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International Urogynecology Journal

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01.03.2013 | Original Article

Factors associated with quality of life among women with fecal incontinence

verfasst von: T. M. Smith, S. B. Menees, X. Xu, R. J. Saad, W. D. Chey, D. E. Fenner

Erschienen in: International Urogynecology Journal | Ausgabe 3/2013

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Abstract

Introduction and hypothesis

Fecal incontinence (FI) is a distressing, highly prevalent condition affecting quality of life (QOL). The aim of our study was to identify predictors of moderate/severe health-related QOL among women with FI.

Methods

Data were collected from women presenting to a multispecialty clinic from January 2005 to July 2009 with FI. All completed questionnaires on demographics and validated instruments including the Fecal Incontinence Quality of Life Instrument (FIQL), Patient Health Questionnaire (PHQ) for depression, and Fecal Incontinence Severity Index (FISI). Logistic regression was used to identify factors associated with moderate/severe FI.

Results

The study included 226 women with an average age of 59.2 years (SD = 14.1); 92 % were Caucasian, 67 % were married, and the average body mass index was 30.0 (SD = 8.6). Their QOL was moderately/severely affected by FI in 35.6 %. Mean overall FIQL score was 2.5 (SD = 0.8). Median QOL subscale measures were: lifestyle = 2.7 (SD = 1.0), coping = 2.09 (SD = 0.9), depression = 2.8 (SD = 1.0), and embarrassment = 2.2 (SD = 0.9). Average FISI score was 31.6 (SD = 15.7) and average depression score on the PHQ was 8.93 (SD = 8.1). In univariate analyses, diabetes, irritable bowel symptoms, prior hysterectomy, history of previous medical care for FI, higher FISI and PHQ scores were associated with moderate/severe FIQL scores (p < 0.05). Higher PHQ scores and prior hysterectomy significantly predicted moderate/severe QOL in logistic regression analysis (p < 0.05).

Conclusions

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.

Norton C, Whitehead WE, Bliss DZ, Metsola P, Tries J (2009) Conservative and pharmacological management of faecal incontinence in adults. In: Abrams P, Cardozo L, Khoury S, Wein A (eds) Incontinence, 4th edn. Health Publications, Plymouth

Bharucha AE, Zinsmeister AR, Locke GR et al (2005) Prevalence and burden of fecal incontinence: a population-based study in women. Gastroenterology 129(1):42–49PubMedCrossRef

Whitehead WE, Borrud L, Goode PS et al (2009) Fecal incontinence in US adults: epidemiology and risk factors. Gastroenterology 137(2):512-7–517.e1-2CrossRef

Varma MG, Brown JS, Creasman JM et al (2006) Fecal incontinence in females older than aged 40 years: who is at risk? Dis Colon Rectum 49(6):841–851PubMedCrossRef

Melville JL, Walker E, Katon W et al (2002) Prevalence of comorbid psychiatric illness and its impact on symptom perception, quality of life, and functional status in women with urinary incontinence. Am J Obstet Gynecol 187(1):80–87PubMedCrossRef

Macmillan AK, Merrie AE, Marshall RJ et al (2004) The prevalence of fecal incontinence in community-dwelling adults: a systematic review of the literature. Dis Colon Rectum 47(8):1341–1349PubMedCrossRef

Dunivan GC, Heymen S, Palsson OS et al (2010) Fecal incontinence in primary care: prevalence, diagnosis, and health care utilization. Am J Obstet Gynecol 202(5):493.e1-493.e6CrossRef

Nelson R, Norton N, Cautley E et al (1995) Community-based prevalence of anal incontinence. JAMA 274(7):559–561PubMedCrossRef

Quander CR, Morris MC, Melson J et al (2005) Prevalence of and factors associated with fecal incontinence in a large community study of older individuals. Am J Gastroenterol 100(4):905–909PubMedCrossRef

10.

Bharucha AE, Zinsmeister AR, Locke GR et al (2006) Risk factors for fecal incontinence: a population-based study in women. Am J Gastroenterol 101(6):1305–1312PubMedCrossRef

11.

Altman D, Zetterström J, López A et al (2004) Effect of hysterectomy on bowel function. Dis Colon Rectum 47(4):502–508, discussion 508-509PubMedCrossRef

12.

Markland AD, Goode PS, Burgio KL et al (2010) Incidence and risk factors for fecal incontinence in black and white older adults: a population-based study. J Am Geriatr Soc 58(7):1341–1346PubMedCrossRef

13.

