Table 1

Characteristics of randomised controlled trials of osmotic and stimulant laxatives versus placebo in chronic idiopathic constipation

StudyCountry, and number of centresSettingCriteria used to define chronic idiopathic constipationCriteria used to define responseNumber of patients (% female)Laxative usedDuration of therapyMethodology
Wesselius-De Casparis 196824Holland and Croatia, 3 sitesSecondary and tertiary careNeed for regular laxative useNo requirement for additional laxatives during treatment period103 (not stated)Lactulose 15 ml od (dose doubled if no response)3 weeksRandomisation and concealment of allocation unclear, double-blind
Baldonedo 199125Venezuela, 1 siteSecondary careCompatible symptoms and negative investigationsMean number of stools per week31 (93.5)Polyethylene glycol 500 ml od8 daysRandomisation and concealment of allocation unclear, double-blind
Corazziari 199626Italy, 6 sitesSecondary and tertiary careRome I criteria and negative investigations≥3 stools per week Mean number of stools per week48 (77.1)Polyethylene glycol 17.5 g bid8 weeksRandomisation and concealment of allocation stated, double-blind*
Corazziari 200027Italy, 5 sitesSecondary and tertiary careRome criteria (iteration unspecified) and negative investigations≥3 stools per week without the use of rescue laxatives, and no straining, hard stools, or tenesmus Mean number of stools per week70 (82.9)Polyethylene glycol 17.5 g bid20 weeksRandomisation and concealment of allocation stated, double-blind*
DiPalma 200028USA, 4 sitesSecondary and tertiary careCompatible symptoms and negative investigations within the last 2 years>3 stools per week without the use of rescue laxatives Mean number of stools per week151 (86.8)Polyethylene glycol 17 g od2 weeksRandomisation and concealment of allocation stated, double-blind*
DiPalma 200729USA, 50 sitesSecondary and tertiary careRome I criteria and negative investigations≥3 stools per week without the use of rescue laxatives, and ≤ 1 of straining, hard stools, or tenesmus Mean number of stools per week304 (84.9)Polyethylene glycol 17 g od6 monthsRandomisation and concealment of allocation stated, double-blind*
Kamm 201031UK, 27 sitesPrimary care and commercial centresRome III≥3 CSBMs per week Mean number of stools per week368 (74.7)Bisacodyl (Dulcolax) 10 mg od4 weeksRandomisation and concealment of allocation stated, double-blind*
Mueller-Lissner 201030Germany, 45 sitesPrimary careRome III≥3 CSBMs per week Mean number of stools per week367 (77.7)Sodium picosulfate (Dulcolax) 10 mg od4 weeksRandomisation and concealment of allocation stated, double-blind
  • * Full information not reported in published article, but obtained after correspondence with the authors.

  • bid, twice daily; CSBM, complete spontaneous bowel movement; od, once daily.