Evidence map›Paper›PMID 19392956›Full record

Trial reportJournal of the American Geriatrics Society2009

Prevalence of constipation symptoms in fecally incontinent nursing home residents.

John F Schnelle, Sandra F Simmons, Linda Beuscher, Emily N Peterson, Ralf Habermann, Felix Leung

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of the American Geriatrics Society, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
0.6field-weighted citation impact, top 31% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 29 citations in OpenAlex.

  1. Observational
  2. The Burden and Treatment of Chronic Constipation Among US Nursing Home Residents.Journal of the American Medical Directors Association · 2023
    Article
  3. Article
  4. Review
  5. Constipation and Fecal Incontinence in the Elderly.Current gastroenterology reports · 2020
    Review
  6. Article
  7. Functional Anorectal Disorders.Gastroenterology · 2016
    Article
  8. Clinical Challenges of Fecal Incontinence in the Elderly.Current treatment options in gastroenterology · 2015
    Article
  9. Review
  10. Article
  11. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

John F SchnelleDivision of General Internal Medicine and Public Health, Center for Quality Aging, School of Medicine, Vanderbilt University Medical Center, Nashville, TN 37232, USA. John.Schnelle@vanderbilt.edu
Sandra F Simmons
Linda Beuscher
Emily N Peterson
Ralf Habermann
Felix Leung
Vanderbilt University · US

Funding

Integrating Interventions to Improve Fecal IncontinenceR01AG023555 · NIA · VANDERBILT UNIVERSITY · PI SCHNELLE, JOHN F · 2005 to 2008
$1.7M
NIA NIH HHS R01 AG023555
6 · The paper itself

Abstract

objectivesTo determine the prevalence of constipation symptoms and the effects of a brief toileting assistance trial on constipation in a sample of fecally incontinent nursing home (NH) residents.

designObservational study.

settingFive NHs.

participantsOne hundred eleven fecally incontinent NH residents. MEASURES: Research staff measured bowel movement frequency every 2 hours for 10 days. The following week, residents were offered toileting assistance every 2 hours for 2 days to determine resident straining, time required for a bowel movement, and resident perceptions of feeling empty after a bowel movement. Constipation data were abstracted from the medical record.

resultsThe frequency of bowel movements during usual NH care was low (mean=0.32 per person per day), and most episodes were incontinent. The frequency of bowel movements increased significantly, to 0.82 per person per day, and most episodes were continent during the 2 days that research staff provided toileting assistance. Eleven percent of residents showed evidence of straining, and 21% of the time after a continent bowel movement, residents reported not feeling empty. Five percent of participants had medical record or Minimum Data Set documentation indicative of constipation symptoms.

conclusionLow rates of bowel movements during the day that are potentially indicative of constipation were immediately improved during a 2-day trial of toileting assistance in approximately 68% of the residents, although other symptoms of constipation remained in a subset of residents who increased toileting frequency.

Indexed as

Behavior TherapyNursing HomesAged, 80 and overConstipationFecal IncontinenceFemaleHumansMalePrevalenceTreatment Outcome

Identifiers

PMID19392956
PMCPMC2925174
OpenAlexW1858185787

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.