Evidence map›Paper›PMID 20533967›Full record

ArticleJournal of the American Geriatrics Society2010

Incidence and risk factors for fecal incontinence in black and white older adults: a population-based study.

Alayne D Markland, Patricia S Goode, Kathryn L Burgio, David T Redden, Holly E Richter, Patricia Sawyer, Richard M Allman

Registry-linked trialAbstract read
In one paragraph

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. It is linked to trial NCT03543566 (Antimuscarinic Medication for Urgency Urinary Incontinence in Women With Dual Incontinence), which is not on this map. Cited by 41 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 1 pooled it
4.5field-weighted citation impact, top 6% 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.

NCT03543566 completednot on this mapstarted 2018, after this paper: background citation

Antimuscarinic Medication for Urgency Urinary Incontinence in Women With Dual Incontinence (Darifenacin for Treatment of Women With Dual Incontinence)

TypeobservationalSponsorUniversity of Alabama at BirminghamRan2018 to 2019Enrolled32ConditionsUrinary Incontinence, Urge, Fecal Incontinence
3 · Its place in the literature

Who cites it

41 citing papers in PubMed, 1 synthesis or guideline pooled it, 120 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Fecal Incontinence in the Elderly.Clinics in geriatric medicine · 2021
    Review
  7. Changes in bowel habits after laparoscopic sleeve gastrectomy.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2020
    Article
  8. Article
  9. Article
  10. Article
  11. Diet Modifications in Older Women With Fecal Incontinence: A Qualitative Study.Female pelvic medicine & reconstructive surgery · 2020
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Functional Anorectal Disorders.Gastroenterology · 2016
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Alayne D MarklandBirmingham/Atlanta Geriatric Research, Education, and Clinical Center, Department of Veterans Affairs Medical Center, Birmingham, AL, USA. amarkland@aging.uab.edu
Patricia S Goode
Kathryn L Burgio
David T Redden
Holly E Richter
Patricia Sawyer
Richard M Allman
Geriatric Research Education and Clinical Center · US

Funding

Research Education CoreP30AG031054 · NIA · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI DURANT, RAEGAN WINSTON · 2007 to 2025
$11.6M
MOBILITY AMONG OLDER AFRICAN AMERICANS AND WHITESR01AG015062 · NIA · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI BROWN, CYNTHIA J. · 1998 to 2014
$6.7M
NIA NIH HHS P30 AG031054NIA NIH HHS P30AG031054NIA NIH HHS R01 AG015062NIA NIH HHS R01AG15062
6 · The paper itself

Abstract

objectivesTo determine the incidence of fecal incontinence (FI) in community-dwelling older adults and identify risk factors associated with incident FI.

designPlanned secondary analysis of a longitudinal, population-based cohort study.

settingThree rural and two urban Alabama counties (in-home assessments 2000-2005).

participantsStratified random sample of 1,000 Medicare beneficiaries: 25% African-American men, 25% white men, 25% African-American women, 25% white women, aged 65 and older. Eligible participants for this analysis were continent at baseline and community-dwelling 4 years later (n=557). MEASUREMENTS: FI was defined as any loss of control of bowels occurring during the previous year. Independent variables were sociodemographics, Charlson comorbidity counts, self-reported bowel symptoms (chronic diarrhea and constipation), depression, and body mass index (BMI). Multivariable logistic regression models were constructed using incident FI as the dependent variable.

resultsThe incidence rate of FI at 4 years was 17% (95% confidence interval (CI)=13.7-20.1), with 6% developing FI at least monthly (95% CI=4.0-8.3). White women were more likely to have incident FI (22%) than African-American women (13%, P=.04); no racial differences were observed in men. Controlling for age, comorbidity count, and BMI, significant independent risk factors for incident FI in women were white race, depression, chronic diarrhea, and urinary incontinence (UI). UI was the only significant risk factor for incident FI in men.

conclusionThe occurrence of new FI is common in men and women aged 65 and older, with a 17% incidence rate over 4 years. FI and UI may share common pathophysiologic mechanisms and need regular assessment in older adults.

Indexed as

AgedAged, 80 and overAge FactorsAlabamaBlack or African AmericanCohort StudiesFecal IncontinenceFemaleHumansIncidenceMaleRisk FactorsSex FactorsSocioeconomic FactorsUrinary IncontinenceWhite People

Identifiers

PMID20533967
PMCPMC3205963
OpenAlexW1581375002

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.