Health-related quality of life in functional GI disorders: focus on constipation and resource utilization

Irvine, E. Jan; Ferrazzi, Simon; Paré, Pierre; Thompson, Wade; Rance, Laureen

doi:10.1111/j.1572-0241.2002.05843.x

Cited by 246 publications

(146 citation statements)

References 25 publications

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“…For IBD patients, early diagnosis and aggressive intervention may reduce the possibility of complications (13) and significant delays in evaluation may therefore, lead to poorer outcomes (14) and an impaired quality of life (15). Constipation and diarrhea are also associated with significant impairment of quality of life (16)(17)(18), and delays in diagnosis and therapy are likely to impose a considerable burden on the individual and on society (3). The lengthened wait times for patients with suspected IBD, irritable bowel syndrome, chronic diarrhea and chronic constipation suggest that gastroenterologists prioritize consultations to deal more promptly with patients who should be seen urgently.…”

Section: Discussionmentioning

confidence: 99%

Access to Specialist Gastroenterology Care in Canada: Comparison of Wait Times and Consensus Targets

Leddin

Armstrong²,

Barkun³

et al. 2008

Canadian Journal of Gastroenterology

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BACKGROUND: Monitoring wait times and defining targets for care have been advocated to improve health care delivery related to cancer, heart, diagnostic imaging, joint replacements and sight restoration. There are few data on access to care for digestive diseases, although they pose a greater economic burden than cancer or heart disease in Canada. The present study compared wait times for specialist gastroenterology care with recent, evidence-based, consensus-defined benchmark wait times for a range of digestive diseases. METHODS: Total wait times from primary care referral to investigation were measured for seven digestive disease indications by using the Practice Audit in Gastroenterology program, and were benchmarked against consensus recommendations. . DISCUSSION: Total wait times for the seven indications exceeded the consensus targets; 51% to 88% of patients were not seen within the target wait time. Multiple interventions, including adoption of evidence-based management guidelines and provision of economic and human resources, are needed to ensure appropriate access to digestive health care in Canada. Outcomes can be evaluated by the 'point-of-care', practice audit methodology used for the present study.

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Section: Discussionmentioning

confidence: 99%

Access to Specialist Gastroenterology Care in Canada: Comparison of Wait Times and Consensus Targets

Leddin

Armstrong²,

Barkun³

et al. 2008

Canadian Journal of Gastroenterology

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“…Constipation is often associated with psychological symptoms of anxiety and depression and significant impairment in quality of life (Burnett, Whitehead, & Drossman, 1998;Irvine et al, 2002). Constipation is more common in women than men across the life span, and the prevalence rises with age, especially after middle age.…”

Section: Pelvic Floor Dyssynergiamentioning

confidence: 99%

Biofeedback Treatment for Functional Anorectal Disorders: A Comprehensive Efficacy Review

Palsson

Heymen

Whitehead

2004

Appl Psychophysiol Biofeedback

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“…A recent review estimated the overall prevalence of constipation in the US to be approximately 15% [4]. Recent studies have demonstrated that CC reduces patient's quality of life [5] and imposes a significant economic burden on the healthcare system [6].…”

Section: Introductionmentioning

confidence: 99%

Mu-Opioid Receptor Antagonists and Their Role in Treatment of Chronic Constipation

2017

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Constipation disproportionately affects older adults, with a prevalence of 50% in community-dwelling elderly and 74% in nursing-home residents. Loss of mobility, medications, underlying diseases, impaired anorectic sensation, and ignoring calls to defecate are as important as dyssynergic defecation or irritable bowel syndrome in causing constipation. Opioid antagonists not only have well-established indications in the reversal of lifethreatening opioid toxicity but also hold considerable promise for other applications in palliative care practice, particularly management of opioidinduced constipation (OIC). This review summarizes the pharmacology of new peripherally acting mu (µ) opioid receptor antagonists (PAMORA).

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Health-related quality of life in functional GI disorders: focus on constipation and resource utilization

Abstract: Constipation is common in the Canadian population and significantly impairs health-related quality of life. Poor quality of life is an important predictor of health care utilization in these subjects.

Cited by 246 publications

References 25 publications

Access to Specialist Gastroenterology Care in Canada: Comparison of Wait Times and Consensus Targets

Access to Specialist Gastroenterology Care in Canada: Comparison of Wait Times and Consensus Targets

Biofeedback Treatment for Functional Anorectal Disorders: A Comprehensive Efficacy Review

Mu-Opioid Receptor Antagonists and Their Role in Treatment of Chronic Constipation

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