14781-koppen

218 Chapter 10 with more than 15 years of experience compared to physicians with less experience (Table 2). Most frequently reported reasons to deviate from the guideline were: patient’s or parent’s preference for a different laxative (29% [CI 24-35%]), unfamiliarity with the guideline (27% [CI 23-33%]), insufficient clinical response to the maximum recommended dosage (26% [CI 21-31%]), patient or parental preference for a different treatment than laxatives (19% [CI 15-24%]). FIGURE 1. Flowchart inclusion completed questionnaires. Abbreviations: FC, functional constipation; FI, fecal incontinence; NL, Netherlands; U.S., United States. TABLE 1. Responder characteristics and familiarity with the guideline for childhood functional constipation. Total ( n =328) n (%) Dutch ( n =110) n (%) U.S. ( n =218) n (%) Field of practice Pediatrics Pediatric gastroenterology 191 (58) 137 (42) 81 (74) 29 (26) 110 (51) 108 (50) Title/role Attending Resident 300 (92) 28 (9) 100 (91) 10 (9) 200 (92) 18 (8) Practice setting Tertiary hospital Secondary hospital Primary care/private practice 87 (27) 126 (38) 115 (35) 28 (26) 82 (75) - 59 (27) 44 (20) 115 (53) Years of experience 0-5 years 5-10 years 10-15 years >15 years 75 (23) 47 (14) 44 (13) 162 (49) 24 (22) 22 (20) 17 (16) 47 (43) 51 (23) 25 (12) 27 (12) 115 (53)