Educational needs in the diagnosis and management of pediatric functional constipation: a US survey of specialist and primary care clinicians

Barnes, Justin; Coleman, Brandon; Hwang, Seon Young; Stolic, Aleksandra; Bousvaros, Athos; Nurko, Samuel; Salinas, Gregory D.

doi:10.1080/00325481.2018.1464364

Cited by 9 publications

(29 citation statements)

References 16 publications

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“…We conclude that awareness of the content of an applicable guideline (3) is poor among PHs and PTs working in public pharmacies in Germany. This is in line with previous studies of physicians treating constipation in children (5,(11)(12)(13)(14)(15). Accordingly, recommendations based on fictional but typical case studies differed considerably from those in the guidelines.…”

Section: Discussionsupporting

confidence: 93%

Impact of guideline awareness in public pharmacies on counseling of patients with acute or chronic constipation in a survey of pharmacy personnel

Eberlin

Landes

Biber-Feiter

et al. 2020

Preprint

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Background: Constipation is often self-managed by patients and guidelines are available to aid healthcare professionals in the counseling of patients for self-management. Therefore, we have explored the knowledge and attitude of pharmacy personnel towards guidelines for the management of acute and functional chronic constipation and how they affects their recommendations.Methods: An online survey was conducted among 201 pharmacists and pharmacy technicians from an existing panel. They were presented with two typical cases, a 62-year old woman with functional chronic constipation and a 42-year old woman with travel plans. For each case, they were asked about their treatment recommendations and the underlying rationale. Thereafter, they were provided with contents from an applicable national guideline and asked again about their recommendations and the underlying rationale. In line with the exploratory nature, data were analyzed in a descriptive manner only. Results: Before exposure to guideline content, the most frequent recommendations for chronic constipation were macrogol, fiber and lactulose and for acute constipation sodium picosulfate, bisacodyl and enemas. Following guideline exposure, the most frequent recommendations for chronic constipation were macrogol, bisacodyl and sodium picosulfate and for acute constipation bisacodyl, sodium picosulfate and macrogol (all three equally recommended by the guideline for the management of acute and chronic constipation). Correspondingly, the rationale behind the recommendations shifted with guideline conformity becoming a leading reason.Conclusions: Awareness of the content of an applicable guideline on the management of constipation was poor among pharmacy personnel. Accordingly, recommendations in many cases were not in line with the guideline. Greater awareness of guideline content is desirable to enable more evidence-based recommendations in the management of constipation.

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Section: Discussionsupporting

confidence: 93%

Impact of guideline awareness in public pharmacies on counseling of patients with acute or chronic constipation in a survey of pharmacy personnel

Eberlin

Landes

Biber-Feiter

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…We conclude that awareness of the content of an applicable guideline [3] is poor among PHs and PTs working in public pharmacies in Germany. This is in line with previous studies of physicians treating constipation in children [5,[11][12][13][14][15]. While it is likely that this similarly applies to physicians involved in the care of adult with constipation, this needs to be determined in future studies.…”

Section: Discussionsupporting

confidence: 86%

“…As multiple options are available for the medical treatment of constipation [21,22], HCPs working in pharmacies have a key role in advising patients on the appropriate use and selection of laxatives. Studies among physicians treating constipation in children have consistently reported limited knowledge of and adherence to applicable guidelines [5,[11][12][13][14][15]. The state of knowledge of PHs and PTs advising patients with constipation is less clear.…”

Section: Discussionmentioning

confidence: 99%

“…Guidelines exist in many areas of medicine but awareness of and adherence to them by HCPs is not always optimal. Some previous studies have explored adherence to guidelines on the management of constipation in children in various regions of the world [5,[11][12][13][14][15]. They consistently report a moderate degree of knowledge and adherence to such guidelines.…”

