The DOI matches its Crossref record; 154 of the 154 references it cites were found in a registry or an index.
Chronic Constipation: An Evidence-Based Review
Open accessAbstract
BACKGROUND: Chronic constipation is a common condition seen in family practice among the elderly and women. There is no consensus regarding its exact definition, and it may be interpreted differently by physicians and patients. Physicians prescribe various treatments, and patients often adopt different over-the-counter remedies. Chronic constipation is either caused by slow colonic transit or pelvic floor dysfunction, and treatment differs accordingly. METHODS: To update our knowledge of chronic constipation and its etiology and best-evidence treatment, information was synthesized from articles published in PubMed, EMBASE, and Cochrane Database of Systematic Reviews. Levels of evidence and recommendations were made according to the Strength of Recommendation taxonomy. RESULTS: The standard advice of increasing dietary fibers, fluids, and exercise for relieving chronic constipation will only benefit patients with true deficiency. Biofeedback works best for constipation caused by pelvic floor dysfunction. Pharmacological agents increase bulk or water content in the bowel lumen or aim to stimulate bowel movements. Novel classes of compounds have emerged for treating chronic constipation, with promising clinical trial data. Finally, the link between senna abuse and colon cancer remains unsupported. CONCLUSIONS: Chronic constipation should be managed according to its etiology and guided by the best evidence-based treatment.
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Research on the Premotor Symptoms of Parkinson’s Disease: Clinical and Etiological Implications
Chen, H., Burton, E. A., Ross, G. W., Huang, X., Savica, R., Abbott, R. D., Ascherio, A., Caviness, J. N., Gao, X., Gray, K. A., et al. (2013) · Environmental Health Perspectives · doi:10.1289/ehp.1306967 · Cited by 83
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Metadata
- Authors
- Leung, L., Riutta, T., Kotecha, J., & Rosser, W.
- Venue
- The Journal of the American Board of Family Medicine
- Published
- 2011-07-01
- Volume
- 24
- Issue
- 4
- Pages
- 436-451
- ISSN
- 1557-2625 (ISSN-L)
- 1558-7118
- OpenAlex
- W2146199929
- Cited by
- 300
- References
- 154
- FWCI
- 18.94
- Type
- journal article
- Language
- en
- Open access
- bronze
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