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National Collaborating Centre for Women's and Children's Health (UK). Constipation in Children and Young People: Diagnosis and Management of Idiopathic Childhood Constipation in Primary and Secondary Care. London: RCOG Press; 2010. (NICE Clinical Guidelines, No. 99.)

  • Update information July 2017: The footnote in recommendation 4 was updated to link to the newest NICE guideline on coeliac disease. Footnotes in table 4 were corrected by NICE with manufacturer information that has changed since original publication.

Update information July 2017: The footnote in recommendation 4 was updated to link to the newest NICE guideline on coeliac disease. Footnotes in table 4 were corrected by NICE with manufacturer information that has changed since original publication.

Cover of Constipation in Children and Young People

Constipation in Children and Young People: Diagnosis and Management of Idiopathic Childhood Constipation in Primary and Secondary Care.

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Appendix BDeclarations of interest

All GDG members' interests were recorded on declaration forms provided by NICE. The form covered consultancies, fee-paid work, shareholdings, fellowships and support from the healthcare industry. GDG members' interests are listed in this section. No material conflicts of interest were identified

This appendix includes all interests declared on or before 22nd January 2010

GDG memberInterest
Jenny GordonPersonal pecuniary interest:
£300 received as honorarium and expenses for 2 evening lectures given for Danone Baby (2009)
Expenses to be paid by Danone Baby to attend symposium in March 2010

Personal non-pecuniary interest:
Research interest in the use of reflexology in the treatment of idiopathic constipation
Kate BlakeleyNon- personal pecuniary interest:
£1000 paid to BSPGHAN for presentation at conference (2008)
Janet BlanninNo interest declared
James CavePersonal pecuniary interest:
Director of a dispensing pharmacy and a partner of a dispensing general practice, both of which receive payments for dispensing medication
Sian HoobanNo interests declared
Huw JenkinsPersonal non-pecuniary interests:
Co-investigator in a multi-centre trial on Movicol (2004)

Attended two working group meetings organised by Norgine within the European Society for Paediatric Gastroenterology Hepatology and Nutrition (ESPGHAN) conference (2007). No payment received
Sara MancellPersonal pecuniary interest
Expenses paid by Danone to attend ESPHGHAN conference (June 2009) and a discussion on allergies (November 2009)
Nick NelhansNon-personal pecuniary interests:
Received three honoraria of £200 from Norgine for lectures on behalf of the Impact Bowel Care Pathway Working Group (2007). Paid directly to department of education fund

Received honorarium of £300 from ERIC for a presentation at the ERIC Study Day (2007) paid directly to department of education fund
Zoe RawlinsonFamily pecuniary interest:
Husband owns shares in Prestige Nursing
June RogersNon-personal pecuniary interests:
Educational grants paid to PromoCon (a service provided by Disabled Living (employer)) by Janssen-Cilag (2007), Norgine (2009), Heinz (2009)

Performs a number of talks on and training in paediatric incontinence including constipation. Speaker fees sometimes paid through sponsorship funding from Norgine and Ferring. This payment is made directly to Disabled Living (employer).

Company (PromoCon) received an unrestricted educational grant from Norgine used to pay for printing of a booklet about constipation for children.

Conference costs paid by Norgine at attend ESPGHAN conference as a speaker (2009)

Conference costs paid by Coloplast to attend ESPU conference (2009)

Served as chair of IMPACT working group which received unrestricted educational grant from Norgine to print guidelines.

Payment received by Disabled Living from Norgine to print poster for upcoming conference presentation (2010)

Non-personal non-pecuniary interests:
Member of the “Education and Resources for Improving Childhood Continence” (ERIC) clinical advisory board
Jonathan SutcliffePersonal non-pecuniary interest:
Research interest in idiopathic constipation
David TappinPersonal pecuniary interest:
Currently performing research into developing a nurse-led intervention for children with constipation and soiling funded by the Yorkhill children's Foundation and the NHS East Glasgow CHSP
Karen TuckerNo interests declared
Lynne WatsonPersonal pecuniary interest:
Payment received from PromoCon for presentation on toilet training at Down's Syndrome Conference.
Payment received from PromoCon for presentation at conference in March 2010

Subsistence expenses paid by Norgine for two lunches (Feb 2009 & Jan 2010) to discuss chocolate Movicol
NCC-WCH staffInterest
Monica LakhanpaulPersonal pecuniary interests:
Honorarium for Medicine for Children Research Network
Honorarium for articles reviewed for Archives of Disease in Childhood
Honorarium to attend a meeting of the advisory board for the Prio-med
Child EU work package 4 project
Funding to lead the Eranet Priomed child project for the MRC through employment at the University of Leicester

Non-personal pecuniary interests:
University dept funded by:
DH to develop internet-based educational tool ‘spotting the sick child 2’,
SDO on a project ‘promoting partnerships with children and adolescents in medicine taking’,
MRC for ‘medicines for children’ European research network,
Leicester PCT for a project on improving health outcomes for children with acute and chronic illness
Maximum of one place per year across the department at Leicester funded by Astra Zeneca to attend the ATS conference

Personal non-pecuniary interests:
Member of the NHS Evidence Advisory Board
Community lead for non medicine for children Trent research network
Lead for LNR non medicines specialty group
Community lead on the medicine for children specialty group
Hannah Rose DouglasNo interests declared
Roz UllmanNo interests declared
Lauren Bardisa-EzcurraNo interests declared
Michela TinelliNo interests declared
Rosalind LaiNo interests declared
Debbie PledgeNo interests declared
Rupert FranklinNo interests declared
Rosie CrossleyNo interests declared
External AdvisorInterest
David CandyPersonal Pecuniary interests:
Received honoraria for two articles written for nutritional companies
Received honoraria for attendance at two Norgine Advisory Boards

Non-personal pecuniary interests:
Funding from Yakult Ltd (£20,000 for one year) into a study on prevention of diarrhoea in patients admitted to elderly care rehabilitation wards by Lactobacillus casei Shirota

Funding from Norgine (£30,000 for one year) into a single centre study to assess the safety and efficacy of Movicol in the treatment of children with faecal impaction in children followed by a double, randomised phase to compare the safety and efficacy of Movicol and Lactulose Dry for maintenance therapy

Personal non-pecuniary interests:
Principal investigator in an open label study of PEG+E conducted at the Royal West Sussex NHS Trust

Involved in a randomised controlled trial comparing PEG+E with lactulose in children with constipation conducted at the Royal West Sussex NHS Trust

Principal investigator in a multicentre study comparing the clinical and economic impact of using Macrogol 3350 plus electrolytes with the use of enemas and suppositories and manual evacuation to treat paediatric faecal impaction
Peer ReviewersInterest
Graham Clayden
Michael GreenNon-personal pecuniary interest:
Contributed three patients to a phase III study of Movicol in children with chronic constipation sponsored by Norgine Ltd. Individual patient fees paid directly to department
Copyright © 2010, National Collaborating Centre for Women's and Children's Health.

No part of this publication may be reproduced, stored or transmitted in any form or by any means, without the prior written permission of the publisher or, in the case of reprographic reproduction, in accordance with the terms of licences issued by the Copyright Licensing Agency in the UK [www.cla.co.uk]. Enquiries concerning reproduction outside the terms stated here should be sent to the publisher at the UK address printed on this page.

The use of registered names, trademarks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant laws and regulations and therefore for general use.

Bookshelf ID: NBK65362

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