The Diagnostic Accuracy of Abdominal X-ray in Childhood Constipation: A Systematic Review of the Literature
Background: Previous systematic reviews have found insufficient and conflicting evidence for an association between the clinical and radiographic diagnosis of functional constipation. Abdominal X-ray is frequently used for the diagnosis of functional constipation in clinical practice. The objective...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2024-01-01
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| Series: | Gastrointestinal Disorders |
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| Online Access: | https://www.mdpi.com/2624-5647/6/1/6 |
| _version_ | 1827306107534573568 |
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| author | David Avelar Rodriguez Ghaida Dahlwi Michelle Gould Margaret Marcon Marc Benninga |
| author_facet | David Avelar Rodriguez Ghaida Dahlwi Michelle Gould Margaret Marcon Marc Benninga |
| author_sort | David Avelar Rodriguez |
| collection | DOAJ |
| description | Background: Previous systematic reviews have found insufficient and conflicting evidence for an association between the clinical and radiographic diagnosis of functional constipation. Abdominal X-ray is frequently used for the diagnosis of functional constipation in clinical practice. The objective of this study was to evaluate the diagnostic accuracy of abdominal X-ray for the evaluation of functional constipation in children. Results: Three studies were included in the final qualitative analysis. They were heterogeneous in their study design, definition of constipation, and radiologic parameters used to evaluate the abdominal X-rays. Sensitivities ranged from 73–92%, specificities ranged from 26–92%, and diagnostic accuracies ranged from 78–90%. Methods: This study involved a systematic review of English literature published between 2012 and 2022 covering children 2–18 years of age with a diagnosis of functional constipation in whom abdominal X-ray was performed. The databases searched include Medline, Embase, and Scopus. Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) and Quality Assessment of Diagnostic Accuracy Studies 2 (QUADAS-2) guidelines were followed. PROSPERO ID: CRD42022301833. Conclusions: There is insufficient evidence to support the use of abdominal X-ray as part of the diagnostic workup of functional constipation. More methodologically rigorous studies are needed to determine the utility of abdominal X-ray in the evaluation of functional constipation. The diagnosis of functional constipation should be based on history and clinical findings. |
| first_indexed | 2024-04-24T18:15:48Z |
| format | Article |
| id | doaj.art-73071c542ab6441399aa026e8b9390b9 |
| institution | Directory Open Access Journal |
| issn | 2624-5647 |
| language | English |
| last_indexed | 2024-04-24T18:15:48Z |
| publishDate | 2024-01-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Gastrointestinal Disorders |
| spelling | doaj.art-73071c542ab6441399aa026e8b9390b92024-03-27T13:42:30ZengMDPI AGGastrointestinal Disorders2624-56472024-01-01619410210.3390/gidisord6010006The Diagnostic Accuracy of Abdominal X-ray in Childhood Constipation: A Systematic Review of the LiteratureDavid Avelar Rodriguez0Ghaida Dahlwi1Michelle Gould2Margaret Marcon3Marc Benninga4Department of Pediatric Gastroenterology, Hepatology & Nutrition, The Hospital for Sick Children, University of Toronto, Toronto, ON M5G 1E8, CanadaDepartment of Pediatric Gastroenterology, Hepatology & Nutrition, The Hospital for Sick Children, University of Toronto, Toronto, ON M5G 1E8, CanadaDepartment of Pediatric Gastroenterology, Hepatology & Nutrition, The Hospital for Sick Children, University of Toronto, Toronto, ON M5G 1E8, CanadaDepartment of Pediatric Gastroenterology, Hepatology & Nutrition, The Hospital for Sick Children, University of Toronto, Toronto, ON M5G 1E8, CanadaDepartment of Pediatric Gastroenterology and Nutrition, Emma Children’s Hospital, Amsterdam UMC, 1105 AZ Amsterdam, The NetherlandsBackground: Previous systematic reviews have found insufficient and conflicting evidence for an association between the clinical and radiographic diagnosis of functional constipation. Abdominal X-ray is frequently used for the diagnosis of functional constipation in clinical practice. The objective of this study was to evaluate the diagnostic accuracy of abdominal X-ray for the evaluation of functional constipation in children. Results: Three studies were included in the final qualitative analysis. They were heterogeneous in their study design, definition of constipation, and radiologic parameters used to evaluate the abdominal X-rays. Sensitivities ranged from 73–92%, specificities ranged from 26–92%, and diagnostic accuracies ranged from 78–90%. Methods: This study involved a systematic review of English literature published between 2012 and 2022 covering children 2–18 years of age with a diagnosis of functional constipation in whom abdominal X-ray was performed. The databases searched include Medline, Embase, and Scopus. Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) and Quality Assessment of Diagnostic Accuracy Studies 2 (QUADAS-2) guidelines were followed. PROSPERO ID: CRD42022301833. Conclusions: There is insufficient evidence to support the use of abdominal X-ray as part of the diagnostic workup of functional constipation. More methodologically rigorous studies are needed to determine the utility of abdominal X-ray in the evaluation of functional constipation. The diagnosis of functional constipation should be based on history and clinical findings.https://www.mdpi.com/2624-5647/6/1/6functional constipationconstipationabdominal X-rayfunctional gastrointestinal disorders |
| spellingShingle | David Avelar Rodriguez Ghaida Dahlwi Michelle Gould Margaret Marcon Marc Benninga The Diagnostic Accuracy of Abdominal X-ray in Childhood Constipation: A Systematic Review of the Literature Gastrointestinal Disorders functional constipation constipation abdominal X-ray functional gastrointestinal disorders |
| title | The Diagnostic Accuracy of Abdominal X-ray in Childhood Constipation: A Systematic Review of the Literature |
| title_full | The Diagnostic Accuracy of Abdominal X-ray in Childhood Constipation: A Systematic Review of the Literature |
| title_fullStr | The Diagnostic Accuracy of Abdominal X-ray in Childhood Constipation: A Systematic Review of the Literature |
| title_full_unstemmed | The Diagnostic Accuracy of Abdominal X-ray in Childhood Constipation: A Systematic Review of the Literature |
| title_short | The Diagnostic Accuracy of Abdominal X-ray in Childhood Constipation: A Systematic Review of the Literature |
| title_sort | diagnostic accuracy of abdominal x ray in childhood constipation a systematic review of the literature |
| topic | functional constipation constipation abdominal X-ray functional gastrointestinal disorders |
| url | https://www.mdpi.com/2624-5647/6/1/6 |
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