Bharucha AE, Zinsmeister AR, Schleck CD et al (2010) Bowel disturbances are the most important risk factors for late onset fecal incontinence: a population-based case-control study in women. Gastroenterology 139(5):1559–1566PubMedCrossRef

14.

Rockwood TH, Church JM, Fleshman JW et al (2000) Fecal Incontinence Quality of Life Scale: quality of life instrument for patients with fecal incontinence. Dis Colon Rectum 43(1):9–16, discussion 16-17PubMedCrossRef

15.

Kwon S, Visco AG, Fitzgerald MP et al (2005) Validity and reliability of the Modified Manchester Health Questionnaire in assessing patients with fecal incontinence. Dis Colon Rectum 48(2):323–331, discussion 331-334PubMedCrossRef

16.

Rockwood TH, Church JM, Fleshman JW et al (1999) Patient and surgeon ranking of the severity of symptoms associated with fecal incontinence: the fecal incontinence severity index. Dis Colon Rectum 42(12):1525–1532PubMedCrossRef

17.

Kroenke K, Spitzer RL, Williams JB (2001) The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med 16(9):606–613PubMedCrossRef

18.

Lewis SJ, Heaton KW (1997) Stool form scale as a useful guide to intestinal transit time. Scand J Gastroenterol 32(9):920–924PubMedCrossRef

19.

Bartlett L, Nowak M, Ho YH (2009) Impact of fecal incontinence on quality of life. World J Gastroenterol 15(26):3276–3282PubMedCrossRef

20.

Bordeianou L, Rockwood T, Baxter N et al (2008) Does incontinence severity correlate with quality of life? Prospective analysis of 502 consecutive patients. Colorectal Dis 10(3):273–279PubMedCrossRef

21.

Markland AD, Greer WJ, Vogt A et al (2010) Factors impacting quality of life in women with fecal incontinence. Dis Colon Rectum 53(8):1148–1154PubMedCrossRef

22.

Melville JL, Fan MY, Newton K et al (2005) Fecal incontinence in US women: a population-based study. Am J Obstet Gynecol 193(6):2071–2076PubMedCrossRef

23.

Crowell MD, Schettler VA, Lacy BE et al (2007) Impact of anal incontinence on psychosocial function and health-related quality of life. Dig Dis Sci 52(7):1627–1631PubMedCrossRef

24.

Al-Mehaisen LM, Al-Kuran O, Lataifeh I et al (2009) Effect of abdominal hysterectomy on developing urinary and faecal incontinence later in life. J Obstet Gynaecol 29(8):742–748PubMedCrossRef

25.

Heaton KW, Parker D, Cripps H (1993) Bowel function and irritable bowel symptoms after hysterectomy and cholecystectomy–a population based study. Gut 34(8):1108–1111PubMedCrossRef

26.

Aitola P, Lehto K, Fonsell R et al (2010) Prevalence of faecal incontinence in adults aged 30 years or more in general population. Colorectal Dis 12(7):687–691PubMedCrossRef

27.

Wang J, Varma MG, Creasman JM et al (2010) Pelvic floor disorders and quality of life in women with self-reported irritable bowel syndrome. Aliment Pharmacol Ther 31(3):424–431PubMedCrossRef

28.

Walter S, Hjortswang H, Holmgren K et al (2011) Association between bowel symptoms, symptom severity, and quality of life in Swedish patients with fecal incontinence. Scand J Gastroenterol 46(1):6–12PubMedCrossRef

29.

Saito YA, Schoenfeld P, Locke GR 3rd (2002) The epidemiology of irritable bowel syndrome in North America: a systematic review. Am J Gastroenterol 97(8):1910–1915PubMed

30.

Anderson RJ, Freedland KE, Clouse RE et al (2001) The prevalence of comorbid depression in adults with diabetes: a meta-analysis. Diabetes Care 24(6):1069–1078PubMedCrossRef

Titel: Factors associated with quality of life among women with fecal incontinence
verfasst von: T. M. Smith
S. B. Menees
X. Xu
R. J. Saad
W. D. Chey
D. E. Fenner
Publikationsdatum: 01.03.2013
Verlag: Springer-Verlag
Erschienen in: International Urogynecology Journal / Ausgabe 3/2013
Print ISSN: 0937-3462
Elektronische ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-012-1889-6

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