BMJ 1998;317:682 ( 5 September )

Letters

Long term follow up of children with recurrent abdominal pain

    Definition of recurrent abdominal pain was not applied
    Authors' reply

Definition of recurrent abdominal pain was not applied

The first 150 words of the full text of this article appear below.

EDITOR---Large longitudinal studies of children with recurrent abdominal pain, such as the one Hotopf et al conducted, are needed. Current knowledge is limited, and studies on the long term follow up of patients with recurrent abdominal pain should fill the gaps. Hotopf et al have addressed this important subject by trying to answer two questions, as the title of their paper indicates.1 The prevalence of recurrent abdominal pain in their cohort (2%) was lower than that reported in cross sectional studies (8-12%). 2 3 This suggests problems with the collection and reliability of the data.

Hotopf et al's first question was, "Why do children have chronic abdominal pain?" Their study was not, however, designed to answer this question. They did not have enough information and did not look for any to help them identify possible causes of abdominal pain. The subjects of the study were identified from a cohort born . . . [Full text of this article]


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Relevant Article

Why do children have chronic abdominal pain, and what happens to them when they grow up? Population based cohort study
Matthew Hotopf, Siobhán Carr, Richard Mayou, Michael Wadsworth, and Simon Wessely
BMJ 1998 316: 1196-1200. [Abstract] [Full Text] [PDF]




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