Evidence-based summary of the prevention and management of constipation in patients with Parkinson's disease.

Objectives: To summarize the best evidence for preventing and managing constipation in Parkinson's disease (PD) and provide practical guidance for healthcare professionals.

Methods: Guided by the "6S" model, a comprehensive, top-down search of relevant literature was conducted. The search included ten clinical guideline repositories, six professional association websites, and seven academic literature databases. Evidence summaries, clinical practice guidelines, expert consensus statements, best practice recommendations, and systematic reviews were identified. All literature published up to December 20, 2024, was considered.

Result: A total of 15 high-quality studies were included, comprising 2 clinical decisions, 4 guidelines, 4 systematic reviews, 4 expert consensus documents, and 1 best practice document. Based on professional judgment, the evidence was synthesized into nine dimensions: screening and assessment, dietary management, exercise rehabilitation, physical therapy, pharmacotherapy, Traditional Chinese Medicine interventions, health education, important clinical considerations, and multidisciplinary management. In total, 39 best evidence statements were generated.

Conclusion: This study provides a robust foundation for clinicians to apply personalized, evidence-based strategies to alleviate constipation, enhance quality of life, and improve PD management.