Diagnosis and treatment of constipation in children: a survey of primary care physicians in West Virginia.

A questionnaire was mailed to all PCPs practicing in West Virginia. Demographics, clinical practice, treatment, referral practices, and familiarity with the constipation guideline were recorded. Results were compared between pediatricians (Ps) and family practitioners (FPs). Out of 718, 210 (78 Ps and 112 FPs) completed the survey. Compared to FPs, Ps reported a higher number of children diagnosed with constipation in their clinics. All PCPs prescribed various treatment modalities for constipation, but Ps used more lavage therapy (P< 0.001). Most of the PCPs referred patients to specialists for treatment failure (85%), and preferred to co-manage their patients (58%). The majority (67-86%) of physicians were not familiar with the published clinical guidelines for constipation in children. Most PCPs in West Virginia are not familiar with the clinical guideline for constipation in children. An educational campaign for constipation in children is clearly warranted.