Prevalence of Functional Defecation Disorders in Children: A Systematic Review and Meta-Analysis

Koppen, Ilan J.N.; Vriesman, Mana H.; Saps, Miguel; Rajindrajith, Shaman; Shi, Xiaoxia; Etten-Jamaludin, Faridi S. van; Lorenzo, Carlo Di; Benninga, Marc A.; Tabbers, Merit M.

doi:10.1016/j.jpeds.2018.02.029

Cited by 194 publications

(176 citation statements)

References 51 publications

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“…This was the first epidemiological study conducted in Latin America that was specifically designed to assess the prevalence of functional constipation in children using the Rome IV criteria. The prevalence of functional constipation and functional non‐retentive faecal incontinence found in our study was within the range of a systematic review and meta‐analysis on defecation disorders in children that was published in 2018 and used the Rome III and Rome IV criteria for diagnosis . That study found a pooled prevalence of functional constipation of 9.5% (range 0.5–0.32%) and a pooled prevalence of functional non‐retentive faecal incontinence of 0.4% (range 0.0–1.8%).…”

Section: Discussionsupporting

confidence: 82%

“…A systematic review of epidemiological studies of children across the world using the Rome II and Rome III criteria found a median prevalence of functional constipation of 12.0% . In 2018, Koppen et al published a systematic review and meta‐analysis of studies, according to the Rome III criteria, which found a pooled prevalence of 9.5% in children worldwide . Those studies suggested that changes in the diagnostic criteria could result in changes in prevalence.…”

Section: Introductionmentioning

confidence: 99%

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The prevalence of functional constipation in children was unchanged after the Rome IV criteria halved the diagnosis period in Rome III

et al. 2019

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Aim: The Rome IV criteria for the diagnosis of functional constipation are one month, compared with two months in the Rome III criteria. Our aim was to see whether this altered the prevalence in Ecuador by surveying school children and comparing the results to our previous study. Methods:A cross-sectional study was conducted in Quito, Ecuador, in 2013 two randomly selected schools: one private and one public. Children aged 8-15 completed the Spanish version of the Questionnaire of Paediatric Gastrointestinal Symptoms based on the Rome IV criteria. We compared our findings with our previous 2013 study based on the Rome III criteria.Results: A total of 951 children (61% male) completed the Rome IV questionnaire from June to July 2017 at a mean age of 11.2 AE 1.8 years, and 417 children (52% male) completed the Rome III questionnaire in June 2013 at a mean age of 12.0 AE 1.8 years. We found that 14.4% met the Rome IV criteria for functional constipation compared with 11.8% for the Rome III criteria (p = 0.11).Conclusion: Modifying the time required for a diagnosis functional constipation from two months to one month did not result in a significant difference in the prevalence.

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Section: Discussionsupporting

confidence: 82%

Section: Introductionmentioning

confidence: 99%

The prevalence of functional constipation in children was unchanged after the Rome IV criteria halved the diagnosis period in Rome III

et al. 2019

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“…Prevalence of functional constipation was reported to be 9.5% in healthy children in a recent systematic review (59). In our review, prevalence of constipation was almost three times higher in children with or without VUR, suggesting that BBD is an important risk factor for UTI in toilet-trained children.…”

Section: Summary Of the Main Findingssupporting

confidence: 49%

Prevalence of Bladder and Bowel Dysfunction in Toilet-Trained Children With Urinary Tract Infection and/or Primary Vesicoureteral Reflux: A Systematic Review and Meta-Analysis

et al. 2020

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“…Chronic constipation (CC) with or without fecal incontinence (FI) is a common condition in children with a worldwide prevalence of up to 29.6% . It has a significant impact on children, their families, and healthcare systems.…”

Section: Introductionmentioning

confidence: 99%

Anorectal manometry in children with defecation disorders BSPGHAN Motility Working Group consensus statement

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et al. 2020

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Defecatory disorders in children, including chronic constipation (CC) and fecal incontinence (FI), are common conditions worldwide and have a significant impact on children, their families, and the healthcare system. Anorectal manometry (ARM) and high‐resolution anorectal manometry (HRAM) are relatively novel tools for the assessment of anal sphincter function and rectal sensation and have contributed significantly to improving the understanding of the anorectum as a functional unit. ARM has been recognized as the investigation of choice for adults with symptoms of defecation disorders, including fecal incontinence (FI), evacuation difficulties, and constipation. Although it is the gold standard tool in adults, it has yet to be formally accepted as a standardized diagnostic tool in the pediatric age, with limited knowledge regarding indications, protocol, and normal values. ARM/HRAM is slowly becoming recognized among pediatricians, but given that there are currently no agreed guidelines there is a risk that will lead to diversity in practice. The British Society of Paediatric Gastroenterology, Hepatology and Nutrition (BSPGHAN)—Motility Working Group (MWG) therefore has taken the opportunity to provide guidance on the use of ARM/HRAM in children with CC and/or FI.

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Prevalence of Functional Defecation Disorders in Children: A Systematic Review and Meta-Analysis

Cited by 194 publications

References 51 publications

The prevalence of functional constipation in children was unchanged after the Rome IV criteria halved the diagnosis period in Rome III

The prevalence of functional constipation in children was unchanged after the Rome IV criteria halved the diagnosis period in Rome III

Prevalence of Bladder and Bowel Dysfunction in Toilet-Trained Children With Urinary Tract Infection and/or Primary Vesicoureteral Reflux: A Systematic Review and Meta-Analysis

Anorectal manometry in children with defecation disorders BSPGHAN Motility Working Group consensus statement

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