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Prevalence, characteristics, and management of childhood functional abdominal pain in general practice
OBJECTIVE: To (i) describe the proportion of children presenting with abdominal pain diagnosed by the GP as functional abdominal pain (GPFAP); (ii) evaluate the association between patient and disease characteristics and GPFAP; (iii) describe diagnostic management by the GP in children presenting wi...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Informa Healthcare
2013
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3860295/ https://www.ncbi.nlm.nih.gov/pubmed/24106821 http://dx.doi.org/10.3109/02813432.2013.844405 |
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author | Spee, Leo A. A. Lisman-Van Leeuwen, Yvonne Benninga, Marc A. Bierma-Zeinstra, Sita M. A. Berger, Marjolein Y. |
author_facet | Spee, Leo A. A. Lisman-Van Leeuwen, Yvonne Benninga, Marc A. Bierma-Zeinstra, Sita M. A. Berger, Marjolein Y. |
author_sort | Spee, Leo A. A. |
collection | PubMed |
description | OBJECTIVE: To (i) describe the proportion of children presenting with abdominal pain diagnosed by the GP as functional abdominal pain (GPFAP); (ii) evaluate the association between patient and disease characteristics and GPFAP; (iii) describe diagnostic management by the GP in children presenting with abdominal pain, and (iv) evaluate whether children with GPFAP fulfill diagnostic criteria for functional abdominal pain (FAP) as described in current literature: chronic abdominal pain (CAP) and the Rome III criteria (PRC-III) for abdominal pain-related functional gastrointestinal disorders (FGID). DESIGN: Cross-sectional study. SETTING: General practices in the Netherlands. SUBJECTS: 305 children aged 4–17 years consulting for abdominal pain. MAIN OUTCOME MEASURES: GPFAP, CAP, FGIDs. RESULTS: 89.2% of children were diagnosed with GPFAP. Headaches and bloating were positively associated with GPFAP whereas fever and > 3 red flag symptoms were inversely associated. Additional diagnostic tests were performed in 26.8% of children. Less than 50% of all children with GPFAP fulfilled criteria for CAP and FGIDs; in 47.9% of patients the duration of symptoms at presentation was less than three months. CONCLUSIONS: In almost 90% of children included in this study the GP suspected no organic cause for the abdominal pain. GPs diagnose FAP in children without alarm symptoms and order diagnostic testing in one out of four children presenting with abdominal pain. No difference was found in GPs’ management between children with a diagnosis of GPFAP and other diagnoses. Only about half of the children with a GP diagnosis of FAP fulfilled time-criteria of FAP as defined in the literature. |
format | Online Article Text |
id | pubmed-3860295 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | Informa Healthcare |
record_format | MEDLINE/PubMed |
spelling | pubmed-38602952013-12-16 Prevalence, characteristics, and management of childhood functional abdominal pain in general practice Spee, Leo A. A. Lisman-Van Leeuwen, Yvonne Benninga, Marc A. Bierma-Zeinstra, Sita M. A. Berger, Marjolein Y. Scand J Prim Health Care Original Article OBJECTIVE: To (i) describe the proportion of children presenting with abdominal pain diagnosed by the GP as functional abdominal pain (GPFAP); (ii) evaluate the association between patient and disease characteristics and GPFAP; (iii) describe diagnostic management by the GP in children presenting with abdominal pain, and (iv) evaluate whether children with GPFAP fulfill diagnostic criteria for functional abdominal pain (FAP) as described in current literature: chronic abdominal pain (CAP) and the Rome III criteria (PRC-III) for abdominal pain-related functional gastrointestinal disorders (FGID). DESIGN: Cross-sectional study. SETTING: General practices in the Netherlands. SUBJECTS: 305 children aged 4–17 years consulting for abdominal pain. MAIN OUTCOME MEASURES: GPFAP, CAP, FGIDs. RESULTS: 89.2% of children were diagnosed with GPFAP. Headaches and bloating were positively associated with GPFAP whereas fever and > 3 red flag symptoms were inversely associated. Additional diagnostic tests were performed in 26.8% of children. Less than 50% of all children with GPFAP fulfilled criteria for CAP and FGIDs; in 47.9% of patients the duration of symptoms at presentation was less than three months. CONCLUSIONS: In almost 90% of children included in this study the GP suspected no organic cause for the abdominal pain. GPs diagnose FAP in children without alarm symptoms and order diagnostic testing in one out of four children presenting with abdominal pain. No difference was found in GPs’ management between children with a diagnosis of GPFAP and other diagnoses. Only about half of the children with a GP diagnosis of FAP fulfilled time-criteria of FAP as defined in the literature. Informa Healthcare 2013-12 2013-12 /pmc/articles/PMC3860295/ /pubmed/24106821 http://dx.doi.org/10.3109/02813432.2013.844405 Text en © 2013 Informa Healthcare http://creativecommons.org/licenses/by/2.5/ This is an open-access article distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the source is credited. |
spellingShingle | Original Article Spee, Leo A. A. Lisman-Van Leeuwen, Yvonne Benninga, Marc A. Bierma-Zeinstra, Sita M. A. Berger, Marjolein Y. Prevalence, characteristics, and management of childhood functional abdominal pain in general practice |
title | Prevalence, characteristics, and management of childhood functional abdominal pain in general practice |
title_full | Prevalence, characteristics, and management of childhood functional abdominal pain in general practice |
title_fullStr | Prevalence, characteristics, and management of childhood functional abdominal pain in general practice |
title_full_unstemmed | Prevalence, characteristics, and management of childhood functional abdominal pain in general practice |
title_short | Prevalence, characteristics, and management of childhood functional abdominal pain in general practice |
title_sort | prevalence, characteristics, and management of childhood functional abdominal pain in general practice |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3860295/ https://www.ncbi.nlm.nih.gov/pubmed/24106821 http://dx.doi.org/10.3109/02813432.2013.844405 |
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