Evidence map›Paper›PMID 17464377›Full record

ReviewCanadian journal of gastroenterology = Journal canadien de gastroenterologie2007

Recommendations on chronic constipation (including constipation associated with irritable bowel syndrome) treatment.

P Paré, Ronald Bridges, Malcolm C Champion, Subhas C Ganguli, James R Gray, E Jan Irvine, Victor Plourde, Pierre Poitras, Geoffrey K Turnbull, Paul Moayyedi and 2 more

Registry-linked trialOpen access · hybridAbstract readReview
In one paragraph

Review in Canadian journal of gastroenterology = Journal canadien de gastroenterologie, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03391635 (Efficacy of Electroacupuncture Compared With Transcutaneous Electric Nerve Stimulation for Functional Constipation), which is not on this map. Cited by 33 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 2 pooled it
0.6field-weighted citation impact, top 33% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03391635 nacompletednot on this mapstarted 2018, after this paper: background citation

Efficacy of Electroacupuncture Compared With Transcutaneous Electric Nerve Stimulation for Functional Constipation:a Randomized Controlled Trial

TypeinterventionalSponsorGuang'anmen Hospital of China Academy of Chinese Medical SciencesRan2018 to 2020Enrolled70ConditionsFunctional ConstipationArmsElectroacupuncture, TranscutaneousElectricNerveStimulation
3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 2 syntheses or guidelines pooled it, 81 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Trial
  4. Trial
  5. Trial
  6. Trial
  7. Trial
  8. Does a self-management program change dietary intake in adults with irritable bowel syndrome?Gastroenterology nursing : the official journal of the Society of Gastroenterology Nurses and Associates
    Trial
  9. Trial
  10. Consensus Guidelines on Constipation in Adults in Pakistan.Pakistan journal of medical sciences · 2024
    Article
  11. Article
  12. Review
  13. Article
  14. Observational
  15. Review
  16. Article
  17. Article
  18. Article
  19. The Use of Standardized Questions in Identifying Patients with Dyssynergic Defecation.Journal of the Canadian Association of Gastroenterology · 2018
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 11 institutions in 1 country.

P ParéUniversité Laval and CHAUQ-Hôpital St-Sacrement, Quebec City, Canada. pierre.pare@cha.quebec.qc.ca
Ronald Bridges
Malcolm C Champion
Subhas C Ganguli
James R Gray
E Jan Irvine
Victor Plourde
Pierre Poitras
Geoffrey K Turnbull
Paul Moayyedi
Nigel Flook
Stephen M Collins
McMaster University · CAAlberta Hospital Edmonton · CADalhousie University · CAHôpital du Saint-Sacrement · CAHôpital Saint-Luc · CASt. Joseph’s Healthcare Hamilton · CASt. Michael's Hospital · CAUniversité de Montréal · CAUniversity of British Columbia · CAUniversity of Calgary · CAUniversity of Ottawa · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

While chronic constipation (CC) has a high prevalence in primary care, there are no existing treatment recommendations to guide health care professionals. To address this, a consensus group of 10 gastroenterologists was formed to develop treatment recommendations. Although constipation may occur as a result of organic disease, the present paper addresses only the management of primary CC or constipation associated with irritable bowel syndrome. The final consensus group was assembled and the recommendations were created following the exact process outlined by the Canadian Association of Gastroenterology for the following areas: epidemiology, quality of life and threshold for treatment; definitions and diagnostic criteria; lifestyle changes; bulking agents and stool softeners; osmotic agents; prokinetics; stimulant laxatives; suppositories; enemas; other drugs; biofeedback and behavioural approaches; surgery; and probiotics. A treatment algorithm was developed by the group for CC and constipation associated with irritable bowel syndrome. Where possible, an evidence-based approach and expert opinions were used to develop the statements in areas with insufficient evidence. The nature of the underlying pathophysiology for constipation is often unclear, and it can be tricky for physicians to decide on an appropriate treatment strategy for the individual patient. The myriad of treatment options available to Canadian physicians can be confusing; thus, the main aim of the recommendations and treatment algorithm is to optimize the approach in clinical care based on available evidence.

Indexed as

Practice Guidelines as TopicAlgorithmsBehavior TherapyCanadaChronic DiseaseColectomyConsensusConstipationGastrointestinal AgentsGastrointestinal MotilityHumansIrritable Bowel SyndromeProbioticsSocieties, MedicalTreatment OutcomeGastrointestinal Agents

Identifiers

PMID17464377
PMCPMC2794454
OpenAlexW1488117727

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.