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Physician visits in the United States for constipation: 1958 to 1986.
Dig Dis Sci 1989; 34(4):606-11DD

Abstract

Since 1958, the National Disease and Therapeutic Index (NDTI) has provided annual statistics summarizing the frequency physicians throughout the United States are visited for different disease conditions. In our present study, these data were used to examine the epidemiology of constipation. Since NDTI statistics are available for a longer time period than other U.S. statistics, they might confirm or disprove the relevance of recent environmental changes on the occurrence of this disorder. The average number of physician visits for constipation in the United States was 2.5 million per year, corresponding to a prevalence of 1.2%. The largest number of these patients (31%) was seen by general and family practitioners, followed in declining order by internists (20%) and pediatricians (15%). Only 4% of all these patients was seen by gastroenterologists. Eight-five percent of these patients received a prescription for medication, with laxatives and cathartics being the most frequently prescribed drugs. Among physician visits for constipation, female prevalence was 1.6% compared with 0.8% for males (P less than 0.001). In both sexes, there was a significant age-related increase in the rate of physician visits, with the steepest rise from 1.3% to 4.1% occurring between the age groups 60-64 and over 65. From 1958 to 1986, the rate of all physician visits for constipation remained unchanged. However, during this time period, there was a twofold rise in physician visits for those patients ages 0-9 years, while a smooth decline occurred in all of the older age groups.(

ABSTRACT

TRUNCATED AT 250 WORDS)

Authors+Show Affiliations

Department of Medicine, Veterans Administration Medical Center, Milwaukee, Wisconsin.No affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

2784759

Citation

Sonnenberg, A, and T R. Koch. "Physician Visits in the United States for Constipation: 1958 to 1986." Digestive Diseases and Sciences, vol. 34, no. 4, 1989, pp. 606-11.
Sonnenberg A, Koch TR. Physician visits in the United States for constipation: 1958 to 1986. Dig Dis Sci. 1989;34(4):606-11.
Sonnenberg, A., & Koch, T. R. (1989). Physician visits in the United States for constipation: 1958 to 1986. Digestive Diseases and Sciences, 34(4), pp. 606-11.
Sonnenberg A, Koch TR. Physician Visits in the United States for Constipation: 1958 to 1986. Dig Dis Sci. 1989;34(4):606-11. PubMed PMID: 2784759.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Physician visits in the United States for constipation: 1958 to 1986. AU - Sonnenberg,A, AU - Koch,T R, PY - 1989/4/1/pubmed PY - 1989/4/1/medline PY - 1989/4/1/entrez SP - 606 EP - 11 JF - Digestive diseases and sciences JO - Dig. Dis. Sci. VL - 34 IS - 4 N2 - Since 1958, the National Disease and Therapeutic Index (NDTI) has provided annual statistics summarizing the frequency physicians throughout the United States are visited for different disease conditions. In our present study, these data were used to examine the epidemiology of constipation. Since NDTI statistics are available for a longer time period than other U.S. statistics, they might confirm or disprove the relevance of recent environmental changes on the occurrence of this disorder. The average number of physician visits for constipation in the United States was 2.5 million per year, corresponding to a prevalence of 1.2%. The largest number of these patients (31%) was seen by general and family practitioners, followed in declining order by internists (20%) and pediatricians (15%). Only 4% of all these patients was seen by gastroenterologists. Eight-five percent of these patients received a prescription for medication, with laxatives and cathartics being the most frequently prescribed drugs. Among physician visits for constipation, female prevalence was 1.6% compared with 0.8% for males (P less than 0.001). In both sexes, there was a significant age-related increase in the rate of physician visits, with the steepest rise from 1.3% to 4.1% occurring between the age groups 60-64 and over 65. From 1958 to 1986, the rate of all physician visits for constipation remained unchanged. However, during this time period, there was a twofold rise in physician visits for those patients ages 0-9 years, while a smooth decline occurred in all of the older age groups.(ABSTRACT TRUNCATED AT 250 WORDS) SN - 0163-2116 UR - https://www.unboundmedicine.com/medline/citation/2784759/full_citation L2 - http://www.diseaseinfosearch.org/result/1885 DB - PRIME DP - Unbound Medicine ER -