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Understanding of Constipation Symptoms and the Diagnosis and Management of Constipation in Chinese Physicians

BACKGROUND AND AIMS: Although a range of guidelines for the diagnosis and treatment of chronic constipation has been carried out, there was very little information about the understanding on constipation. The aim of the present study was to estimate the understanding of constipation symptoms and the...

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Autores principales: Chu, Huikuan, Hou, Xiaohua
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4816533/
https://www.ncbi.nlm.nih.gov/pubmed/27031865
http://dx.doi.org/10.1371/journal.pone.0152801
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author Chu, Huikuan
Hou, Xiaohua
author_facet Chu, Huikuan
Hou, Xiaohua
author_sort Chu, Huikuan
collection PubMed
description BACKGROUND AND AIMS: Although a range of guidelines for the diagnosis and treatment of chronic constipation has been carried out, there was very little information about the understanding on constipation. The aim of the present study was to estimate the understanding of constipation symptoms and the diagnosis and management of constipation by clinical physicians in China. METHODS: Participants were physicians and researchers in the field of gastroenterology in China who were scheduled to attend the National Conference on gastrointestinal motility(Constipation). Based on the recommendation of the Rome Foundation Board, the self-reported questionnaire was constructed. FINDINGS: Although most of the opinions on symptoms of constipation were consistent, there were still some differences. Opinions on the Bristol stool form during constipation were discordant, 34% of the doctors thought that it was type 1 and type 2, while 46%of the doctors suggested that type 3 should also be considered constipation. There was no significant difference between them(P = 0.05); We investigated the interpretation on the duration of defecation prolonged, 27% of the doctors suggested it should be longer than 10 minutes, 22% of the doctors suggested it should be longer than 20 minutes, and other 22% of the doctors suggested it should be time of defecation became longer compared to previously bowel habits, there was no significant difference among them(P = 0.38).Only 36% of the doctors thought that psychotherapy was most important in the treatment of severe constipation, while 37% of the doctors thought that medication treatment was most important in the treatment of severe constipation, there was no significant difference between them(P = 0.895). CONCLUSION: We were able to obtain valuable information about current views on symptoms of constipation and the diagnosis and treatment of constipation among Chinese doctors. Although most of the opinions were consistent there were still some differences. This study indicated that in practice in China there was a need for further study on the role of constipation symptoms and there may also be a need for better establishment of consensus guidelines for constipation.
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spelling pubmed-48165332016-04-14 Understanding of Constipation Symptoms and the Diagnosis and Management of Constipation in Chinese Physicians Chu, Huikuan Hou, Xiaohua PLoS One Research Article BACKGROUND AND AIMS: Although a range of guidelines for the diagnosis and treatment of chronic constipation has been carried out, there was very little information about the understanding on constipation. The aim of the present study was to estimate the understanding of constipation symptoms and the diagnosis and management of constipation by clinical physicians in China. METHODS: Participants were physicians and researchers in the field of gastroenterology in China who were scheduled to attend the National Conference on gastrointestinal motility(Constipation). Based on the recommendation of the Rome Foundation Board, the self-reported questionnaire was constructed. FINDINGS: Although most of the opinions on symptoms of constipation were consistent, there were still some differences. Opinions on the Bristol stool form during constipation were discordant, 34% of the doctors thought that it was type 1 and type 2, while 46%of the doctors suggested that type 3 should also be considered constipation. There was no significant difference between them(P = 0.05); We investigated the interpretation on the duration of defecation prolonged, 27% of the doctors suggested it should be longer than 10 minutes, 22% of the doctors suggested it should be longer than 20 minutes, and other 22% of the doctors suggested it should be time of defecation became longer compared to previously bowel habits, there was no significant difference among them(P = 0.38).Only 36% of the doctors thought that psychotherapy was most important in the treatment of severe constipation, while 37% of the doctors thought that medication treatment was most important in the treatment of severe constipation, there was no significant difference between them(P = 0.895). CONCLUSION: We were able to obtain valuable information about current views on symptoms of constipation and the diagnosis and treatment of constipation among Chinese doctors. Although most of the opinions were consistent there were still some differences. This study indicated that in practice in China there was a need for further study on the role of constipation symptoms and there may also be a need for better establishment of consensus guidelines for constipation. Public Library of Science 2016-03-31 /pmc/articles/PMC4816533/ /pubmed/27031865 http://dx.doi.org/10.1371/journal.pone.0152801 Text en © 2016 Chu, Hou http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Chu, Huikuan
Hou, Xiaohua
Understanding of Constipation Symptoms and the Diagnosis and Management of Constipation in Chinese Physicians
title Understanding of Constipation Symptoms and the Diagnosis and Management of Constipation in Chinese Physicians
title_full Understanding of Constipation Symptoms and the Diagnosis and Management of Constipation in Chinese Physicians
title_fullStr Understanding of Constipation Symptoms and the Diagnosis and Management of Constipation in Chinese Physicians
title_full_unstemmed Understanding of Constipation Symptoms and the Diagnosis and Management of Constipation in Chinese Physicians
title_short Understanding of Constipation Symptoms and the Diagnosis and Management of Constipation in Chinese Physicians
title_sort understanding of constipation symptoms and the diagnosis and management of constipation in chinese physicians
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4816533/
https://www.ncbi.nlm.nih.gov/pubmed/27031865
http://dx.doi.org/10.1371/journal.pone.0152801
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