002).CONCLUSION:
Discrepancies between actual practice and Rome IV criteria and between PGs and general pediatricians were observed. This survey may help construct practice guidelines and educational programs for pediatric FC.Key words
全文:
1
索引:
WPRIM
主要主题:
Polyethylene Glycols
/
Colonic Diseases, Functional
/
Constipation
/
Probiotics
/
Defecation
/
Diagnosis
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Enema
/
Digital Rectal Examination
/
Prescriptions
/
Feeding Behavior
研究类型:
Diagnostic_studies
/
Guideline
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Prognostic_studies
/
Qualitative_research
限制:
Child
/
Humans
语言:
En
期刊:
Journal of Korean Medical Science
年:
2019
类型:
Article