Clinician Administered and Self-Report Survey Both Effective for Identifying Fecal Incontinence in Patients with Inflammatory Bowel Disease

TY - JOUR

T1 - Clinician Administered and Self-Report Survey Both Effective for Identifying Fecal Incontinence in Patients with Inflammatory Bowel Disease

AU - Dibley, Lesley

AU - Hart, Ailsa

AU - Duncan, Julie

AU - Knowles, Charles H

AU - Kerry, Sally

AU - Lanz, Doris

AU - Madurasinghe, Vichithranie W

AU - Wade, Tiffany

AU - Terry, Helen

AU - Verjee, Azmina

AU - Fader, Mandy

AU - Norton, Christine

PY - 2020/6/20

Y1 - 2020/6/20

N2 - OBJECTIVES: To test two methods for reporting of fecal incontinence (FI) in people with inflammatory bowel disease.METHODS: Consecutive patients from IBD clinics in six UK hospitals completed a short three-item case-finding survey about FI; they either completed the survey themselves or were asked the same questions face to face by a clinician.RESULTS: Of 1336 eligible patients with complete data (48% male; mean 43 years; 55% Crohn's disease, 41% ulcerative colitis), 772 were asked about FI face to face, and 564 self-completed the survey: FI was reported in 63% and 56%, respectively (p = 0.012). In regression analyses, those aged 51-60, having Crohn's disease and higher disease activity, were more likely to report FI. Of all respondents, 38.7% were interested in receiving help for their incontinence.CONCLUSIONS: Fecal incontinence affects the majority of people with IBD. Although more patients reported fecal incontinence when asked face to face than self-reported, routine screening by either method in clinical practice is recommended. Over one-third of patients with IBD want help for bowel control problems.

AB - OBJECTIVES: To test two methods for reporting of fecal incontinence (FI) in people with inflammatory bowel disease.METHODS: Consecutive patients from IBD clinics in six UK hospitals completed a short three-item case-finding survey about FI; they either completed the survey themselves or were asked the same questions face to face by a clinician.RESULTS: Of 1336 eligible patients with complete data (48% male; mean 43 years; 55% Crohn's disease, 41% ulcerative colitis), 772 were asked about FI face to face, and 564 self-completed the survey: FI was reported in 63% and 56%, respectively (p = 0.012). In regression analyses, those aged 51-60, having Crohn's disease and higher disease activity, were more likely to report FI. Of all respondents, 38.7% were interested in receiving help for their incontinence.CONCLUSIONS: Fecal incontinence affects the majority of people with IBD. Although more patients reported fecal incontinence when asked face to face than self-reported, routine screening by either method in clinical practice is recommended. Over one-third of patients with IBD want help for bowel control problems.

KW - Bowel control

KW - Fecal incontinence

KW - Inflammatory bowel disease

KW - Screening

KW - Urgency

UR - http://www.scopus.com/inward/record.url?scp=85086732175&partnerID=8YFLogxK

U2 - 10.1007/s10620-020-06418-9

DO - 10.1007/s10620-020-06418-9

M3 - Article

C2 - 32564207

SN - 0163-2116

JO - Digestive Diseases and Sciences

JF - Digestive Diseases and Sciences

ER -