Clinician administered and self-report survey both effective for identifying fecal incontinence in patients with Inflammatory Bowel Disease
Clinician administered and self-report survey both effective for identifying fecal incontinence in patients with Inflammatory Bowel Disease
Objectives: to test two methods for reporting of fecal incontinence (FI) in people with inflammatory bowel disease.
Methods: consecutive patients from IBD clinics in six UK hospitals completed a short three-item case-finding survey about FI; they either completed the survey themselves or were asked the same questions face to face by a clinician.
Results: of 1336 eligible patients with complete data (48% male; mean 43 years; 55% Crohn’s disease, 41% ulcerative colitis), 772 were asked about FI face to face, and 564 self-completed the survey: FI was reported in 63% and 56%, respectively (p = 0.012). In regression analyses, those aged 51–60, having Crohn’s disease and higher disease activity, were more likely to report FI. Of all respondents, 38.7% were interested in receiving help for their incontinence.
Conclusions: fecal incontinence affects the majority of people with IBD. Although more patients reported fecal incontinence when asked face to face than self-reported, routine screening by either method in clinical practice is recommended. Over one-third of patients with IBD want help for bowel control problems.
Bowel control, Fecal incontinence, Inflammatory bowel disease, Screening, Urgency
Dibley, Lesley
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Hart, Ailsa
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Duncan, Julie
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Knowles, Charles H
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Kerry, Sally
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Lanz, Doris
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Madurasinghe, Vichithranie W
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Wade, Tiffany
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Terry, Helen
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Fader, Miranda
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Norton, Christine
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20 June 2020
Dibley, Lesley
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Hart, Ailsa
4eb1d3f9-eef7-4bdd-a21c-748b8b174177
Duncan, Julie
eff24354-ac95-4988-9577-5f582699f4e9
Knowles, Charles H
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Kerry, Sally
3ecd3936-07ac-419e-8848-d6c67b20a694
Lanz, Doris
a8b18a46-07e4-4bc6-a0fb-e8bd38784ff8
Madurasinghe, Vichithranie W
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Wade, Tiffany
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Terry, Helen
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Fader, Miranda
c318f942-2ddb-462a-9183-8b678faf7277
Norton, Christine
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Dibley, Lesley, Hart, Ailsa, Duncan, Julie, Knowles, Charles H, Kerry, Sally, Lanz, Doris, Madurasinghe, Vichithranie W, Wade, Tiffany, Terry, Helen, Fader, Miranda and Norton, Christine
(2020)
Clinician administered and self-report survey both effective for identifying fecal incontinence in patients with Inflammatory Bowel Disease.
Digestive Diseases and Sciences.
(doi:10.1007/s10620-020-06418-9).
Abstract
Objectives: to test two methods for reporting of fecal incontinence (FI) in people with inflammatory bowel disease.
Methods: consecutive patients from IBD clinics in six UK hospitals completed a short three-item case-finding survey about FI; they either completed the survey themselves or were asked the same questions face to face by a clinician.
Results: of 1336 eligible patients with complete data (48% male; mean 43 years; 55% Crohn’s disease, 41% ulcerative colitis), 772 were asked about FI face to face, and 564 self-completed the survey: FI was reported in 63% and 56%, respectively (p = 0.012). In regression analyses, those aged 51–60, having Crohn’s disease and higher disease activity, were more likely to report FI. Of all respondents, 38.7% were interested in receiving help for their incontinence.
Conclusions: fecal incontinence affects the majority of people with IBD. Although more patients reported fecal incontinence when asked face to face than self-reported, routine screening by either method in clinical practice is recommended. Over one-third of patients with IBD want help for bowel control problems.
Text
Clinician administered and self-report survey both effective for identifying fecal incontinence in patients with Inflammatory Bowel Disease
- Accepted Manuscript
More information
Accepted/In Press date: 15 June 2020
Published date: 20 June 2020
Additional Information:
Funding Information:
This paper presents independent research funded by the National Institute for Health Research (NIHR) under its Research for Patient Benefit (RfPB) Programme (Grant Reference Number PB-PG-0613-31033). The views expressed are those of the author(s) and not necessarily those of the NIHR or the Department of Health and Social Care.
Publisher Copyright:
© 2020, Springer Science+Business Media, LLC, part of Springer Nature.
Keywords:
Bowel control, Fecal incontinence, Inflammatory bowel disease, Screening, Urgency
Identifiers
Local EPrints ID: 441739
URI: http://eprints.soton.ac.uk/id/eprint/441739
ISSN: 0163-2116
PURE UUID: 5e93ae14-26c4-4db7-a582-abcf5e820e46
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Date deposited: 25 Jun 2020 16:45
Last modified: 16 Mar 2024 08:16
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Contributors
Author:
Lesley Dibley
Author:
Ailsa Hart
Author:
Julie Duncan
Author:
Charles H Knowles
Author:
Sally Kerry
Author:
Doris Lanz
Author:
Vichithranie W Madurasinghe
Author:
Tiffany Wade
Author:
Helen Terry
Author:
Christine Norton
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