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 b...
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| Veröffentlicht in: | International journal of colorectal disease 2021-06, Vol.36 (6), p.1175-1180 |
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| creator | Creamer, Felicity Orlando, Alessandra Brunner, Maximillian Buntzen, Steen Dennis, Alexander Gómez-Fernández, Laura Handtrack, Claudia Hanly, Ann Matzel, Klaus E. Duyos, Arantxa Muñoz Meurette, Guillaume O’Connell, P. Ronan Alonso, Cristina Pérez Ribas, Yolanda Rydningen, Mona Wyart, Vincent Vaizey, Carolynne J. Maeda, Yasuko |
| description | 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
|
| doi_str_mv | 10.1007/s00384-021-03836-7 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_proqu</sourceid><recordid>TN_cdi_proquest_miscellaneous_2477517979</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A714486968</galeid><sourcerecordid>A714486968</sourcerecordid><originalsourceid>FETCH-LOGICAL-c486t-e39c3148232fcbd7d901d66d600773c06855df9b8a1df632a8bde143e7af6af23</originalsourceid><addsrcrecordid>eNp9kk1uFDEQhVsIRIbABVggS2zYdOKfHtu9QqMo_EiR2MDa8rjLGUc9duNyg2aXQ7DJ9XISPJlABELIC7tK3yuVn17TvGT0hFGqTpFSobuWctbWh5CtetQsWCd4y7jkj5sFZapvWb_UR80zxCtaa6m6p82REJ3QjOpFc7Mi53NOE9hIMNoJN6mQ5MmEO7dJmFywI3Ebm60rkAOW4JDYOJDJlgCx4O31DZkg4wSuhG-Ae7G34KosRJdiCRGig9vrH0MiZQM74lLOMNoC5HsoG-LmWsZCsPZDvCS4wwJbfPu8eeLtiPDi_j5uvrw7_3z2ob349P7j2eqidZ2WpQXRO8E6zQX3bj2ooadskHKQ1SElHJV6uRx8v9aWDV4KbvV6gGoSKOul9VwcN28Oc6ecvs6AxWwDOhhHGyHNaHin1LIaqfqKvv4LvUpzjnU7w5dc6k6yXj9Ql3YEE6JPpbq3H2pWinV1617uqZN_UPUMsA3VN_Ch9v8Q8IPA5YSYwZsph63NO8Oo2efBHPJgah7MXR6MqqJX9xvP6y0MvyW_AlABcQBw2rsP-eFL_xn7E65dxH0</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2526846198</pqid></control><display><type>article</type><title>A European snapshot of psychosocial characteristics and patients’ perspectives of faecal incontinence—do they correlate with current scoring systems?</title><source>SpringerLink Journals (MCLS)</source><creator>Creamer, Felicity ; Orlando, Alessandra ; Brunner, Maximillian ; Buntzen, Steen ; Dennis, Alexander ; Gómez-Fernández, Laura ; Handtrack, Claudia ; Hanly, Ann ; Matzel, Klaus E. ; Duyos, Arantxa Muñoz ; Meurette, Guillaume ; O’Connell, P. Ronan ; Alonso, Cristina Pérez ; Ribas, Yolanda ; Rydningen, Mona ; Wyart, Vincent ; Vaizey, Carolynne J. ; Maeda, Yasuko</creator><creatorcontrib>Creamer, Felicity ; Orlando, Alessandra ; Brunner, Maximillian ; Buntzen, Steen ; Dennis, Alexander ; Gómez-Fernández, Laura ; Handtrack, Claudia ; Hanly, Ann ; Matzel, Klaus E. ; Duyos, Arantxa Muñoz ; Meurette, Guillaume ; O’Connell, P. Ronan ; Alonso, Cristina Pérez ; Ribas, Yolanda ; Rydningen, Mona ; Wyart, Vincent ; Vaizey, Carolynne J. ; Maeda, Yasuko</creatorcontrib><description>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 vs 54.9% of those ages > = 65,
p
= 0.03) with lower quality of life (ICIQ-B QoL, median score 19 (14–23)) vs age > = 65 (16 (11–21) (
p
< 0.005)). On loneliness score 25.5% reported often feeling isolated from others. One of the most significant concerns by patients was the fear and embarrassment related to unpredictable episodes of incontinence.
