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Review
. 2024 Jun 27;11(7):786.
doi: 10.3390/children11070786.

A Systematic Review of Telehealth Utilization for Bowel Management Programs in Pediatric Colorectal Surgery

Elizaveta Bokova  1 , Ismael Elhalaby  1   2 , Seth Saylors  1 , Irene Isabel P Lim  1   3 , Rebecca M Rentea  1   3
Affiliations
Review

A Systematic Review of Telehealth Utilization for Bowel Management Programs in Pediatric Colorectal Surgery

Elizaveta Bokova et al. Children (Basel). .

Abstract

Recent advancements in pediatric surgery have embraced telehealth (TH) modalities, transitioning from traditional in-person consultations to virtual care. This shift has broadened access to healthcare, potentially enhancing affordability, patient and caregiver satisfaction, and clinical outcomes. In pediatric colorectal surgery, telehealth has been effectively utilized to support Bowel Management Programs (BMPs) for children suffering from constipation and fecal incontinence. A systematic review was conducted to assess the effectiveness of virtual BMPs, analyzing studies from January 2010 to December 2023, sourced from MEDLINE (via PubMed), Embase, and the Cochrane Library, with five studies included. Remote BMPs, implemented through video or telephone consultations, reported satisfaction rates exceeding 75% among families, indicating a strong preference for virtual interactions over traditional visits. Significant findings from the studies include improvements in Vancouver and Baylor scores, reductions in the duration of multidisciplinary consultations, enhancements in pediatric quality of life and Cleveland scores, and decreased frequency of laxative treatments. The implementation of TH has facilitated patient-led care, enabling timely adjustments in treatment and efficient distribution of medical supplies. The findings suggest that virtual BMPs are a viable and effective alternative to conventional approaches, yielding high caregiver satisfaction and superior clinical outcomes while promoting patient independence.

Keywords: Hirschsprung; anorectal malformation; antegrade continence enema; bowel management; cloaca; constipation; incontinence; telehealth; telemedicine; virtual.

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Conflict of interest statement

The authors declare no conflicts of interest.

Figures

Figure 1
Figure 1
Stepwise instructions provided to the families prior to their telemedical bowel management appointment. Modified with permission from Lopez JJ et al. [23].
Figure 2
Figure 2
PRISMA flow diagram describing the study selection process.
See this image and copyright information in PMC

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References

    1. Wood R.J., Vilanova-Sanchez A., El-Gohary Y., Ahmad H., Halleran D.R., Reck-Burneo C.A., Rentea R., Sebastiao Y., Nash O., Booth K. One-Year Impact of a Bowel Management Program in Treating Fecal Incontinence in Patients with Anorectal Malformations. J. Pediatr. Surg. 2021;56:1689–1693. doi: 10.1016/j.jpedsurg.2021.04.029. - DOI - PubMed
    1. Wang Y., Liang H., Wu Q., Zheng H., Liu G., Wen Z., Lan M., Yu J., Zhu D., Liang J., et al. Bowel Management Program for Pediatric Postoperative Fecal Incontinence in China: A Surgeon’s Experience. Medicine. 2017;96:e7078. doi: 10.1097/MD.0000000000007078. - DOI - PMC - PubMed
    1. Trinidad S., Oyania F., Bingana C., Nuwagaba I., Obermeyer M., Odongo C., Kotagal M., Situma M. Pilot bowel management program at Mbarara Hospital, Uganda. Pediatr. Surg. Int. 2023;39:292. doi: 10.1007/s00383-023-05574-z. - DOI - PubMed
    1. Russell K.W., Barnhart D.C., Zobell S., Scaife E.R., Rollins M.D. Effectiveness of an Organized Bowel Management Program in the Management of Severe Chronic Constipation in Children. J. Pediatr. Surg. 2015;50:444–447. doi: 10.1016/j.jpedsurg.2014.08.006. - DOI - PubMed
    1. Colares J.H., Purcaru M., Silva G.P., Frota M.A., Silva C.A., Melo-Filho A.A. Impact of the Bowel Management Program on the Quality of Life in Children with Fecal Incontinence. Pediatr. Surg. Int. 2016;32:471–476. doi: 10.1007/s00383-016-3874-5. - DOI - PubMed

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