Step by Step

INTRODUCTION

QUIZ

EVALUATION

CERTIFICATE

INTRODUCTION

Credit Hours: CME 1.25

Target Audience:

This activity is directed to physicians who take care of hospitalized children, medical students, nurse practitioners, and physician assistants working in the emergency room, intensive care unit, or hospital wards.

Educational Objectives:

Upon completion of this activity, participants should be able to:

  • Describe the pathophysiology of constipation.
  • Review the epidemiology of inpatient pediatric constipation and how it has increased.
  • Explain the treatment options and current guidelines for constipation in children.

There is no educational content to this course. This course is designed to only administer the post-test and collect CME evaluations for the podcast associated with this training.

Suggested Additional Reading:

  1. Martha Ann Keels et al. Constipation may cause dental caries AAP News, 2017.
  2. Jennifer M. Colombo, Matthew C. Wassom, John M. Rosen. Constipation and Encopresis in Childhood. Pediatrics in Review Sep 2015, 36 (9) 392-402; DOI: 10.1542/pir.36-9-392.
  3. Jamie Librizzi, Samuel Flores, Keith Morse, Kelly Kelleher, Jodi Carter, Ryan Bode. Hospital-Level Variation in Practice Patterns and Patient Outcomes for Pediatric Patients Hospitalized With Functional Constipation. Hospital Pediatrics; Jun 2017, 7 (6) 320-327; DOI: 10.1542/hpeds.2016-0101.
  4. Sandweiss DR, Allen L, Deneau M, Harnsberger J, Pasmann A, Smout R, Mundorff M, Dudley N. Implementing a Standardized Constipation-Management Pathway to Reduce Resource Utilization. Acad Pediatr. 2018 Nov - Dec;18(8):957-964. doi: 10.1016/j.acap.2018.07.011.
  5. Park R, Mikami S, LeClair J, et al. Inpatient burden of childhood functional GI disorders in the USA: an analysis of national trends in the USA from 1997 to 2009. Neurogastroenterol Motil. 2015;27(5):684–692. doi:10.1111/nmo.12542
  6. Sara Horstmann, Matthew Mischler. Stresses in Pediatric Hospital Medicine. Hospital Pediatrics Aug 2015, 5 (8) 459-460; DOI: 10.1542/hpeds.2015-0139.
  7. Melissa Jenco. Studies aim to decrease X-ray use for constipation. AAP News, 2018.
  8. Tabbers MM1, DiLorenzo C, Berger MY, Faure C, Langendam MW, Nurko S, Staiano A, Vandenplas Y, Benninga MA; European Society for Pediatric Gastroenterology, Hepatology, and Nutrition; North American Society for Pediatric Gastroenterology. Evaluation and treatment of functional constipation in infants and children: evidence-based recommendations from ESPGHAN and NASPGHAN. J Pediatr Gastroenterol Nutr. 2014 Feb;58(2):258-74. doi: 10.1097/MPG.0000000000000266.
  9. Park R, Mikami S, LeClair J, et al. Inpatient burden of childhood functional GI disorders in the USA: an analysis of national trends in the USA from 1997 to 2009. Neurogastroenterol Motil. 2015;27(5):684–692.

Authors:
Arvind Srinath, MD, MS — Director, Pediatric Gastroenterology Fellowship Program, UPMC Children's Hospital of Pittsburgh Associate Vice Chair for Education for Fellowship Training, UPMC Children's Hospital of Pittsburgh Associate Professor of Pediatrics, University of Pittsburgh School of Medicine
No relationships with industry relevant to the content of this educational activity have been disclosed.
Tony R. Tarchichi MD — Assistant Professor, Department of Pediatrics, Children's Hospital of Pittsburgh of the University of Pittsburgh Medical Center (UPMC) Paul C. Gaffney Diagnostic Referral Group
No relationships with industry relevant to the content of this educational activity have been disclosed.
No other members of the planning committee, speakers, presenters, authors, content reviewers and/or anyone else in a position to control the content of this education activity have relevant financial relationships with any companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.

This activity is approved for AMA PRA Category 1 Credit™

The University of Pittsburgh is an affirmative action, equal opportunity institution.