Evidence map›Paper›PMID 40904437›Full record

ReviewJournal of general and family medicine2025

Critical mistakes in managing chronic constipation in the older person and how to avoid them: A narrative review.

Madunil Niriella, Hiruni Jayasena, Prathibha Wijesingha, Janaka de Silva

Abstract readReview
In one paragraph

Review in Journal of general and family medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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.

Madunil NiriellaFaculty of Medicine University of Kelaniya Ragama Sri Lanka.ORCID https://orcid.org/0000-0002-7213-5858
Hiruni JayasenaFaculty of Medicine General Sir John Kothalawala Defence University Rathmalana Sri Lanka.
Prathibha WijesinghaFaculty of Medicine University of Kelaniya Ragama Sri Lanka.
Janaka de SilvaFaculty of Medicine University of Kelaniya Ragama Sri Lanka.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: This narrative review identifies pitfalls in managing constipation in older adults and provides evidence-based recommendations to avoid them. Methods: A selective literature search was conducted across electronic databases (PubMed, MEDLINE, Embase, and Cochrane Library) to identify relevant publications on constipation management in older adults. Randomized controlled trials, meta-analyses, systematic reviews, evidence-based clinical practice guidelines, and selected expert consensus statements and narrative reviews were included. Results: Constipation significantly impacts quality of life and healthcare costs in older adults. It is not a consequence of normal aging but results from decreased mobility, medications, underlying diseases, and pelvic floor dysfunction. A stepwise diagnostic and therapeutic approach is recommended, recognizing that multiple etiologic mechanisms often coexist in elderly patients. Before pharmacological interventions, initial management should include thorough history-taking, physical examination, medication review, and dietary and lifestyle modifications. Conclusions: Common management mistakes include inadequate assessment, overlooking underlying conditions, insufficient diagnostic workup, ignoring multifactorial causes, premature medication use, and neglecting patient education. Effective management requires systematic evaluation and personalized interventions. Clinical Implications: Clinicians should adopt a stepwise approach, from clinical assessment to diagnostic testing or medications. Patient education and individualized treatment based on comorbidities and preferences are essential, with regular efficacy reassessment.

Indexed as

colonic transitconstipationdyssynergic defecationelderlypelvic floor dysfunctionslow‐transit constipation

Identifiers

PMID40904437
PMCPMC12404168

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.