A European snapshot of psychosocial characteristics and patients’ perspectives of faecal incontinence—do they correlate with current scoring systems?

Purpose To compare the current clinical scoring systems used to quantify the severity of symptoms of faecal incontinence (FI) to patients’ subjective scoring of parameters of psychosocial well-being. Methods Patients referred to six European centres for investigation or treatment of symptoms of FI between June 2017 and September 2019 completed a questionnaire that captured patient demographics, incontinence symptoms using St. Mark’s Incontinence score (SMIS) and ICIQ-B, psychological well-being (HADS, Hospital Anxiety and Depression Scale), and social interaction (a three-item loneliness scale). Results Three hundred eighteen patients completed questionnaires (62 men, mean age 58.7). Sixty percent of the respondents were aged under 65. Median SMIS was 15 (11–18), ICIQ-B bowel pattern was 8 (6–11) and bowel control was 17 (13–22), similar across all demographic groups; however, younger patients were more likely to experience symptoms of depression and anxiety (HADS score > 10, 65.2% of patients age = 65, p = 0.03) with lower quality of life (ICIQ-B QoL, median score 19 (14–23)) vs age > = 65 (16 (11–21) ( p