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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

Dibley, Lesley ORCID: 0000-0001-7964-7672, Hart, Ailsa, Duncan, Julie, Knowles, Charles H, Kerry, Sally M, Lanz, D, Madurasinghe, V, Wade, Tiffany, Terry, Helen, Verjee, Azmina, Fader, Mandy 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. ISSN 0163-2116 (Print), 1573-2568 (Online) (In Press) (doi:https://doi.org/10.1007/s10620-020-06418-9)

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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 sur-vey: 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.

Item Type: Article
Uncontrolled Keywords: bowel control, fecal incontinence, inflammatory bowel disease, screening, urgency
Subjects: R Medicine > R Medicine (General)
Faculty / Department / Research Group: Faculty of Education, Health & Human Sciences
Faculty of Education, Health & Human Sciences > Institute for Lifecourse Development
Faculty of Education, Health & Human Sciences > Institute for Lifecourse Development > Centre for Chronic Illness and Ageing
Last Modified: 30 Jun 2020 11:38
Selected for GREAT 2016: None
Selected for GREAT 2017: None
Selected for GREAT 2018: None
Selected for GREAT 2019: None
Selected for REF2021: None
URI: http://gala.gre.ac.uk/id/eprint/28467

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