Monograph: Addressing the Challenges in Chronic Constipation Providing Optimal Care for Patients

Chronic Idiopathic Constipation (CIC), which is also sometimes termed functional constipation, is a relatively common gastrointestinal disorder, with an estimated pooled prevalence of approximately 14% based on multiple studies throughout the world. Although CIC can affect all individuals, studies indicate that it disproportionately affects women, the elderly, and those of lower socioeconomic status. Patients with CIC are also at higher risk of developing comorbidities. A meta-analysis of 35 different studies found an increased incidence of depression, diabetes, functional dyspepsia, and obesity associated with CIC. It is critical that PAs, who are often the initial point of contact for patients seeking care for their CIC symptoms, can effectively diagnose and manage patients with suspected CIC. To address these issues, a clinically focused monograph activity will be employed to generate an increase in knowledge and practice behavior change.

Learning Objectives

At the conclusion of this activity, the PA should be better able to:
  • Assess patients presenting with signs and symptoms of CIC including red flags to identify during a patient workup
  • Identify patient scenarios when referral to a specialist may be appropriate
  • Create integrated patient care plans to optimize patient outcomes in CIC
  • Implement and monitor disease specific pharmacologic therapy for patients with CIC based on individual patient characteristics

Acknowledgment of Commercial Support

Supported by independent educational grants from AbbVie, Inc. and Salix Pharmaceuticals