Section: Introductionmentioning

confidence: 99%

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Impact of guideline awareness in public pharmacies on counseling of patients with acute or chronic constipation in a survey of pharmacy personnel

et al. 2020

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Background: Constipation is often self-managed by patients and guidelines are available to aid healthcare professionals in the counseling of patients for self-management. Therefore, we have explored the knowledge and attitude of pharmacy personnel towards guidelines for the management of acute and functional chronic constipation and how they affects their recommendations. Methods: An online survey was conducted among 201 pharmacists and pharmacy technicians from an existing panel. They were presented with two typical cases, a 62-year old woman with functional chronic constipation and a 42-year old woman with travel plans. For each case, they were asked about their treatment recommendations and the underlying rationale. Thereafter, they were provided with contents from an applicable national guideline and asked again about their recommendations and the underlying rationale. In line with the exploratory nature, data were analyzed in a descriptive manner only. Results: Before exposure to guideline content, the most frequent recommendations for chronic constipation were macrogol, fiber and lactulose and for acute constipation sodium picosulfate, bisacodyl and enemas. Following guideline exposure, the most frequent recommendations for chronic constipation were macrogol, bisacodyl and sodium picosulfate and for acute constipation bisacodyl, sodium picosulfate and macrogol (all three equally recommended by the guideline for the management of acute and chronic constipation). Correspondingly, the rationale behind the recommendations shifted with guideline conformity becoming a leading reason. Conclusions: Awareness of the content of an applicable guideline on the management of constipation was poor among pharmacy personnel. Accordingly, recommendations in many cases were not in line with the guideline. Greater awareness of guideline content is desirable to enable more evidence-based recommendations in the management of constipation.

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“…Studies in various other indications indicate that guideline knowledge and adherence among physicians is suboptimal, for instance among primary care physicians [ 4 ] and pediatricians [ 5 , 6 ] in functional constipation in children, urologists in prostate cancer screening [ 7 ], hospital-based physicians in infection management [ 8 ], or primary care physicians in the use of antibiotics in the management of acute lower respiratory tract infections [ 9 ]. Against this background, we have performed an online survey among groups of HCPs, specifically GPs, PAs and PTs to explore their awareness and knowledge of applicable guidelines on acute cough and to compare their recommendation behavior to that in the guideline; moreover, we have investigated whether recommendation behavior changes acutely following exposure to excerpts from the German Respiratory Society guideline [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Impact of guideline awareness on the counseling of patients with acute cough among general practitioners and pharmacy personnel

et al. 2021

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Objective To explore the awareness and knowledge of applicable guidelines on acute cough among general practitioners, pharmacists and pharmacy technicians and to compare their recommendation behavior and clinical decision making to the evidence-based recommendation in the applicable guidelines. Methods An anonymous online survey was performed among 303 members of an existing panel of healthcare professionals (HCPs). They were presented with a hypothetical case vignette representative of their daily practice and asked for their treatment recommendations. After being shown an excerpt from the applicable guidelines, these questions were repeated. Results Forty-six % of participants reported to seek information on cough and respiratory conditions very often or often. Among 12 non-prescription treatments-commonly used over-the-counter-products for acute cough, HCPs most often recommended various plant extract-based products (phytotherapeutic remedies) for the acute cough case, whereas chemically defined options such as ambroxol or N-acetyl-cysteine were recommended less often. Following presentation of the guidelines excerpt, recommendations of the phytotherapeutic remedies decreased moderately whereas that of the guideline-recommended ambroxol more than doubled. Among stated reasons for the recommendation guideline conformity increased from 5% to 35% among the top-3 reasons. Conclusions The recommendations for the treatment of acute cough by professionals involved in primary healthcare deviated considerably from the applicable guideline recommendation but changed after presentation of a guidelines excerpt and knowledge thereof. We conclude that dissemination of applicable guideline knowledge is relevant to improve evidence-based healthcare and clinical decision making.

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Educational needs in the diagnosis and management of pediatric functional constipation: a US survey of specialist and primary care clinicians

Cited by 9 publications

References 16 publications

Impact of guideline awareness in public pharmacies on counseling of patients with acute or chronic constipation in a survey of pharmacy personnel

Impact of guideline awareness in public pharmacies on counseling of patients with acute or chronic constipation in a survey of pharmacy personnel

Impact of guideline awareness in public pharmacies on counseling of patients with acute or chronic constipation in a survey of pharmacy personnel

Impact of guideline awareness on the counseling of patients with acute cough among general practitioners and pharmacy personnel

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