ArticleInternational urogynecology journal2014
Patients' experience compared with physicians' recommendations for treating fecal incontinence: a qualitative approach.
Article in International urogynecology journal, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.
- Guideline for the diagnosis and treatment of Faecal Incontinence-A UEG/ESCP/ESNM/ESPCG collaboration.United European gastroenterology journal · 2022Guideline
- Standard compared with mnemonic counseling for fecal incontinence: a randomized controlled trial.Obstetrics and gynecology · 2015Trial
- Patient experience with sacral neuromodulation for faecal incontinence - a multi-centre, longitudinal cohort study.International journal of colorectal disease · 2025Article
- Sexual functioning is not, but psychological burden is predictive for receiving help in pelvic physical therapy practice: A cross-sectional study.Open research Europe · 2023Article
- Conceptualization and Inventory of the Sexual and Psychological Burden of Women With Pelvic Floor Complaints; A Mixed-Method Study.Sexual medicine · 2022Article
- Traumatic deficient perineum: surgical management and outcome from a single center.International urogynecology journal · 2022Article
- Perioperative peer support and surgical preparedness in women undergoing reconstructive pelvic surgery.International urogynecology journal · 2020Article
- Prevalence of and Factors Associated With Fecal Incontinence: Results From a Population-Based Survey.Gastroenterology · 2018Article
- Barriers to seeking care for accidental bowel leakage: a qualitative study.International urogynecology journal · 2017Article
- Fecal Incontinence: Epidemiology, Impact, and Treatment.Clinics in colon and rectal surgery · 2016Article
- Living with constipation--older people's experiences and strategies with constipation before and during hospitalization.International journal of qualitative studies on health and well-being · 2016Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
Abstract
introduction and hypothesisUsing qualitative methods, we compared physician-recommended treatment options for fecal incontinence to patient knowledge of treatment options. Our hypothesis was that physician recommendations were not being communicated well to patients and that this impaired patients' ability to cope with fecal incontinence.
methodsCognitive interviews were conducted with physicians who routinely care for women with fecal incontinence. Physicians were asked to describe their typical nonsurgical treatment recommendations and counseling for fecal incontinence. Women with bothersome fecal incontinence were recruited to participate in focus groups and asked about personal experience with fecal incontinence symptoms and treatment options. For both physician interviews and patient focus groups, qualitative data analysis was performed using grounded-theory methodology.
resultsPhysicians identified several barriers patients face when seeking treatment: lack of physician interest toward fecal incontinence, and patient embarrassment in discussing fecal incontinence. Physicians universally recommended fiber and pelvic floor exercise; they felt the majority (approximately 70-80 %) of patients will improve with these therapies. Collectively, patients were able to identify all treatment recommendations given by physicians, although many had discovered these treatments through personal experience. Three concepts emerged regarding treatment options that physicians did not identify but that patients felt were important in their treatment: hope for improvement, personal effort to control symptoms, and encouragement to go on living life fully.
conclusionsWhereas physicians had treatment to offer women with fecal incontinence, women had already found the best treatments through personal research and effort. Women want to hear a message of hope and encouragement and perceive personal effort from providers.
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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.