Evidence map›Paper›PMID 35933335›Full record

ArticleBMC pediatrics2022

Knowledge and practice of pediatricians regarding childhood constipation in the Arab world: results from a multicenter survey.

Mohammed Hasosah, Azad Haleem, Kevan Jacobson, Bassel Alshemmeri, Aziz Alenazi, Ahmed Abdel Badei, Peggy Massoud

Abstract readMulticenter Study
In one paragraph

Article in BMC pediatrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. Article
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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

7 authors.

Mohammed HasosahPediatric Gastroenterology Department, King Saud Bin Abdulaziz University for Health Sciences, King Abdullah International Medical Research Center's (KAIMRC) National Guard Heath Affairs. Hospital, PO Box: 8202, Jeddah, 21482, Saudi Arabia. hasosah2007@yahoo.com.
Azad HaleemPediatric Gastroenterology Department, University of Duhok/College of Medicine, Duhok, Iraq.
Kevan JacobsonPediatric Gastroenterology, British Colombia Children's Hospital, and British Columbia Children's Hospital Research Institute, University of British Columbia, Vancouver, BC, Canada.
Bassel AlshemmeriPediatric Gastroenterology Department, Kuwait Oil Company Hospital, Ahmadi, Kuwait.
Aziz AlenaziPediatric Gastroenterology Department, King Saud Bin Abdulaziz University for Health Sciences, King Abdullah International Medical Research Center's (KAIMRC) National Guard Heath Affairs Hospital, Riyad, Saudi Arabia.
Ahmed Abdel BadeiZagazig University, Novalac KSA, Zagazig, Egypt.
Peggy MassoudSaint Joseph University, Novalac MENA Region, Beirut, Lebanon.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesWe aimed to evaluate knowledge and practice styles among medical providers with different professions and working in different Arab countries regarding their approach to childhood constipation.

methodsWe conducted a cross-sectional multinational survey in eight Arab countries. Pediatric care providers (PCPs), including pediatric specialists (PSs), pediatric residents (PRs), pediatric consultants (PCs), pediatric gastroenterologists (PGs), general practitioners (GPs), and pediatric surgeons (PSu), were included in our study. The survey was anonymous, and participants provided input on the definition and management of constipation.

resultsOf 4000 PCPs, 2579 completed the survey (response rate of 64.5%). Although the majority of respondents were aware of the Rome IV criteria to diagnose constipation, significant differences in the percentage of participants in different geographic countries regarding the definition of constipation were noted. Polyethylene glycol (PEG) was prescribed as a first-line treatment of fecal disimpaction significantly more frequently by pediatricians (PSs, PRs, PCs, PGs) than GPs and PSu (12.8% versus 7.2%, respectively; p < 0.001). Additionally, we found that pediatricians used special milk (high magnesium) as a first-choice formula significantly more often than other physicians (53.7% versus 37%, P < 0.001). For maintenance therapy, both pediatricians and nonpediatricians used dietary management with a special milk formula more than other treatment options (84.2% and 84%, respectively).

conclusionsDespite increased awareness of the Rome IV criteria, significant differences in knowledge and practice patterns regarding fecal disimpaction exist among PCPs from different Arab countries. The identification of these gaps may be helpful for policy-makers to produce targeted instructional resources on constipation for PCPs.

Indexed as

Arab WorldPractice Patterns, Physicians'ChildConstipationCross-Sectional StudiesHumansPediatriciansSurveys and QuestionnairesArab countriesConstipationKnowledgePediatriciansPractice

Identifiers

PMID35933335
PMCPMC9356407

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Registered trials

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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.