Evidence map›Paper›PMID 26573810›Full record

ArticleTechniques in coloproctology2016

The bother of anal incontinence and St. Mark's Incontinence Score.

C Paka, I K Atan, H P Dietz

Abstract readValidation Study
PubMed Publisher
In one paragraph

Article in Techniques in coloproctology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
0.8field-weighted citation impact, top 25% 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

9 citing papers in PubMed, 18 citations in OpenAlex.

  1. Validity and Reliability of the Turkish St. Mark's Incontinence Score.The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2026
    Article
  2. Article
  3. Article
  4. Sacral nerve stimulation in patients with ileal pouch-anal anastomosis.International journal of colorectal disease · 2021
    Article
  5. Article
  6. Article
  7. Does flatus incontinence matter?International urogynecology journal · 2019
    Article
  8. Article
  9. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors at 3 institutions in 3 countries.

C PakaSydney Medical School Nepean, Nepean Hospital, Penrith, NSW, 2750, Australia.
I K AtanSydney Medical School Nepean, Nepean Hospital, Penrith, NSW, 2750, Australia.
H P DietzSydney Medical School Nepean, Nepean Hospital, Penrith, NSW, 2750, Australia. hpdietz2@bigpond.com.
Johns Hopkins University · USNepean Hospital · AUUniversity Kebangsaan Malaysia Medical Centre · MY

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatient self-report is important in the assessment of the impact of anal incontinence (AI) on quality of life. This study aimed to (1) determine the correlation between total St. Mark's Incontinence Score (SMIS) and a single-item visual analogue scale (VAS) for bother from AI, and (2) determine the correlation between individual components of SMIS and VAS.

methodsThis is a retrospective study conducted on a cohort of 516 women seen for symptoms of lower urinary tract and pelvic floor dysfunction between January 2013 and August 2014. If a woman responded "yes" to the question "Do you experience any leakage from the back passage/anus?" they were considered to have AI, and the SMIS was administered. They were also asked "How much are you bothered by these symptoms?" to assess bother from AI by VAS. Statistical analyses were performed using Spearman's correlation and Mann-Whitney U test.

resultsEighty-four (16.3 %) women reported AI with a mean SMIS of 11 (SD ± 5.11, range 2-24) and median bother of 5 (VAS 1-10). There was a fair correlation between VAS for the bother from AI and SMIS (Spearman's r = 0.523, p < 0.001). Fecal urgency, impact on lifestyle, and use of pad/plug were significantly associated with VAS (p = 0.05, p = 0.002 and p < 0.001, respectively).

conclusionsThere is a fair, positive correlation between VAS for bother from AI and SMIS. Patients' bother from AI is strongly associated with its impact on lifestyle as quantified by individual SMIS components.

Indexed as

Quality of LifeSeverity of Illness IndexVisual Analog ScaleAdultAgedAnal CanalFecal IncontinenceFemaleHumansLife StyleMiddle AgedReproducibility of ResultsRetrospective StudiesSurveys and QuestionnairesAnal incontinenceFecal incontinenceSt. Mark’s Incontinence ScoreVisual analogue scale

Identifiers

PMID26573810
OpenAlexW2221022663

What OpenQuestion holds

Textmetadata
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.