دورية أكاديمية
Chronic constipation diagnosis and treatment evaluation: The 'CHRO.CO.DI.T.E.' study
العنوان: | Chronic constipation diagnosis and treatment evaluation: The 'CHRO.CO.DI.T.E.' study |
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المؤلفون: | Bellini M., Usai-Satta P., Bove A., Bocchini R., Galeazzi F., Battaglia E., Alduini P., Buscarini E., Bassotti G., Balzano A., Portincasa P., Bonfrate L., D'Alba L., Badiali D., Marchi S., Gambaccini D., Neri M. C., Muscatiello N., Di Stefano M., Giannelli C., Goffredo F., Turco L., Camilleri S., Ceccarelli G., Iovino P., Montalbano L. M., Morreale G. C., Rentini S., Savarino V., Segato S., Manfredi G., Cannizzaro R., Passaretti S., Alessandri M., Corti F., Cuomo R., Zito F. P., Mellone C., Barbera R., Milazzo G., Pucciani F., Soncini M., Lai M. A., Ruggeri M., Savarese M. F., De Bona M., Surrenti E., Arini A., Dinelli M., Leandro G., Peralta S., Manta R., Quartini M., Torresan F., Vilardo L., Pulvirenti D'Urso A., Tarantino O., Noris R. A., Monica F., Carrara M., Losco A., Lauri A., Neri M., Grassini M. |
المساهمون: | Bellini, M., Usai-Satta, P., Bove, A., Bocchini, R., Galeazzi, F., Battaglia, E., Alduini, P., Buscarini, E., Bassotti, G., Balzano, A., Portincasa, P., Bonfrate, L., D'Alba, L., Badiali, D., Marchi, S., Gambaccini, D., Neri, M. C., Muscatiello, N., Di Stefano, M., Giannelli, C., Goffredo, F., Turco, L., Camilleri, S., Ceccarelli, G., Iovino, P., Montalbano, L. M., Morreale, G. C., Rentini, S., Savarino, V., Segato, S., Manfredi, G., Cannizzaro, R., Passaretti, S., Alessandri, M., Corti, F., Cuomo, R., Zito, F. P., Mellone, C., Barbera, R., Milazzo, G., Pucciani, F., Soncini, M., Lai, M. A., Ruggeri, M., Savarese, M. F., De Bona, M., Surrenti, E., Arini, A., Dinelli, M., Leandro, G., Peralta, S., Manta, R., Quartini, M., Torresan, F., Vilardo, L., Pulvirenti D'Urso, A., Tarantino, O., Noris, R. A., Monica, F., Carrara, M., Losco, A., Lauri, A., Neri, M., Grassini, M. |
سنة النشر: | 2017 |
المجموعة: | Università degli Studi di Bari Aldo Moro: CINECA IRIS |
مصطلحات موضوعية: | Diagnosi, Functional constipation, Irritable bowel syndrome, Treatment, Adult, Aged, Chronic Disease, Colonoscopy, Constipation, Defecography, Digital Rectal Examination, Female, Human, Italy, Male, Middle Aged, Surveys and Questionnaire, Symptom Assessment, Severity of Illness Index, Gastroenterology |
الوصف: | Background: According to Rome criteria, chronic constipation (CC) includes functional constipation (FC) and irritable bowel syndrome with constipation (IBS-C). Some patients do not meet these criteria (No Rome Constipation, NRC). The aim of the study was is to evaluate the various clinical presentation and management of FC, IBS-C and NRC in Italy. Methods: During a 2-month period, 52 Italian gastroenterologists recorded clinical data of FC, IBS-C and NRC patients, using Bristol scale, PAC-SYM and PAC-QoL questionnaires. In addition, gastroenterologists were also asked to record whether the patients were clinically assessed for CC for the first time or were in follow up. Diagnostic tests and prescribed therapies were also recorded. Results: Eight hundred seventy-eight consecutive CC patients (706 F) were enrolled (FC 62.5%, IBS-C 31.3%, NRC 6.2%). PAC-SYM and PAC-QoL scores were higher in IBS-C than in FC and NRC. 49.5% were at their first gastroenterological evaluation for CC. In 48.5% CC duration was longer than 10 years. A specialist consultation was requested in 31.6%, more frequently in IBS-C than in NRC. Digital rectal examination was performed in only 56.4%. Diagnostic tests were prescribed to 80.0%. Faecal calprotectin, thyroid tests, celiac serology, breath tests were more frequently suggested in IBS-C and anorectal manometry in FC. More than 90% had at least one treatment suggested on chronic constipation, most frequently dietary changes, macrogol and fibers. Antispasmodics and psychotherapy were more frequently prescribed in IBS-C, prucalopride and pelvic floor rehabilitation in FC. Conclusions: Patients with IBS-C reported more severe symptoms and worse quality of life than FC and NRC. Digital rectal examination was often not performed but at least one diagnostic test was prescribed to most patients. Colonoscopy and blood tests were the "first line" diagnostic tools. Macrogol was the most prescribed laxative, and prucalopride and pelvic floor rehabilitation represented a "second line" approach. ... |
نوع الوثيقة: | article in journal/newspaper |
اللغة: | English |
العلاقة: | info:eu-repo/semantics/altIdentifier/pmid/28088179; info:eu-repo/semantics/altIdentifier/wos/WOS:000393709500001; volume:17; issue:Article Number: 11; firstpage:1; lastpage:11; numberofpages:11; journal:BMC GASTROENTEROLOGY; http://hdl.handle.net/11586/185461Test; info:eu-repo/semantics/altIdentifier/scopus/2-s2.0-85009410494; http://www.biomedcentral.com/bmcgastroenterolTest/ |
DOI: | 10.1186/s12876-016-0556-7 |
الإتاحة: | https://doi.org/10.1186/s12876-016-0556-7Test http://hdl.handle.net/11586/185461Test http://www.biomedcentral.com/bmcgastroenterolTest/ |
حقوق: | info:eu-repo/semantics/openAccess |
رقم الانضمام: | edsbas.6484C2D8 |
قاعدة البيانات: | BASE |
DOI: | 10.1186/s12876-016-0556-7 |
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