ArticleJournal of the American Geriatrics Society2010
Survey of geriatricians on the effect of fecal incontinence on nursing home referral.
Article in Journal of the American Geriatrics Society, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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.
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.
Who cites it
17 citing papers in PubMed, 48 citations in OpenAlex.
- Correlation of Digital Rectal Examination and Anorectal Manometry with Patient-Reported Outcomes Among Women with Fecal Incontinence.International urogynecology journal · 2024Trial
- Small-Group, Community-Member Intervention for Urinary and Bowel Incontinence: A Randomized Controlled Trial.Obstetrics and gynecology · 2019Trial
- Do urinary and double incontinence predict changes in living arrangements and mobility in older women after hip fracture? - a 1-year prospective cohort study.BMC geriatrics · 2024Article
- Urinary and Double Incontinence in Cognitively Impaired Patients: Impacts on Those Affected and Their Professional Caregivers.Journal of clinical medicine · 2023Article
- Comparative effectiveness of biofeedback and injectable bulking agents for treatment of fecal incontinence: Design and methods.Contemporary clinical trials · 2021Article
- Fecal Incontinence in the Elderly.Clinics in geriatric medicine · 2021Review
- Continence: Bowel and Bladder and Physical Function Decline in Women.Current geriatrics reports · 2020Article
- Practice patterns in the diagnosis and treatment of fecal incontinence with sacral neuromodulation: Can urologists impact this gap in care?Turkish journal of urology · 2019Article
- New institutionalisation following acute hospital admission: a retrospective cohort study.Age and ageing · 2017Article
- Fecal Incontinence: Epidemiology, Impact, and Treatment.Clinics in colon and rectal surgery · 2016Article
- Functional disability among older women with fecal incontinence.American journal of obstetrics and gynecology · 2015Article
- Impact of fecal incontinence and its treatment on quality of life in women.Women's health (London, England) · 2015Review
- Epidemiology, pathophysiology, and classification of fecal incontinence: state of the science summary for the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) workshop.The American journal of gastroenterology · 2015Article
- Risk factors for fecal incontinence in older women.The American journal of gastroenterology · 2013Article
- Likelihood of nursing home referral for fecally incontinent elderly patients is influenced by physician views on nursing home care and outpatient management of fecal incontinence.Journal of the American Medical Directors Association · 2012Article
- If We Don't Ask, They Won't Tell: Screening for Urinary and Fecal Incontinence by Primary Care Providers.Journal of the American Board of Family Medicine : JABFMArticle
- Obstetric sphincter injury interacts with diarrhea and urgency to increase the risk of fecal incontinence in women with irritable bowel syndrome.Female pelvic medicine & reconstructive surgeryArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 5 institutions in 1 country.
Funding
Abstract
objectivesDetermine the effect of fecal incontinence (FI) on healthcare providers' decisions to refer patients for nursing home (NH) placement.
designSurvey.
settingQuestionnaires were e-mailed to participants' homes or offices. Participants could also volunteer at the 2008 American Geriatric Society annual meeting in Washington, DC.
participantsTwo thousand randomly selected physician members and all 181 nurse practitioner members of the American Geriatrics Society were surveyed. MEASUREMENTS: The survey presented a clinical scenario of a 70-year-old woman ready for discharge from a hospital and asked about the likelihood of making a NH referral if the patient had no incontinence, urinary incontinence (UI) alone, or FI. Subsequent questions modified the clinical situation to include other conditions that might affect the decision to refer. A second survey of respondents to Survey 1 addressed possible moderators of the decision to refer (e.g., family caregiver presence, diarrhea or constipation, other physical or psychiatric limitations). Significance of differences in the relative risk (RR) for NH referral was tested using the chi-square test.
resultsSeven hundred sixteen members (24.7% response rate) completed the first survey, and 686 of the 716 (96%) completed the second. FI increased the likelihood of NH referral (RR=4.71, P<.001) more than UI did (RR=1.90, P<.001). Mobility restrictions, cognitive decline, and multiple chronic illnesses increased the likelihood of NH referral more than FI alone (P<.001 for each), but in all scenarios, adding FI further increased the likelihood of referral (P<.001). Having family caregivers willing to help with toileting attenuated the likelihood of referral.
conclusionFI increases the probability that geriatricians will refer to a NH. More-aggressive outpatient treatment of FI might delay or prevent NH referral, improve quality of life, and reduce healthcare costs.
Indexed as
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What OpenQuestion holds
Registered trials
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.