Berg Alaina, Ebach Dawn, Justice Nathaniel A, Smelser Andrew, Samuelson Riley, Mahmood Zunaira, Imdad Aamer
University of Iowa Roy J. and Lucille A. Carver College of Medicine Iowa City Iowa USA.
Department of Pediatrics, Division of Pediatric Gastroenterology, Hepatology, Pancreatology, and Nutrition, Stead Family Children's Hospital University of Iowa Healthcare Iowa City Iowa USA.
JPGN Rep. 2024 Jun 3;5(3):265-269. doi: 10.1002/jpr3.12094. eCollection 2024 Aug.
Chronic constipation is a common condition in pediatric patients worldwide and is associated with decreased quality of life. Inpatient management of constipation is required when outpatient therapy fails and a child becomes obstipated, and unable to pass stool or gas. There is a growing body of evidence regarding different management strategies for pediatric obstipation. This scoping review aims to map the existing literature regarding inpatient management of pediatric obstipation and identify gaps in knowledge.
We will follow the methodology described by the Joanna Briggs Institute and outlined in the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews guidelines. The search strategy will include Embase, PubMed, CINAHL, Cochrane Database of Systematic Reviews, Cochrane Central Register of Controlled Trials, Web of Science, Scopus, and gray literature sources. Two independent reviewers will complete screening for eligible studies in two steps: a scan of the title and abstracts followed by a full-text review. Studies regarding inpatient management of pediatric obstipation, with experimental or cohort design, and with full text available in English will be included. Systematic reviews will also be included. Two independent reviewers will extract data using a standardized form. Extracted data will be presented in visual and narrative formats, including an evidence map to meet the objectives of this scoping review. This protocol is registered at Open Science Framework.
In this scoping review, we will outline the current evidence available regarding the efficacy and safety of various hospital interventions for the treatment of pediatric obstipation.
慢性便秘是全球儿科患者的常见病症，与生活质量下降相关。当门诊治疗失败且儿童出现便秘、无法排便或排气时，需要进行便秘的住院治疗。关于小儿便秘的不同管理策略，现有证据越来越多。本范围综述旨在梳理有关小儿便秘住院治疗的现有文献，并找出知识空白。
我们将遵循乔安娜·布里格斯研究所描述并在《系统评价与Meta分析扩展版的首选报告项目：范围综述指南》中概述的方法。检索策略将包括Embase、PubMed、CINAHL、Cochrane系统评价数据库、Cochrane对照试验中心注册库、科学网、Scopus以及灰色文献来源。两名独立评审员将分两步完成对 eligible 研究 的筛选：先浏览标题和摘要，然后进行全文审查。将纳入有关小儿便秘住院治疗的研究，其设计为实验性或队列性，且全文为英文。系统评价也将被纳入。两名独立评审员将使用标准化表格提取数据。提取的数据将以可视化和叙述性形式呈现，包括证据图，以满足本范围综述的目标。本方案已在开放科学框架注册。
在本范围综述中，我们将概述目前有关各种医院干预措施治疗小儿便秘的疗效和安全性的现有证据。
