Web of Science: 16 cites, Scopus: 16 cites, Google Scholar: cites,
Quality of Life Differences in Female and Male Patients with Fecal Incontinence
Mundet, Lluís (Institut Germans Trias i Pujol)
Ribas, Yolanda (Department of Surgery, Consorci Sanitari de Terrassa)
Arco, Sandra (Escola Superior de Ciències de la Salut, Tecnocampus)
Clavé, Pere (Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas)
Universitat Autònoma de Barcelona

Data: 2016
Resum: To explore and compare quality of life (QoL) differences in female and male patients with fecal incontinence. Ninety-one patients with fecal incontinence (60 women, mean (SD) age 64. 13 (9. 72) years; 31 men, mean (SD) age 63. 61 (13. 33) years) were assessed for pathophysiology (anorectal manometry and ultrasound), clinical severity (Wexner and Vaizey scales), QoL (Fecal Incontinence Quality of Life Score [FIQL]) and health status (EQ-5D). External and internal anal sphincter impairment rates were 96. 5% and 70. 2%, respectively, in women, compared to 30% and 43. 3% respectively in men (P < 0. 05). Clinical severity was similar in both sexes, with mean (SD) Wexner scores of 10. 95 (4. 35) for women and 9. 81 (4. 30) for men, and mean (SD) Vaizey scores of 13. 27 (4. 66) for women and 11. 90 (5. 22) for men. Scores for women were significantly lower for all FIQL depression and coping subscales (P < 0. 001) and the EQ-5D depression subscale (P < 0. 01). EQ-5D index was 0. 687 (0. 20) for women and 0. 835 (0. 15) for men (P < 0. 001). QoL was negatively affected by female gender (−1. 336), anxiety/depression (−1. 324) and clinical severity (−0. 302), whereas age had a positive impact (0. 055 per year) (P < 0. 01). The pathophysiology of fecal incontinence differed between the sexes. For similar severity scores, impact on QoL was higher in women. Gender had the highest impact on QoL compared to other factors. QoL measurements should be part of assessment and treatment protocols.
Nota: This study was supported by a grant fromthe Filial del Maresme de l'Acadèmia de Ciències Mèdiques i de la Salut de Catalunya i Balears.
Drets: Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original. Creative Commons
Llengua: Anglès
Document: Article ; recerca ; Versió publicada
Matèria: Fecal incontinence ; Pathophysiology ; Quality of life ; Sex
Publicat a: Journal of Neurogastroenterology and Motility, Vol. 22 (january 2016) , p. 94-101, ISSN 2093-0887

DOI: 10.5056/jnm15088
PMID: 26486375


8 p, 383.4 KB

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