Evidence map›Paper›PMID 36622442›Full record

ReviewPediatric nephrology (Berlin, Germany)2023

Gutted: constipation in children with chronic kidney disease and on dialysis.

Mandy Wan, Lillian King, Natasha Baugh, Zainab Arslan, Evelien Snauwaert, Fabio Paglialonga, Rukshana Shroff

Open access · hybridAbstract readReview
In one paragraph

Review in Pediatric nephrology (Berlin, Germany), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.5field-weighted citation impact, top 12% 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.

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

8 citing papers in PubMed, 9 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. Article
  5. Non-infectious complications of peritoneal dialysis in children.Pediatric nephrology (Berlin, Germany) · 2025
    Review
  6. Review
  7. Article
  8. 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

7 authors at 4 institutions in 3 countries.

Mandy WanEvelina Pharmacy Department, Evelina London Children's Hospital, NHS Foundation Trust, Guy's and St ThomasWestminster Bridge Road, London, SE1 7EH, UK. mandy.wan@gstt.nhs.uk.ORCID http://orcid.org/0000-0001-8802-0425
Lillian KingUCL Great Ormond Street Hospital for Children and Institute of Child Health, London, UK.
Natasha BaughUCL Great Ormond Street Hospital for Children and Institute of Child Health, London, UK.
Zainab ArslanUCL Great Ormond Street Hospital for Children and Institute of Child Health, London, UK.ORCID http://orcid.org/0000-0002-1126-3995
Evelien SnauwaertDepartment of Nephrology, Ghent University Hospital, Ghent, Belgium.ORCID http://orcid.org/0000-0003-2660-7460
Fabio PaglialongaFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.ORCID http://orcid.org/0000-0002-9912-3371
Rukshana ShroffUCL Great Ormond Street Hospital for Children and Institute of Child Health, London, UK.ORCID http://orcid.org/0000-0001-8501-1072
Great Ormond Street Hospital · GBFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico · ITGhent University Hospital · BEKing's College London · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Functional constipation is a common problem in otherwise healthy children. Children with chronic kidney disease (CKD) and on dialysis have additional disease-related risk factors including the uremic milieu, fluid and dietary restrictions, and decreased physical activity, as well as treatment-related risk factors such as dialysis therapy and polypharmacy that contribute to and compound the problem. Constipation causes significant distress for children and their caregivers. In children on peritoneal dialysis, severe constipation can impede catheter function and ultrafiltration. Accumulating evidence points to a possible bidirectional relationship between constipation and CKD, potentially mediated by gut dysbiosis with consequent increased generation of gut-derived uremic toxins and disruption of intestinal epithelium integrity leading to translocation of noxious luminal contents into the circulation inducing systemic inflammation. Effective management of constipation is required but there is little published data on the safety and effectiveness of treatments in adults or children with CKD. In this review, we discuss the diagnosis and epidemiology of functional constipation, provide an overview of its pathophysiology, summarize the therapeutic management, and reflect on the challenges in children with CKD.

Indexed as

Renal DialysisRenal Insufficiency, ChronicChildConstipationHumansInflammationIntestinal MucosaChronic kidney diseaseConstipationDialysisGut microbiotaLaxative

Identifiers

PMID36622442
PMCPMC10514126
OpenAlexW4313880203

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.