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295 Surgical decision-making 14 SUPPLEMENTAL FILE. Questionnaire 2015 Pediatric Colorectal, Motility and Pelvic Reconstruction Conference Questions on work experience: 1) I work in: ¨ pediatric surgery ¨ pediatric gastroenterology ¨ pediatric urology ¨ adult surgery ¨ adult gastroenterology ¨ adult urology 2) I work as a: ¨ faculty member ¨ fellow ¨ resident ¨ nurse ¨ other:_________________________________________ 3) Years of experience: 4) I work in: ¨ 0-5 ¨ 5-10 ¨ 10-15 ¨ >15 ¨ US ¨ Canada ¨ other country:__________________________________ 5) I am involved in the treatment of pediatric patients with (please check all that apply): ¨ constipation ¨ fecal incontinence ¨ I don’t treat children 6) I define functional constipation in children as: ¨ defecation freq. <3x/week ¨ defecation freq. <3x/week and hard/painful stools ¨ Rome II criteria ¨ Rome III criteria ¨ other:_________________________________________________________ 7) In the diagnostic workup of children with functional constipation I use the following: Routinely Occasionally Never Not available to me Digital rectal examination ¨ ¨ ¨ - Abdominal X-ray (plain) ¨ ¨ ¨ ¨ Colonic transit time (marker study) ¨ ¨ ¨ ¨ Colonic transit time (scintigraphy) ¨ ¨ ¨ ¨ Anorectal manometry ¨ ¨ ¨ ¨ Colonic manometry ¨ ¨ ¨ ¨ Contrast enema ¨ ¨ ¨ ¨ Defecography ¨ ¨ ¨ ¨ Transabdominal ultrasound of rectum ¨ ¨ ¨ ¨ Transrectal ultrasound ¨ ¨ ¨ ¨ Other: please specify: __________________________________________________________________________________________ __________________ 8) If I use plain abdominal X-rays to assess fecal load in children with constipation , I use this scoring system ( check all that apply ): ¨ Barr ¨ Leech ¨ Blethyn ¨ I use plain abdominal X-rays, but I don’t use a scoring system ¨ other:________________________________________ ¨ I don’t use plain abdominal X-rays ¨ not applicable/I don’t know 9) I use anorectal manometry in children with constipation for the following reason(s) ( check all that apply ): ¨ to rule out Hirschsprung’s disease ¨ to diagnose Hirschsprung’s disease ¨ to detect dyssynergia ¨ to diagnose anal achalasia ¨ to assess anal sphincter integrity ¨ to guide pelvic floor surgery decision-making ¨ I never use anorectal manometry ¨ other:_______________________________________________________________ ¨ not applicable/I don’t know