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Evid Based Nurs 5:76 doi:10.1136/ebn.5.3.76
  • Treatment

Review: behavioural interventions plus laxatives are effective for defecation disorders in children, but biofeedback does not add benefit

Unsuccessful rates for cognitive, behavioural, or cognitive and behavioural interventions for defecation disorders in children*

Comparisons Follow up Weighted event rates RRI (95% CI) NNH (CI)
Conv + biofeed v conv 12 months 52% v 45% 16% (–4 to 40) Not significant
18 months 52% v 46% 15% (–11 to 48) Not significant
Biofeed + lax v biofeed 12 weeks 91% v 56%† 63% (16 to 149) 3 (2 to 10)
12 months 91% v 64%† 43% (5 to 108) 4 (3 to 28)
RRR (CI) NNT (CI)
*Biofeed = biofeedback; BM = behavioural modifications; conv = conventional treatment (laxatives, dietary advice, and toilet training); lax = laxatives. Other abbreviations defined in glossary; RRI, RRR, NNH, NNT, and CI calculated from data in article.
†Event rates not weighted.
BM + lax v BM 6 months 43% v 60% 28% (5 to 46) 6 (4 to 28)
12 months 36% v 52% 30% (3 to 49) 7 (4 to 48)
BM + lax v lax Not reported 15% v 55%† 73% (36 to 90) 3 (2 to 7)

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