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A structured bowel management program for patients with severe functional constipation can help decrease emergency

Carlos A Reck-Burneo1, Alejandra Vilanova-Sanchez1, Alessandra C Gasior1

  • 1Center for Colorectal and Pelvic Reconstruction (CCPR), Nationwide Children's Hospital, 700 Children's Drive, Columbus, OH 43205, USA.

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Summary
This summary is machine-generated.

A structured bowel management program (BMP) significantly reduced emergency department visits and hospital admissions in children with severe functional constipation. This intervention also lowered associated healthcare costs.

Keywords:
Bowel management programFunctional constipationHealth care costs

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Area of Science:

  • Pediatric Gastroenterology
  • Health Services Research

Background:

  • Constipation in children incurs substantial healthcare costs in the USA, estimated at $3.9 billion annually.
  • Severe functional constipation significantly impacts children's health and healthcare utilization.

Purpose of the Study:

  • To evaluate the effectiveness of a structured Bowel Management Program (BMP) in reducing healthcare utilization and costs for children with severe functional constipation.

Main Methods:

  • A retrospective review of 184 children with severe functional constipation across two centers who participated in an intensive outpatient BMP.
  • Data collected included emergency department (ED) visits, hospital admissions, and constipation-related morbidities 12 months before and after BMP completion.
  • Objective stool burden assessment via daily radiography was part of the BMP protocol.

Main Results:

  • Following BMP, ED visits decreased by 64% (from 34.2% to 12.5% of patients) (p < 0.0005).
  • Unplanned hospital admissions saw a 56.9% reduction (from 65 to 28 admissions).
  • The study demonstrated significant reductions in key healthcare utilization metrics.

Conclusions:

  • A structured BMP is effective in decreasing unplanned ED visits and hospital admissions in pediatric patients with severe functional constipation.
  • Implementing a BMP can lead to reduced healthcare costs associated with constipation-related morbidities in children.