Nationwide Survey for Application of ROME IV Criteria and Clinical Practice for Functional Constipation in Children
DC Field | Value | Language |
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dc.contributor.author | Jang, Hyo-Jeong | - |
dc.contributor.author | Chung, Ju-Young | - |
dc.contributor.author | Seo, Ji-Hyun | - |
dc.contributor.author | Moon, Jin Soo | - |
dc.contributor.author | Choe, Byung-Ho | - |
dc.contributor.author | Shim, Jung Ok | - |
dc.date.accessioned | 2021-09-01T12:02:36Z | - |
dc.date.available | 2021-09-01T12:02:36Z | - |
dc.date.created | 2021-06-19 | - |
dc.date.issued | 2019-07-08 | - |
dc.identifier.issn | 1011-8934 | - |
dc.identifier.uri | https://scholar.korea.ac.kr/handle/2021.sw.korea/64129 | - |
dc.description.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 < 0.001). Treatment duration was longer among PGs for > 6 months (63.8%) than < 3 months among general pediatricians (59.2%, P< 0.001). Fecal disimpaction and rectal enema were practiced among 78.8% and 58.5% of pediatricians, respectively. High dose medication for initial treatment phase was prescribed by 70.7% of pediatricians, primarily within the first 2 weeks (48.3%). The most commonly prescribed medications in children aged > 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. | - |
dc.language | English | - |
dc.language.iso | en | - |
dc.publisher | KOREAN ACAD MEDICAL SCIENCES | - |
dc.subject | POLYETHYLENE-GLYCOL 3350 | - |
dc.subject | DIETARY FIBER MIXTURE | - |
dc.subject | GASTROINTESTINAL DISORDERS | - |
dc.subject | CHILDHOOD CONSTIPATION | - |
dc.subject | PRIMARY-CARE | - |
dc.subject | DOUBLE-BLIND | - |
dc.subject | MANAGEMENT | - |
dc.subject | ELECTROLYTES | - |
dc.subject | PEDIATRICIANS | - |
dc.subject | EPIDEMIOLOGY | - |
dc.title | Nationwide Survey for Application of ROME IV Criteria and Clinical Practice for Functional Constipation in Children | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Shim, Jung Ok | - |
dc.identifier.doi | 10.3346/jkms.2019.34.e183 | - |
dc.identifier.scopusid | 2-s2.0-85069268279 | - |
dc.identifier.wosid | 000475498700003 | - |
dc.identifier.bibliographicCitation | JOURNAL OF KOREAN MEDICAL SCIENCE, v.34, no.26 | - |
dc.relation.isPartOf | JOURNAL OF KOREAN MEDICAL SCIENCE | - |
dc.citation.title | JOURNAL OF KOREAN MEDICAL SCIENCE | - |
dc.citation.volume | 34 | - |
dc.citation.number | 26 | - |
dc.type.rims | ART | - |
dc.type.docType | Article | - |
dc.identifier.kciid | ART002485384 | - |
dc.description.journalClass | 1 | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.description.journalRegisteredClass | kci | - |
dc.relation.journalResearchArea | General & Internal Medicine | - |
dc.relation.journalWebOfScienceCategory | Medicine, General & Internal | - |
dc.subject.keywordPlus | POLYETHYLENE-GLYCOL 3350 | - |
dc.subject.keywordPlus | DIETARY FIBER MIXTURE | - |
dc.subject.keywordPlus | GASTROINTESTINAL DISORDERS | - |
dc.subject.keywordPlus | CHILDHOOD CONSTIPATION | - |
dc.subject.keywordPlus | PRIMARY-CARE | - |
dc.subject.keywordPlus | DOUBLE-BLIND | - |
dc.subject.keywordPlus | MANAGEMENT | - |
dc.subject.keywordPlus | ELECTROLYTES | - |
dc.subject.keywordPlus | PEDIATRICIANS | - |
dc.subject.keywordPlus | EPIDEMIOLOGY | - |
dc.subject.keywordAuthor | Child | - |
dc.subject.keywordAuthor | Constipation | - |
dc.subject.keywordAuthor | Colonic Diseases | - |
dc.subject.keywordAuthor | Functional | - |
dc.subject.keywordAuthor | Questionnaire | - |
dc.subject.keywordAuthor | Management | - |
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