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[Functional abdominal pain disorders in children. A retrospective study on adherence to regional guidelines]
Katja Sjöhag1, Agneta Uusijärvi2
1specialist i allmänmedicin, Vårdcentralen Hökarängen.
Background:
Recurrent abdominal pain is highly prevalent in children. Functional abdominal pain disorders (FAPD) is the most common cause. Aim: To investigate the adherence in a primary care setting to regional guidelines regarding children with recurrent abdominal pain. Methods: Medical records 2014-2016 were analysed. Children aged 4-17 years who made a visit to their general practitioner due to abdominal pain were included. Patients with acute or non-functional pain were excluded. Results: We identified 177 children. The physicians made notes about stool appearance in 88% of cases. Serum antibodies against transglutaminase were analysed in 76% and blood count in 71%. In 54% the physician provided information about FAPD, according to medical records.
Conclusions:
The physicians seem to be aware of several diagnostic tools for ruling out other diagnoses, but improvements can be made in terms of communication about FAPD.
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