Evidence map›Paper›PMID 29388621›Full record

ReviewPediatric health, medicine and therapeutics2017

Functional constipation in children: challenges and solutions.

Elvira Ingrid Levy, Roel Lemmens, Yvan Vandenplas, Thierry Devreker

2 registry-linked trialsOpen access · goldAbstract readReview
In one paragraph

Review in Pediatric health, medicine and therapeutics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
5.0field-weighted citation impact, top 4% 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.

NCT05318365 naunknown statusnot on this mapstarted 2022, after this paper: background citation

Bladder and Bowel Dysfunction in Children

TypeinterventionalSponsorUniversity of AarhusRan2022 to 2025Enrolled100ConditionsBladder and Bowel DysfunctionArmsPolyethylene Glycol 3350, Urotherapy
NCT06154525 nacompletednot on this mapstarted 2024, after this paper: background citation

Evaluating the Effectiveness of the LiveSpo® Preg-Mom and LiveSpo® KIDS Spore Probiotics in Supporting the Reduction of Constipation, Anorexia, and Slow Weight Gain in Children Aged 24-60 Months

TypeinterventionalSponsorAnabio R&DRan2024 to 2024Enrolled201ConditionsConstipation, Anorexia, Weight GainArmsRO water, LiveSpo Preg-Mom, LiveSpo KIDS
3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 109 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Forensic considerations in cases of fatal constipation.Forensic science, medicine, and pathology · 2025
    Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Exploring Community Perspectives on Functional Paediatric Habitual Constipation.International journal of environmental research and public health · 2024
    Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Review
  20. Review
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

4 authors at 1 institution in 1 country.

Elvira Ingrid Levy *Kidz Health Castle, UZ Brussel, Vrije Universiteit Brussel, Brussels, Belgium.
Roel Lemmens *Kidz Health Castle, UZ Brussel, Vrije Universiteit Brussel, Brussels, Belgium.
Yvan VandenplasKidz Health Castle, UZ Brussel, Vrije Universiteit Brussel, Brussels, Belgium.
Thierry DevrekerKidz Health Castle, UZ Brussel, Vrije Universiteit Brussel, Brussels, Belgium.
Vrije Universiteit Brussel · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This review intends to update what is known about and what is still a challenge in functional constipation (FC) in children regarding epidemiology, pathophysiology, diagnosis, and management. Although FC is a common childhood problem, its global burden remains unknown as data from parts of the world are missing. Another problem is that there is a large variation in prevalence due to differences in study methods and defining age groups. The pathophysiology of FC remains unclear to date but is probably multifactorial. Withholding behavior is likely to be the most important factor in toddlers and young children. Genetics may also play a role since many patients have positive family history, but mutations in genes associated with FC have not been found. Over the past years, different diagnostic criteria for FC in infants and children have been proposed. This year, Rome IV criteria have been released. Compared to Rome III, it eliminates two diagnostic criteria in children under the age of 4 who still wear diapers. Physical examination and taking a thorough medical history are recommended, but other investigations such as abdominal radiography, transabdominal recto-ultrasonography, colonic transit time, rectal biopsies, and colon manometry are not routinely recommended. Regarding treatment, guidelines recommend disimpaction and maintenance therapy with polyethylene glycol (PEG) with or without electrolytes. But experience shows that acceptability, adherence, and tolerance to PEG are still a challenge. Counseling of parents and children about causes of FC is often neglected. Recent studies suggest that behavior therapy added to laxative therapy improves the relief of symptoms. Further homogeneous studies, better-defined outcomes, and studies conducted in primary care are needed.

Indexed as

childrendiagnosticsepidemiologyfunctional constipationpathophysiologyrecurrent abdominal paintreatment

Identifiers

PMID29388621
PMCPMC5774595
OpenAlexW2594236524

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.