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Management of pediatric patients admitted for colonic disimpaction: A scoping review protocol
Alaina Berg1, Dawn Ebach2, Nathaniel A Justice3
1University of Iowa Roy J. and Lucille A. Carver College of Medicine Iowa City Iowa USA.
Insights
This scoping review maps current literature on inpatient management for pediatric obstipation, a severe form of constipation in children. It identifies knowledge gaps to guide future research and improve treatment strategies for this condition.
Area of Science:
- Pediatric Gastroenterology
- Clinical Evidence Synthesis
Background:
- Chronic constipation significantly impacts children's quality of life globally.
- Inpatient management is necessary for pediatric obstipation when outpatient treatments fail.
- Evidence on effective inpatient strategies for pediatric obstipation is evolving.
Purpose of the Study:
- To comprehensively map the existing literature on inpatient management of pediatric obstipation.
- To identify current evidence regarding the efficacy and safety of hospital interventions.
- To pinpoint knowledge gaps in the treatment of pediatric obstipation.
Main Methods:
- A scoping review following Joanna Briggs Institute and PRISMA-Scoping guidelines.
- Extensive literature search across multiple databases (Embase, PubMed, CINAHL, Cochrane, Web of Science, Scopus) and gray literature.
- Two independent reviewers screened titles, abstracts, and full texts; data extraction used standardized forms.
Main Results:
- The review will synthesize evidence on various hospital interventions for pediatric obstipation.
- An evidence map will visually represent the current research landscape.
- Findings will highlight areas with robust evidence and those requiring further investigation.
Conclusions:
- This scoping review will provide an overview of current evidence on hospital treatments for pediatric obstipation.
- It aims to inform clinical practice and guide future research directions.
- Understanding the evidence base is crucial for optimizing care for children with severe constipation.
Objectives:
Chronic constipation is a common condition in pediatric patients worldwide and is associated with decreased quality of life. Inpatient management of constipation is required when outpatient therapy fails and a child becomes obstipated, and unable to pass stool or gas. There is a growing body of evidence regarding different management strategies for pediatric obstipation. This scoping review aims to map the existing literature regarding inpatient management of pediatric obstipation and identify gaps in knowledge.
Methods:
We will follow the methodology described by the Joanna Briggs Institute and outlined in the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews guidelines. The search strategy will include Embase, PubMed, CINAHL, Cochrane Database of Systematic Reviews, Cochrane Central Register of Controlled Trials, Web of Science, Scopus, and gray literature sources. Two independent reviewers will complete screening for eligible studies in two steps: a scan of the title and abstracts followed by a full-text review. Studies regarding inpatient management of pediatric obstipation, with experimental or cohort design, and with full text available in English will be included. Systematic reviews will also be included. Two independent reviewers will extract data using a standardized form. Extracted data will be presented in visual and narrative formats, including an evidence map to meet the objectives of this scoping review. This protocol is registered at Open Science Framework.
Conclusion:
In this scoping review, we will outline the current evidence available regarding the efficacy and safety of various hospital interventions for the treatment of pediatric obstipation.
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