Evidence map›Paper›PMID 25359460›Full record

ArticleColorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland2015

Prevalence of functional bowel disorders and faecal incontinence: an Australian primary care survey.

K-S Ng, N Nassar, K Hamd, A Nagarajah, M A Gladman

Open access · hybridAbstract read
In one paragraph

Article in Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
2.9field-weighted citation impact, top 10% 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

19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 43 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Potential risk factors for constipation in the community.World journal of gastroenterology · 2021
    Review
  10. Article
  11. What Is Fecal Incontinence That Urologists Need to Know?International neurourology journal · 2021
    Article
  12. Laxative Use in the Community: A Literature Review.Journal of clinical medicine · 2021
    Review
  13. Article
  14. Article
  15. Article
  16. Diagnosis and treatment of diarrhea-predominant irritable bowel syndrome.International journal of general medicine · 2016
    Review
  17. Review
  18. Review
  19. 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

5 authors at 3 institutions in 1 country.

K-S NgAcademic Colorectal Unit, Sydney Medical School - Concord, University of Sydney, Sydney, New South Wales, Australia.
N NassarAcademic Colorectal Unit, Sydney Medical School - Concord, University of Sydney, Sydney, New South Wales, Australia.
K HamdSchool of Medicine, University of Western Sydney, Sydney, New South Wales, Australia.
A NagarajahSchool of Medicine, University of Western Sydney, Sydney, New South Wales, Australia.
M A GladmanAcademic Colorectal Unit, Sydney Medical School - Concord, University of Sydney, Sydney, New South Wales, Australia.
University of Sydney · AUWestern Sydney University · AUConcord Repatriation General Hospital · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimInterest in functional bowel disorders (FBDs) and faecal incontinence (FI) has increased amongst coloproctologists. The study aimed to assess the prevalence of FBDs and FI (including its severity) among Australian primary healthcare seekers using objective criteria.

methodA cross-sectional survey was conducted in a primary care setting in Sydney, Australia. A self-administered questionnaire was used to collect demographic information and diagnose FBDs (irritable bowel syndrome, constipation, functional bloating and functional diarrhoea) based on Rome III criteria. The severity of FI was determined using the Vaizey incontinence score. Associations with medical/surgical history and healthcare utilization were assessed.

resultsOf 596 subjects approached, 396 (66.4%) agreed to participate. Overall, 33% had FBD and/or FI. Irritable bowel syndrome was present in 11.1% and these participants were more likely to report anxiety/depression (P < 0.01) and to have had a previous colonoscopy (P < 0.001) or cholecystectomy (P = 0.02). Functional constipation was present in 8.1%, and functional bloating and functional diarrhoea were diagnosed in 6.1%, and 1.5%, respectively. FI was present in 12.1% with the majority (52%) reporting moderate/severe incontinence (Vaizey score > 8). Participants with FI were more likely to have irritable bowel syndrome, urinary incontinence and previous anal surgery (P < 0.01).

conclusionFBDs and FI are prevalent conditions amongst primary healthcare seekers and the needs of those affected appear to be complex given their coexisting symptoms and conditions. Currently, the majority do not reach colorectal services, although increased awareness by primary care providers could lead to sufferers being referred for specialist management.

Indexed as

AdultAgedAnal CanalAnxietyColonic Diseases, FunctionalCross-Sectional StudiesDiarrheaFecal IncontinenceFemaleHumansIrritable Bowel SyndromeMaleMiddle AgedNew South WalesPrevalencePrimary Health Careepidemiologyfaecal incontinenceFunctional bowel disordershealth‐service provisionpelvic floor disorders

Identifiers

PMID25359460
PMCPMC4600225
OpenAlexW2036420038

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.