Conclusion
The SMIS remains a useful tool for quantifying incontinence symptoms but may underestimate the psychosocial morbidity associated with unpredictable episodes of incontinence. Interventions aimed at decreasing anxiety and to address feelings of disgust may be helpful for a significant number of patients requiring treatment for FI.</description><identifier>ISSN: 0179-1958</identifier><identifier>EISSN: 1432-1262</identifier><identifier>DOI: 10.1007/s00384-021-03836-7</identifier><identifier>PMID: 33438108</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Age ; Anxiety ; Care and treatment ; Demography ; Depression, Mental ; Fecal incontinence ; Gastroenterology ; Hepatology ; Incontinence ; Internal Medicine ; Intestine ; Medicine ; Medicine & Public Health ; Mental depression ; Morbidity ; Original Article ; Patients ; Proctology ; Psychological aspects ; Quality of life ; Social aspects ; Surgery ; Well being</subject><ispartof>International journal of colorectal disease, 2021-06, Vol.36 (6), p.1175-1180</ispartof><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH, DE part of Springer Nature 2021</rights><rights>COPYRIGHT 2021 Springer</rights><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH, DE part of Springer Nature 2021.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c486t-e39c3148232fcbd7d901d66d600773c06855df9b8a1df632a8bde143e7af6af23</citedby><cites>FETCH-LOGICAL-c486t-e39c3148232fcbd7d901d66d600773c06855df9b8a1df632a8bde143e7af6af23</cites><orcidid>0000-0002-4081-4741</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00384-021-03836-7$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00384-021-03836-7$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27915,27916,41479,42548,51310</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33438108$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Creamer, Felicity</creatorcontrib><creatorcontrib>Orlando, Alessandra</creatorcontrib><creatorcontrib>Brunner, Maximillian</creatorcontrib><creatorcontrib>Buntzen, Steen</creatorcontrib><creatorcontrib>Dennis, Alexander</creatorcontrib><creatorcontrib>Gómez-Fernández, Laura</creatorcontrib><creatorcontrib>Handtrack, Claudia</creatorcontrib><creatorcontrib>Hanly, Ann</creatorcontrib><creatorcontrib>Matzel, Klaus E.</creatorcontrib><creatorcontrib>Duyos, Arantxa Muñoz</creatorcontrib><creatorcontrib>Meurette, Guillaume</creatorcontrib><creatorcontrib>O’Connell, P. Ronan</creatorcontrib><creatorcontrib>Alonso, Cristina Pérez</creatorcontrib><creatorcontrib>Ribas, Yolanda</creatorcontrib><creatorcontrib>Rydningen, Mona</creatorcontrib><creatorcontrib>Wyart, Vincent</creatorcontrib><creatorcontrib>Vaizey, Carolynne J.</creatorcontrib><creatorcontrib>Maeda, Yasuko</creatorcontrib><title>A European snapshot of psychosocial characteristics and patients’ perspectives of faecal incontinence—do they correlate with current scoring systems?</title><title>International journal of colorectal disease</title><addtitle>Int J Colorectal Dis</addtitle><addtitle>Int J Colorectal Dis</addtitle><description>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 vs 54.9% of those ages > = 65,
p
= 0.03) with lower quality of life (ICIQ-B QoL, median score 19 (14–23)) vs age > = 65 (16 (11–21) (
p
< 0.005)). On loneliness score 25.5% reported often feeling isolated from others. One of the most significant concerns by patients was the fear and embarrassment related to unpredictable episodes of incontinence.
