Pediatrician's knowledge on the approach of functional constipation

• Glavni autori: Mario C. Vieira (Autor), Isadora Carolina Krueger Negrelle (Autor), Karla Ulaf Webber (Autor), Marjorie Gosdal (Autor), Sabine Krüger Truppel (Autor), Solena Ziemer Kusma (Autor)
• Format: Knjiga
• Izdano: Sociedade de Pediatria de São Paulo.
• Teme: article
• Online pristup: Connect to this object online.
• Notes: 1984-0462; 10.1016/j.rppede.2016.06.003
• Keywords: Constipação intestinal; Pediatria; Diagnóstico; Tratamento; Pediatrics; RJ1-570
• Source: Revista Paulista de Pediatria, Vol 34, Iss 4, Pp 425-431

Abstract Objective: To evaluate the pediatrician's knowledge regarding the diagnostic and therapeutic approach of childhood functional constipation. Methods: A descriptive cross-sectional study was performed with the application of a self-administered questionnaire concerning a hypothetical clinical case of childhood functional constipation with fecal incontinence to physicians (n=297) randomly interviewed at the 36th Brazilian Congress of Pediatrics in 2013. Results: The majority of the participants were females, the mean age was 44.1 years, the mean time of professional practice was 18.8 years; 56.9% were Board Certified by the Brazilian Society of Pediatrics. Additional tests were ordered by 40.4%; including abdominal radiography (19.5%), barium enema (10.4%), laboratory tests (9.8%), abdominal ultrasound (6.7%), colonoscopy (2.4%), manometry and rectal biopsy (both 1.7%). The most common interventions included lactulose (26.6%), mineral oil (17.5%), polyethylene glycol (14.5%), fiber supplement (9.1%) and milk of magnesia (5.4%). Nutritional guidance (84.8%), fecal disimpaction (17.2%) and toilet training (19.5%) were also indicated. Conclusions: Our results show that pediatricians do not adhere to current recommendations for the management of childhood functional constipation, as unnecessary tests were ordered and the first-line treatment was not prescribed.