http://www.cnr.it/ontology/cnr/individuo/prodotto/ID323316
Management of chronic constipation in general practice (Articolo in rivista)
- Type
- Label
- Management of chronic constipation in general practice (Articolo in rivista) (literal)
- Anno
- 2014-01-01T00:00:00+01:00 (literal)
- Http://www.cnr.it/ontology/cnr/pubblicazioni.owl#doi
- 10.1007/s10151-013-1093-9 (literal)
- Alternative label
Bellini, M.; Gambaccini, D.; Salvadori, S.; Tosetti, C.; Urbano, M. T.; Costa, F.; Monicelli, P.; Mumolo, M. G.; Ricchiuti, A.; De Bortoli, N.; Marchi, S. (2014)
Management of chronic constipation in general practice
in Techniques in coloproctology (Testo stamp.); Springer Verlag Italia, Milano (Italia)
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- Bellini, M.; Gambaccini, D.; Salvadori, S.; Tosetti, C.; Urbano, M. T.; Costa, F.; Monicelli, P.; Mumolo, M. G.; Ricchiuti, A.; De Bortoli, N.; Marchi, S. (literal)
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- ISI Web of Science (WOS) (literal)
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- University of Pisa; Consiglio Nazionale delle Ricerche (CNR) (literal)
- Titolo
- Management of chronic constipation in general practice (literal)
- Abstract
- Background Chronic constipation is often diagnosed and treated by general practitioners (GPs). The aim of the study was to evaluate the management of constipation by a cohort of Italian GPs.
Methods Over the course of 1 month, 41 GPs recorded tests and therapies suggested to patients complaining of chronic constipation. They were classified according to the Rome III criteria as constipated irritable bowel syndrome (C-IBS), functional constipation (FC), or ''self-perceived
constipation'' (SPC) (not consistent with the Rome criteria).
Results The most frequently prescribed tests for the 229 patients (147 FC, 50 C-IBS, 32 SPC) were routine blood tests (59.3 %), abdominal ultrasounds (37.2 %), thyroid function (36.7 %), fecal occult blood tests (36.7 %), and tumor markers (35 %). Patient sex and age, GP age, and
whether the diagnosis was new influenced the GP's request, but FC, C-IBS, or SPC status did not. Dietary suggestions (81.9 %), fiber supplements (59.7 %), reassurance (50.9 %), and laxatives (30.5 %) were the most frequently prescribed treatments. Antispasmodics were more frequently suggested for C-IBS patients; dietary suggestions, fiber, and enemas were more frequently prescribed in SPC patients. Patient and GP age and whether the diagnosis was new influenced the GP's choice of treatment.
Conclusions The Rome III criteria do not influence diagnostic strategies and only slightly influence therapeutic strategies of GPs. Other factors (age, gender, new or old diagnosis) have more influence on GPs choice of investigations and treatment. (literal)
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