Conclusion
The SMIS remains a useful tool for quantifying incontinence symptoms but may underestimate the psychosocial morbidity associated with unpredictable episodes of incontinence. Interventions aimed at decreasing anxiety and to address feelings of disgust may be helpful for a significant number of patients requiring treatment for FI.</description><subject>Age</subject><subject>Anxiety</subject><subject>Care and treatment</subject><subject>Demography</subject><subject>Depression, Mental</subject><subject>Fecal incontinence</subject><subject>Gastroenterology</subject><subject>Hepatology</subject><subject>Incontinence</subject><subject>Internal Medicine</subject><subject>Intestine</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Mental depression</subject><subject>Morbidity</subject><subject>Original Article</subject><subject>Patients</subject><subject>Proctology</subject><subject>Psychological aspects</subject><subject>Quality of life</subject><subject>Social aspects</subject><subject>Surgery</subject><subject>Well being</subject><issn>0179-1958</issn><issn>1432-1262</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNp9kk1uFDEQhVsIRIbABVggS2zYdOKfHtu9QqMo_EiR2MDa8rjLGUc9duNyg2aXQ7DJ9XISPJlABELIC7tK3yuVn17TvGT0hFGqTpFSobuWctbWh5CtetQsWCd4y7jkj5sFZapvWb_UR80zxCtaa6m6p82REJ3QjOpFc7Mi53NOE9hIMNoJN6mQ5MmEO7dJmFywI3Ebm60rkAOW4JDYOJDJlgCx4O31DZkg4wSuhG-Ae7G34KosRJdiCRGig9vrH0MiZQM74lLOMNoC5HsoG-LmWsZCsPZDvCS4wwJbfPu8eeLtiPDi_j5uvrw7_3z2ob349P7j2eqidZ2WpQXRO8E6zQX3bj2ooadskHKQ1SElHJV6uRx8v9aWDV4KbvV6gGoSKOul9VwcN28Oc6ecvs6AxWwDOhhHGyHNaHin1LIaqfqKvv4LvUpzjnU7w5dc6k6yXj9Ql3YEE6JPpbq3H2pWinV1617uqZN_UPUMsA3VN_Ch9v8Q8IPA5YSYwZsph63NO8Oo2efBHPJgah7MXR6MqqJX9xvP6y0MvyW_AlABcQBw2rsP-eFL_xn7E65dxH0</recordid><startdate>20210601</startdate><enddate>20210601</enddate><creator>Creamer, Felicity</creator><creator>Orlando, Alessandra</creator><creator>Brunner, Maximillian</creator><creator>Buntzen, Steen</creator><creator>Dennis, Alexander</creator><creator>Gómez-Fernández, Laura</creator><creator>Handtrack, Claudia</creator><creator>Hanly, Ann</creator><creator>Matzel, Klaus E.</creator><creator>Duyos, Arantxa Muñoz</creator><creator>Meurette, Guillaume</creator><creator>O’Connell, P. Ronan</creator><creator>Alonso, Cristina Pérez</creator><creator>Ribas, Yolanda</creator><creator>Rydningen, Mona</creator><creator>Wyart, Vincent</creator><creator>Vaizey, Carolynne J.</creator><creator>Maeda, Yasuko</creator><general>Springer Berlin Heidelberg</general><general>Springer</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>H94</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-4081-4741</orcidid></search><sort><creationdate>20210601</creationdate><title>A European snapshot of psychosocial characteristics and patients’ perspectives of faecal incontinence—do they correlate with current scoring systems?</title><author>Creamer, Felicity ; Orlando, Alessandra ; Brunner, Maximillian ; Buntzen, Steen ; Dennis, Alexander ; Gómez-Fernández, Laura ; Handtrack, Claudia ; Hanly, Ann ; Matzel, Klaus E. ; Duyos, Arantxa Muñoz ; Meurette, Guillaume ; O’Connell, P. Ronan ; Alonso, Cristina Pérez ; Ribas, Yolanda ; Rydningen, Mona ; Wyart, Vincent ; Vaizey, Carolynne J. ; Maeda, Yasuko</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c486t-e39c3148232fcbd7d901d66d600773c06855df9b8a1df632a8bde143e7af6af23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Age</topic><topic>Anxiety</topic><topic>Care and treatment</topic><topic>Demography</topic><topic>Depression, Mental</topic><topic>Fecal incontinence</topic><topic>Gastroenterology</topic><topic>Hepatology</topic><topic>Incontinence</topic><topic>Internal Medicine</topic><topic>Intestine</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Mental depression</topic><topic>Morbidity</topic><topic>Original Article</topic><topic>Patients</topic><topic>Proctology</topic><topic>Psychological aspects</topic><topic>Quality of life</topic><topic>Social aspects</topic><topic>Surgery</topic><topic>Well being</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Creamer, Felicity</creatorcontrib><creatorcontrib>Orlando, Alessandra</creatorcontrib><creatorcontrib>Brunner, Maximillian</creatorcontrib><creatorcontrib>Buntzen, Steen</creatorcontrib><creatorcontrib>Dennis, Alexander</creatorcontrib><creatorcontrib>Gómez-Fernández, Laura</creatorcontrib><creatorcontrib>Handtrack, Claudia</creatorcontrib><creatorcontrib>Hanly, Ann</creatorcontrib><creatorcontrib>Matzel, Klaus E.