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Nationwide Survey for Application of ROME IV Criteria and Clinical Practice for Functional Constipation in Children

Hyo Jeong Jang1, Ju Young Chung2, Ji Hyun Seo3

  • 1Department of Pediatrics, Keimyung University Dongsan Medical Center, Keimyung University School of Medicine, Daegu, Korea.

Journal of Korean Medical Science
|July 4, 2019
PubMed

Insights

Pediatricians show varied awareness and application of ROME IV criteria for functional constipation (FC). Significant differences exist in diagnostic practices and treatment preferences between pediatric gastroenterologists (PGs) and general pediatricians.

Area of Science:

  • Pediatrics
  • Gastroenterology
  • Clinical Practice Research

Background:

  • Investigates awareness and application of ROME IV criteria for functional constipation (FC) in pediatric real-world practices.
  • Assesses practice differences between pediatric gastroenterologists (PGs) and general pediatricians.

Purpose of the Study:

  • To evaluate current adherence to ROME IV criteria for pediatric FC diagnosis and management.
  • To identify disparities in clinical approaches between specialist and general pediatricians.

Main Methods:

  • A nationwide questionnaire survey was distributed to 500 pediatricians.
  • Data collected from 239 respondents, including 60 pediatric gastroenterologists, on diagnosis and management of pediatric FC.

Main Results:

  • Only 16.6% of pediatricians were aware of the exact ROME IV criteria.
  • Pediatric gastroenterologists demonstrated higher rates of perianal/digital rectal examinations and longer treatment durations (>6 months).
  • Lactulose and polyethylene glycol (PEG) 4000 were preferred by PGs, while general pediatricians also commonly prescribed probiotics.

Conclusions:

  • Observed discrepancies between clinical practice and ROME IV criteria for functional constipation.
  • Significant differences in diagnostic and treatment approaches exist between pediatric gastroenterologists and general pediatricians.
  • Findings can inform the development of practice guidelines and educational programs for pediatric FC.
Abstract

Keywords:
ChildColonic Diseases, FunctionalConstipationManagementQuestionnaire

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