Usefulness of complementary test in the study of patients with chronic abdominal pain
Por:
Jiménez Candel MI, Salvador Pinto T, García Peris M, Crehuá Gaudiza E, Jovaní Casano C, Moreno Ruiz MA, Hernández Bertó T, Largo Blanco E and Martínez Costa C
Publicada:
1 jul 2021
Ahead of Print:
1 jul 2021
Categoría:
Pediatrics, perinatology and child health
Resumen:
Introduction: Chronic abdominal pain (CAP) in children is a symptom that frequently leads to a visit to the paediatrician, which affects family life and occasionally requires the need to perform diagnostic studies (DS). The objective was to carry out a qualitative, quantitative, and economic analysis on the tests requested.
Patients and methods: An observational, prospective and multicentre study was conducted that included children between 4-15 years old affected by CAP. The difference between organic and functional disorders was taken into account. The following variables were collected: history, warning signs and symptoms, DS, and the cost of these.
Results: The study included 235 children with CAP (Age; mean 9.7 +/- 2.7 SD). The large majority (79%) were functional disorders and 21% organic disorders. Almost half of the patients had some warning sign or symptom, but urinary symptoms were only associated with organic disorders. The abdominal ultrasound, faecal parasites, breath test, and endoscopy were the most associated with organic disorders. There was a difference between the costs of the DS according to each centre. The total economic cost was 52,490.80 euros, with 195 euros per patient for functional disorders and 306 euros for organic disorders.
Conclusion: Signs and symptoms of alarm in CAP were very frequent, but had low discriminative capacity. The abdominal ultrasound and faecal parasites are innocuous DS, and could be useful as a first level study. The endoscopy and the breath test were the most discriminative of organic disease. The economic cost of DS arising from the diagnosis of exclusion in CAP was high.
(c) 2021 Asociacion Espanola de Pediatria. Published by Elsevier Espana, S.L.U. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/ 4.0/).
Filiaciones:
:
Sección de Gastroenterología y Nutrición Pediátrica, Hospital Virgen del Castillo, Yecla, España
:
Sección de Gastroenterología y Nutrición Pediátrica, Hospital de la Marina Baja, Villajoyosa, España
:
Sección de Gastroenterología y Nutrición Pediátrica, Hospital Lluís Alcanyís, Xàtiva, España
Crehuá Gaudiza E:
Sección de Gastroenterología y Nutrición Pediátrica, Hospital Clínico Universitario de Valencia, Valencia, España
:
Sección de Gastroenterología y Nutrición Pediátrica, Hospital General Universitario de Castellón, Castellón, España
Moreno Ruiz MA:
Sección de Gastroenterología y Nutrición Pediátrica, Hospital de Manises, Valencia, España
Hernández Bertó T:
Sección de Gastroenterología y Nutrición Pediátrica, Hospital General Universitario de Albacete, Albacete, España
Largo Blanco E:
Sección de Gastroenterología y Nutrición Pediátrica, Hospital General Universitario de Valencia, Valencia, España
Martínez Costa C:
Sección de Gastroenterología y Nutrición Pediátrica, Hospital Clínico Universitario de Valencia, Valencia, España
Departamento de Pediatría, Obstetricia y Ginecología, Universidad de Valencia, Valencia, España
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