diagnosis and treatment of functional constipation in infants and children

Future research recommendations for the management of functional constipation in children the Egyptian context could include:

·  Epidemiological studies regarding functional constipation on Egyptian children

These recommendations aim to address specific challenges and characteristics of the Egyptian context, potentially leading to more effective prevention and management strategies for functional constipation in children.

➡️Challenges

·   Most of the recommendations depend on the clinical experience of the clinician to make a decision

·  Patients need a long term follow up for functional constipation as recovery is achieved after a very long time.

·   Strengthen the evidence base of the next update of this guideline by generating GRADE summary of finding tables, evidence profiles, and EtD frameworks.

Monitoring and evaluating the impact of the guideline.

The following are three performance measures or indicators for implementing this adapted CPG for functional constipation in children:

1.     Adherence to functional constipation Guidelines

·   Numerator: Number of children with functional constipation who received treatment as per guideline recommendations.

·  Denominator: Total number of children diagnosed with functional constipation

·  Data Source: Hospital or clinic patient records.

2. Duration of Hospital Stay

·   Numerator: Total number of hospitals stay days for children with functional constipation

·  Denominator: Total number of children admitted with functional constipation

·  Data Source: Hospital admission and discharge records.

These key performance indicators are designed to measure the effectiveness and adherence to the guidelines, the efficiency of the treatment in terms of resource utilization (hospital stay), and the success of the treatment in preventing further complications (readmissions).