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Characterization of Multidisciplinary Programs for Abdominal Pain-Related Disorders of Gut-Brain Interaction
Minna Rodrigo1, Bruno P Chumpitazi2, Erika A Chiappini3
1Division of Pediatric Gastroenterology, Hepatology, and Nutrition, University of Maryland School of Medicine, Baltimore, MD, USA.
Clinical Pediatrics
|February 7, 2025
Summary
Multidisciplinary programs for pediatric abdominal pain-related disorders of gut-brain interaction (DGBIs) vary in composition. Dietitians and psychologists are common, but physical therapists are rare, highlighting a need for standardized approaches.
Area of Science:
- Pediatric Gastroenterology
- Gut-Brain Interaction Disorders
- Multidisciplinary Healthcare
Background:
- Abdominal pain-related disorders of gut-brain interaction (DGBIs) are prevalent and challenging in pediatric populations.
- Multidisciplinary programs are a promising approach for managing these complex conditions.
- The specific structures and therapeutic offerings of these programs remain largely undefined.
Purpose of the Study:
- To characterize the composition and therapies utilized in pediatric multidisciplinary DGBI programs across the United States.
- To identify common and less common disciplines and treatment modalities within these programs.
Main Methods:
- A survey was distributed to pediatric gastroenterologists practicing in multidisciplinary DGBI programs nationwide.
- Data collected included program disciplines, therapies offered, patient caseloads, and outcome assessment methods.
Main Results:
- Fourteen programs participated, with disciplines ranging from 2 to 5. Dietitians (79%) and behavioral psychologists (57%) were most frequent; physical therapists were least common (14%).
- Therapies offered spanned pharmacologic (100%), dietary (93%), and psychotherapy (86%).
- Patient loads varied, and 43% of programs used validated outcome questionnaires.
Conclusions:
- Pediatric DGBI multidisciplinary programs exhibit considerable variability in their composition and therapeutic interventions.
- Further research is needed to determine optimal program structures and therapies for improving patient outcomes.
Keywords:
gastrointestinal diseasesintegrative medicinemultidisciplinary pain clinicpain managementpediatric psychologyMore Related Videos
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