Factors associated with quality of life among women with fecal incontinence

Smith, Tovia M.; Menees, Stacy B.; Xu, Xiao; Saad, Richard J.; Chey, William D.; Fenner, Dee E.

doi:10.1007/s00192-012-1889-6

Cited by 38 publications

(31 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Although LUTS rates were found to be higher in nurses than in the general population, other PFDs presented similar rates and impact to those found worldwide. Prevalence of POP ranges from 22% to 30% in women aged between 18 and 83 years, [35][36][37] however, only one study in the sample investigated POP, 25 which is a concern considering the high prevalence among women and previous studies that have reported a higher risk for developing prolapse among nurses. 1 The prevalence of AI varied between 11% and 15% in the population over 15 years of age, 1 while only one study reported data on faecal and dual incontinence among nurses.…”

Section: Iciqui-sfmentioning

confidence: 99%

A systematic review of the prevalence, risk factors, and impact of pelvic floor dysfunctions in nurses

Lopes

Vasconcelos

Neto

et al. 2019

Neurourology and Urodynamics

View full text Add to dashboard Cite

Aim To investigate the prevalence, risk factors, and impact of pelvic floor dysfunctions in female nurses. Design A systematic review. Data Sources Searches were conducted in the following five electronic databases: PubMed/Medline, LILACS, SCIELO, Cochrane Library, and CINAHL. There were no period or language limitations. Review Methods Data extraction and synthesis were conducted and the appraisal of the quality of the studies was performed using the Joanna Briggs Institute critical appraisal tool checklist for prevalence data. Results A total of 15 studies were included. The symptoms investigated were lower urinary tract symptoms, including urinary incontinence and its subtypes, sexual dysfunctions, constipation, faecal incontinence, and dual incontinence. Overall, prevalence ranged from 9.9% to 89.6%. Associated factors related to occupational roles were lifting heavy weights and poor bladder habits. Quality of life was significantly worse for nurses with pelvic floor disorders. Conclusion Pelvic floor dysfunctions are very common among female nurses, considerably affecting their quality of life. Additional studies are needed to investigate the impact on work productivity, causal relationships with the occupation and the performance of prevention and treatment interventions directed toward this population.

show abstract

Section: Iciqui-sfmentioning

confidence: 99%

A systematic review of the prevalence, risk factors, and impact of pelvic floor dysfunctions in nurses

Lopes

Vasconcelos

Neto

et al. 2019

Neurourology and Urodynamics

View full text Add to dashboard Cite

show abstract

“…A prospective study including women with FI investigated the relationship with depression and abdominal pain [54]. Depression was assessed by the Patient Health Questionnaire (PHQ ) [55].…”

Section: What Do We Know About Qol In Patients With Fi?mentioning

confidence: 99%

Quality of Life Considerations on Fecal Incontinence

Duyos¹,

Ribas²

2020

Current Topics in Faecal Incontinence

View full text Add to dashboard Cite

Traditionally, it has been assumed that tests like anorectal manometry and endoanal ultrasound are essential in the evaluation of fecal incontinence (FI). However, in daily practice, this testing rarely helps in the decision-making, as are mainly based on the patient's symptoms. Moreover, indications and outcome evaluation should not be decided by only considering the symptom severity but the impact on QoL and patient satisfaction. Nowadays, patients tend to be active consumers of health care, so they may participate on the medical decision-making. On the other hand, monitoring treatment results are mandatory in current practice. Finally, considering the cost of some of the current treatments for FI, changes in QoL should be demonstrated before implementing some procedures. For all these reasons, the QoL scales should be used, and readers encouraged to become familiar with QoL instruments and their limitations. The following chapter will cover almost all areas on existing knowledge about QoL in patients with FI: from how many types of QOL scales have been described, to the different ways to measure our patients' satisfaction, passing through the difference between severity and QOL, going deep on if the improvement of patients treated for FI is reflected enough in the current used QOL scales.

show abstract

“…14 Fecal incontinence is associated with anxiety and depression, 15 which may impact the QOL. 16 Thus, it is conceivable that psychological distress partly explains the effect of therapy on FIQOL.…”

Section: Introductionmentioning

confidence: 99%

Validating endpoints for therapeutic trials in fecal incontinence

Noelting

Zinsmeister

Bharucha

2016

Neurogastroenterology Motil

View full text Add to dashboard Cite

Background A 50% or greater reduction in the frequency of fecal incontinence (FI) recorded with daily bowel diaries is the primary endpoint in clinical trials of FI. Whether this difference is clinically important is unknown. The relationship between FI symptoms recorded with daily and weekly instruments is unknown. The contribution of psychological factors to quality of life (QOL) in FI is unclear. Methods FI severity was assessed with daily bowel diaries and periodic questionnaires (Fecal Incontinence Severity score [FISS], FIQOL, 36-Item Short Form Health Survey [SF-36], and Hospital Anxiety and Depression scales) for 4 weeks before and during double-blind randomization to placebo or clonidine in 44 women with FI. The reduction in FI frequency was compared to the minimal clinically-important difference (MCID) computed from the FISS. Endpoints of FI were compared between daily and weekly diaries. Key Results The FISS exceeded the MCID in 75% and 83% of patients in whom the FI frequency declined by 50%-74% and ≥75% respectively. Parameters of FI measured with daily and weekly instruments were significantly correlated. The daily parameters explained 71% of the inter-patient variation in the FISS. The SF-36 health scores, rather than the FISS rating, explained a majority of the inter-subject variation in FIQOL. Conclusions & Inferences Most patients who report a ≥50% reduction in FI frequency experience a clinically-important improvement. Weekly questionnaires accurately assess the severity of FI. Self-reported physical and mental health explained a greater proportion of the variance in FIQOL than FI symptom severity.

show abstract

Factors associated with quality of life among women with fecal incontinence

Abstract: We confirm that women with higher depression scores and prior hysterectomy have moderate/severe QOL impairment. When evaluating FI, screening for depression should be undertaken.

Cited by 38 publications

References 28 publications

A systematic review of the prevalence, risk factors, and impact of pelvic floor dysfunctions in nurses

A systematic review of the prevalence, risk factors, and impact of pelvic floor dysfunctions in nurses

Quality of Life Considerations on Fecal Incontinence

Validating endpoints for therapeutic trials in fecal incontinence

Contact Info

Product

Resources

About