Manejo del problema clínico del estreñimiento con molestias abdominales en adultosEncuesta nacional en Atención Primaria y Aparato Digestivo
- Enrique Rey Díaz Rubio 1
- Joan Josep Mascort Roca 2
- Enrique Peña Forcada 3
- Pedro Cañones Garzón 4
- José María Tenías Burillo 5
- Francisco Javier Júdez Gutiérrez 6
-
1
Hospital Clínico San Carlos de Madrid
info
- 2 Secretario Científico. semFYC
- 3 SEMERGEN
- 4 SEMG
- 5 Hospital Padre Jofre. Valencia
- 6 SEPD
ISSN: 2340-416, 1130-0108
Année de publication: 2016
Volumen: 108
Número: 6
Pages: 323-331
Type: Article
D'autres publications dans: Revista Española de Enfermedades Digestivas
Résumé
Irritable bowel syndrome and functional constipation represent a relevant and common health issue. However, real-world clinical practice includes patients with constipation who may or may not have other abdominal complaints (pain, bloating, abdominal discomfort) with variable frequency. The goal of the present study was to obtain information on the workload entailed by patients with constipation and associated abdominal complaints, predominant clinical behaviors, education needs, and potential daily practice aids both in Primary Care and gastroenterology settings. The clinical behavior of doctors is generally similar at both levels, despite differences in healthcare approach: use of empiric therapies and clinically guided diagnostic tests, with some differences in colonoscopy use (not always directly accessible from Primary Care). Regarding perceptions, general support and osmotic laxatives are most valued by PC doctors, whereas osmotic laxatives, combined laxatives, and linaclotide are most valued by GE specialists. Furthermore, over half of respondents considered differentiating both diagnoses as challenging. Finally, considerable education needs are self-acknowledged at both levels, as is a demand for guidelines and protocols to help in managing this issue in clinical practice. A strength of this study is its providing a joint photograph of the medical approach and the perceptions of constipation with abdominal discomfort from a medical standpoint. Weaknesses include self-declaration (no formal validation) and a response rate potentially biased by professional motivation.