Practice Patterns of Pediatricians and Trainees for the Management of Functional Constipation Compared With 2006 NASPGHAN Guidelines

Abstract

Our results show that more education regarding medication in functional constipation is necessary, including the use of medication reducing time to remission, the necessity of disimpaction, and misconceptions regarding adverse effects.

Surgical decision-making in the management of children with intractable functional constipation: What are we doing and are we doing it right?

“…3 This answer was not provided on the questionnaire, it was added by a responder. guidelines are poorly adhered to, a problem that has been described before [13,14], and how to improve guideline adherence.…”

Hospital-Level Variation in Practice Patterns and Patient Outcomes for Pediatric Patients Hospitalized With Functional Constipation

“…Of those surveyed, 84.3% reported being unfamiliar or only slightly familiar with the guidelines, and there was increased variability in management of functional constipation with fecal incontinence. 27 Improved efforts to effectively disseminate the current NASPGHAN guidelines should be pursued. Additionally, more studies on the inpatient management of functional constipation are needed to strengthen the evidence-based recommendations for this population within the guidelines.…”

Constipation in children: New developments

“…The majority of paediatricians, residents and trainees who participated in this study have indicated that their approach to FC without faecal incontinence would be increasing fluid consumption (92.1%), increasing dietary fibre (89.5%), and increasing juices (71.2%). However, there is no evidence that any of these interventions help in relieving symptoms of FC 31 . Several studies have proved dietary fibre is no more effective than a placebo in treating children with FC 32,33 .…”