Evidence map›Paper›PMID 27449075›Full record

ArticleRevista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo2016

Pediatrician's knowledge on the approach of functional constipation.

Mario C Vieira, Isadora Carolina Krueger Negrelle, Karla Ulaf Webber, Marjorie Gosdal, Sabine Krüger Truppel, Solena Ziemer Kusma

Abstract read
In one paragraph

Article in Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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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

6 authors.

Mario C VieiraPontifícia Universidade Católica do Paraná, Curitiba, PR, Brasil; Hospital Pequeno Príncipe, Curitiba, PR, Brasil.
Isadora Carolina Krueger NegrellePontifícia Universidade Católica do Paraná, Curitiba, PR, Brasil.
Karla Ulaf WebberPontifícia Universidade Católica do Paraná, Curitiba, PR, Brasil.
Marjorie GosdalPontifícia Universidade Católica do Paraná, Curitiba, PR, Brasil. Electronic address: marjorie.gosdal@hotmail.com.
Sabine Krüger TruppelHospital Pequeno Príncipe, Curitiba, PR, Brasil.
Solena Ziemer KusmaPontifícia Universidade Católica do Paraná, Curitiba, PR, Brasil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the pediatrician's knowledge regarding the diagnostic and therapeutic approach of childhood functional constipation.

methodsA 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.

resultsThe 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.

conclusionsOur 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.

Indexed as

Clinical CompetencePediatricsAdultAgedChildConstipationCross-Sectional StudiesFemaleHumansMaleMiddle AgedSelf ReportConstipação intestinalConstipationDiagnosticDiagnósticoPediatriaPediatricsTratamentoTreatment

Identifiers

PMID27449075
PMCPMC5176062

What OpenQuestion holds

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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.