</creatorcontrib><creatorcontrib>Duyos, Arantxa Muñoz</creatorcontrib><creatorcontrib>Meurette, Guillaume</creatorcontrib><creatorcontrib>O’Connell, P. Ronan</creatorcontrib><creatorcontrib>Alonso, Cristina Pérez</creatorcontrib><creatorcontrib>Ribas, Yolanda</creatorcontrib><creatorcontrib>Rydningen, Mona</creatorcontrib><creatorcontrib>Wyart, Vincent</creatorcontrib><creatorcontrib>Vaizey, Carolynne J.</creatorcontrib><creatorcontrib>Maeda, Yasuko</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of colorectal disease</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Creamer, Felicity</au><au>Orlando, Alessandra</au><au>Brunner, Maximillian</au><au>Buntzen, Steen</au><au>Dennis, Alexander</au><au>Gómez-Fernández, Laura</au><au>Handtrack, Claudia</au><au>Hanly, Ann</au><au>Matzel, Klaus E.</au><au>Duyos, Arantxa Muñoz</au><au>Meurette, Guillaume</au><au>O’Connell, P. Ronan</au><au>Alonso, Cristina Pérez</au><au>Ribas, Yolanda</au><au>Rydningen, Mona</au><au>Wyart, Vincent</au><au>Vaizey, Carolynne J.</au><au>Maeda, Yasuko</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A European snapshot of psychosocial characteristics and patients’ perspectives of faecal incontinence—do they correlate with current scoring systems?</atitle><jtitle>International journal of colorectal disease</jtitle><stitle>Int J Colorectal Dis</stitle><addtitle>Int J Colorectal Dis</addtitle><date>2021-06-01</date><risdate>2021</risdate><volume>36</volume><issue>6</issue><spage>1175</spage><epage>1180</epage><pages>1175-1180</pages><issn>0179-1958</issn><eissn>1432-1262</eissn><abstract>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 vs 54.9% of those ages > = 65,
p
= 0.03) with lower quality of life (ICIQ-B QoL, median score 19 (14–23)) vs age > = 65 (16 (11–21) (
p
< 0.005)). On loneliness score 25.5% reported often feeling isolated from others. One of the most significant concerns by patients was the fear and embarrassment related to unpredictable episodes of incontinence.
Conclusion
The SMIS remains a useful tool for quantifying incontinence symptoms but may underestimate the psychosocial morbidity associated with unpredictable episodes of incontinence. Interventions aimed at decreasing anxiety and to address feelings of disgust may be helpful for a significant number of patients requiring treatment for FI.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>33438108</pmid><doi>10.1007/s00384-021-03836-7</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-4081-4741</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0179-1958 |
| ispartof | International journal of colorectal disease, 2021-06, Vol.36 (6), p.1175-1180 |
| issn | 0179-1958 1432-1262 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2477517979 |
| source | SpringerLink Journals (MCLS) |
| subjects | Age Anxiety Care and treatment Demography Depression, Mental Fecal incontinence Gastroenterology Hepatology Incontinence Internal Medicine Intestine Medicine Medicine & Public Health Mental depression Morbidity Original Article Patients Proctology Psychological aspects Quality of life Social aspects Surgery Well being |
| title | A European snapshot of psychosocial characteristics and patients’ perspectives of faecal incontinence—do they correlate with current scoring systems? |
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