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 21 February 2018

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News

Ambulatory care for constipation has increased in the USA

A study reported in the latest American Journal of Gastroenterology shows an increase in ambulatory care for constipation in the United States from 1993 to 2004.

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Chronic constipation is one of the most common disorders seen in primary care.

Dr Nilay Shah and colleagues from Minnesota, USA assessed longitudinal changes in the ambulatory care that occur in constipation evaluation and management.

The team examined national trends in physician office visits associated with constipation between 1993 and 2004.

Ambulatory visits for constipation increased to almost 8 million visits during the 2001 to 2004 period
American Journal of Gastroenterology

Data were derived from the National Ambulatory Medical Care Survey and the National Hospital Ambulatory Care Survey for 1993 to 2004.

Patient visits were classified as encounters for constipation-related care.

Analyses were performed by combining 4 years of data.

The researchers identified 4 million ambulatory visits for constipation annually during 1993 to 1996 period.

Ambulatory visits for constipation increased to almost 8 million visits during the 2001 to 2004 period.

The team found that the proportion of medical visits for constipation increased for pediatricians, but decreased for adult primary care providers from 1993 to 2004.

During the observed time period, the proportion of medical visits for constipation did not change for gastroenterologists.

The primary treatment for constipation shifted from bulking agents to osmotic laxatives.

Dr Shah's team concluded, "There has been a significant increase in physician office visits for constipation between 1993 and 2004, with the highest rate of increase in the pediatric population."

"Longitudinal trends indicate an increase in constipation-related visits for pediatricians."

"The primary treatment for constipation among medical providers shifted from using bulking agents to osmotic laxatives for unknown reasons."

Am J Gastroenterol 2008: 103(7): 1746-53
10 July 2008

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