The prevalence of functional constipation in children was unchanged after the Rome IV criteria halved the diagnosis period in Rome III.
Constipation
Defecation disorders
Diagnosis
Functional gastrointestinal disorders
Rome IV criteria
Journal
Acta paediatrica (Oslo, Norway : 1992)
ISSN: 1651-2227
Titre abrégé: Acta Paediatr
Pays: Norway
ID NLM: 9205968
Informations de publication
Date de publication:
12 2019
12 2019
Historique:
received:
06
09
2018
revised:
26
03
2019
accepted:
27
05
2019
pubmed:
30
5
2019
medline:
30
10
2020
entrez:
30
5
2019
Statut:
ppublish
Résumé
The Rome IV criteria for the diagnosis of functional constipation are one month, compared with two months in the Rome III criteria. Our aim was to see whether this altered the prevalence in Ecuador by surveying school children and comparing the results to our previous study. A cross-sectional study was conducted in Quito, Ecuador, in 2013 two randomly selected schools: one private and one public. Children aged 8-15 completed the Spanish version of the Questionnaire of Paediatric Gastrointestinal Symptoms based on the Rome IV criteria. We compared our findings with our previous 2013 study based on the Rome III criteria. A total of 951 children (61% male) completed the Rome IV questionnaire from June to July 2017 at a mean age of 11.2 ± 1.8 years, and 417 children (52% male) completed the Rome III questionnaire in June 2013 at a mean age of 12.0 ± 1.8 years. We found that 14.4% met the Rome IV criteria for functional constipation compared with 11.8% for the Rome III criteria (p = 0.11). Modifying the time required for a diagnosis functional constipation from two months to one month did not result in a significant difference in the prevalence.
Types de publication
Comparative Study
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
2274-2277Informations de copyright
©2019 Foundation Acta Paediatrica. Published by John Wiley & Sons Ltd.
Références
Park R, Mikami S, LeClair J, Bollom A, Lembo C, Sethi S, et al. Inpatient burden of childhood functional GI disorders in the USA: an analysis of national trends in the USA from 1997 to 2009. Neurogastroenterol Motil 2015; 27: 684-92.
Liem O, Harman J, Benninga M, Kelleher K, Mousa H, Di Lorenzo C. Health utilization and cost impact of childhood constipation in the United States. J Pediatr 2009; 154: 258-62.
Choung RS, Shah ND, Chitkara D, Branda ME, Van Tilburg MA, Whitehead WE, et al. Direct medical costs of constipation from childhood to early adulthood: a population-based birth cohort study. J Pediatr Gastroenterol Nutr 2011; 52: 47-54.
Rouster AS, Karpinski AC, Silver D, Monagas J, Hyman PE. Functional Gastrointestinal Disorders Dominate Pediatric Gastroenterology Outpatient Practice. J Pediatr Gastroenterol Nutr 2016; 62: 847-51.
Koppen IJ, Nurko S, Saps M, Di Lorenzo C, Benninga MA. The pediatric Rome IV criteria: what's new? Expert Rev Gastroenterol Hepatol 2017; 11: 193-201.
Mugie SM, Benninga MA, Di Lorenzo C. Epidemiology of constipation in children and adults: a systematic review. Best Pract Res Clin Gastroenterol 2011; 25: 3-18.
Koppen IJN, Vriesman MH, Saps M, Rajindrajith S, Shi X, van Etten-Jamaludin FS, et al. Prevalence of functional defecation disorders in children: a systematic review and meta-analysis. J Pediatr 2018; 198: 121-30. e6.
Jativa E, Velasco-Benitez CA, Koppen IJ, Jativa-Cabezas Z, Saps M. Prevalence of Functional Gastrointestinal Disorders in Schoolchildren in Ecuador. J Pediatr Gastroenterol Nutr 2016; 63: 25-8.
Bongers ME, van Wijk MP, Reitsma JB, Benninga MA. Long-term prognosis for childhood constipation: clinical outcomes in adulthood. Pediatrics 2010; 126: e156-62.
Malowitz S, Green M, Karpinski A, Rosenberg A, Hyman PE. Age of Onset of Functional Constipation. J Pediatr Gastroenterol Nut. 2016; 62: 600-2.
Caplan A, Walker L, Rasquin A. Development and preliminary validation of the questionnaire on pediatric gastrointestinal symptoms to assess functional gastrointestinal disorders in children and adolescents. J Pediatr Gastroenterol Nutr 2005; 41: 296-304.