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Childhood abdominal pain in primary care: design and patient selection of the HONEUR abdominal pain cohort

BACKGROUND: Abdominal pain in children is a common complaint presented to the GP. However, the prognosis and prognostic factors of childhood abdominal pain are almost exclusively studied in referred children. This cohort study aims at describing prognosis and prognostic factors of childhood abdomina...

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Autores principales: Spee, Leo AA, van den Hurk, Arjan PJM, van Leeuwen, Yvonne, Benninga, Marc A, Bierma-Zeinstra, Sita MA, Passchier, Jan, Berger, Marjolein Y
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2010
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2858717/
https://www.ncbi.nlm.nih.gov/pubmed/20377856
http://dx.doi.org/10.1186/1471-2296-11-27
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author Spee, Leo AA
van den Hurk, Arjan PJM
van Leeuwen, Yvonne
Benninga, Marc A
Bierma-Zeinstra, Sita MA
Passchier, Jan
Berger, Marjolein Y
author_facet Spee, Leo AA
van den Hurk, Arjan PJM
van Leeuwen, Yvonne
Benninga, Marc A
Bierma-Zeinstra, Sita MA
Passchier, Jan
Berger, Marjolein Y
author_sort Spee, Leo AA
collection PubMed
description BACKGROUND: Abdominal pain in children is a common complaint presented to the GP. However, the prognosis and prognostic factors of childhood abdominal pain are almost exclusively studied in referred children. This cohort study aims at describing prognosis and prognostic factors of childhood abdominal pain in primary care. In this paper we describe methods used for data-collection and determine possible selective recruitment. METHODS/DESIGN: We conducted an observational, prospective cohort study with a 1-year follow-up. From May 2004 to March 2006, 53 Dutch GPs recruited consecutive children aged 4-17 years with a new episode of abdominal pain not preceded by a consultation for this complaint in the previous 3 months. Participants filled in standardized questionnaires, and faeces and urine were sampled. To evaluate selective recruitment, the electronic medical records of participating GPs were retrospectively searched for eligible non-included children. DISCUSSION: This study allows us to describe prognosis and prognostic factors of childhood abdominal pain in primary care. A total of 305 children were included of whom 142 (46.6%) met predefined criteria for chronic/recurrent abdominal pain at presentation; from the total group of eligible children identified from the electronic medical record, 27% were included. The included children were significantly younger than non-included children (mean age 8.49 and 9.20 years). In proportion to identified eligible children, significantly less children diagnosed with "gastroenteritis" (6.8%) and significantly more children with "generalized abdominal pain" (39%) were included compared to the 27% that was expected. This cohort represents young school-aged children consulting GPs for a new episode of abdominal pain, not diagnosed as gastroenteritis. Almost half of them fulfil the criteria for chronic abdominal pain at presentation.
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spelling pubmed-28587172010-04-23 Childhood abdominal pain in primary care: design and patient selection of the HONEUR abdominal pain cohort Spee, Leo AA van den Hurk, Arjan PJM van Leeuwen, Yvonne Benninga, Marc A Bierma-Zeinstra, Sita MA Passchier, Jan Berger, Marjolein Y BMC Fam Pract Study protocol BACKGROUND: Abdominal pain in children is a common complaint presented to the GP. However, the prognosis and prognostic factors of childhood abdominal pain are almost exclusively studied in referred children. This cohort study aims at describing prognosis and prognostic factors of childhood abdominal pain in primary care. In this paper we describe methods used for data-collection and determine possible selective recruitment. METHODS/DESIGN: We conducted an observational, prospective cohort study with a 1-year follow-up. From May 2004 to March 2006, 53 Dutch GPs recruited consecutive children aged 4-17 years with a new episode of abdominal pain not preceded by a consultation for this complaint in the previous 3 months. Participants filled in standardized questionnaires, and faeces and urine were sampled. To evaluate selective recruitment, the electronic medical records of participating GPs were retrospectively searched for eligible non-included children. DISCUSSION: This study allows us to describe prognosis and prognostic factors of childhood abdominal pain in primary care. A total of 305 children were included of whom 142 (46.6%) met predefined criteria for chronic/recurrent abdominal pain at presentation; from the total group of eligible children identified from the electronic medical record, 27% were included. The included children were significantly younger than non-included children (mean age 8.49 and 9.20 years). In proportion to identified eligible children, significantly less children diagnosed with "gastroenteritis" (6.8%) and significantly more children with "generalized abdominal pain" (39%) were included compared to the 27% that was expected. This cohort represents young school-aged children consulting GPs for a new episode of abdominal pain, not diagnosed as gastroenteritis. Almost half of them fulfil the criteria for chronic abdominal pain at presentation. BioMed Central 2010-04-08 /pmc/articles/PMC2858717/ /pubmed/20377856 http://dx.doi.org/10.1186/1471-2296-11-27 Text en Copyright ©2010 Spee et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Study protocol
Spee, Leo AA
van den Hurk, Arjan PJM
van Leeuwen, Yvonne
Benninga, Marc A
Bierma-Zeinstra, Sita MA
Passchier, Jan
Berger, Marjolein Y
Childhood abdominal pain in primary care: design and patient selection of the HONEUR abdominal pain cohort
title Childhood abdominal pain in primary care: design and patient selection of the HONEUR abdominal pain cohort
title_full Childhood abdominal pain in primary care: design and patient selection of the HONEUR abdominal pain cohort
title_fullStr Childhood abdominal pain in primary care: design and patient selection of the HONEUR abdominal pain cohort
title_full_unstemmed Childhood abdominal pain in primary care: design and patient selection of the HONEUR abdominal pain cohort
title_short Childhood abdominal pain in primary care: design and patient selection of the HONEUR abdominal pain cohort
title_sort childhood abdominal pain in primary care: design and patient selection of the honeur abdominal pain cohort
topic Study protocol
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2858717/
https://www.ncbi.nlm.nih.gov/pubmed/20377856
http://dx.doi.org/10.1186/1471-2296-11-27
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