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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
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.
10.1007%2Fs10620-020-06418-9
0163-2116
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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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
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Lanz, Doris
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Madurasinghe, Vichithranie W
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Wade, Tiffany
ae07c4fa-eae1-448d-be7a-5a02ed948939
Terry, Helen
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Fader, Miranda
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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%2Fs10620-020-06418-9).

Record type: Article

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.

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Clinician administered and self-report survey both effective for identifying fecal incontinence in patients with Inflammatory Bowel Disease - Accepted Manuscript
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Accepted/In Press date: 15 June 2020
Published date: 20 June 2020

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: 06 Oct 2020 22:04

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