Evidence map›Paper›PMID 26884751›Full record

ArticleGastroenterology research and practice2016

Constipation and Laxative Use among Nursing Home Patients: Prevalence and Associations Derived from the Residents Assessment Instrument for Long-Term Care Facilities (interRAI LTCF).

Lene Elisabeth Blekken, Sigrid Nakrem, Anne Guttormsen Vinsnes, Christine Norton, Siv Mørkved, Øyvind Salvesen, Kari Hanne Gjeilo

Open access · goldAbstract read
In one paragraph

Article in Gastroenterology research and practice, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
9.0field-weighted citation impact, top 3% 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 47 citations in OpenAlex.

  1. Pooled it
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  4. Review
  5. The Burden and Treatment of Chronic Constipation Among US Nursing Home Residents.Journal of the American Medical Directors Association · 2023
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  6. Article
  7. Article
  8. Observational
  9. Article
  10. Article
  11. Review
  12. Article
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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

7 authors at 2 institutions in 2 countries.

Lene Elisabeth BlekkenFaculty of Health and Social Science, Department of Nursing Science, University College of Sør-Trøndelag, Postboks 2320, 7004 Trondheim, Norway; Faculty of Medicine, Department of Public Health and General Practice, Norwegian University of Science and Technology (NTNU), Postboks 8905, MTFS, 7491 Trondheim, Norway.
Sigrid NakremFaculty of Health and Social Science, Department of Nursing Science, University College of Sør-Trøndelag, Postboks 2320, 7004 Trondheim, Norway.
Anne Guttormsen VinsnesFaculty of Health and Social Science, Department of Nursing Science, University College of Sør-Trøndelag, Postboks 2320, 7004 Trondheim, Norway.
Christine NortonKing's College London, Florence Nightingale School of Nursing and Midwifery, 57 Waterloo Road, London SE1 8WA, UK.ORCID 0000-0003-2259-0948
Siv MørkvedFaculty of Medicine, Department of Public Health and General Practice, Norwegian University of Science and Technology (NTNU), Postboks 8905, MTFS, 7491 Trondheim, Norway; St. Olavs Hospital, Trondheim University Hospital, Clinical Service, Postboks 3250 Sluppen, 7006 Trondheim, Norway.
Øyvind SalvesenFaculty of Medicine, Department of Public Health and General Practice, Norwegian University of Science and Technology (NTNU), Postboks 8905, MTFS, 7491 Trondheim, Norway.ORCID 0000-0002-6145-8109
Kari Hanne GjeiloSt. Olavs Hospital, Trondheim University Hospital, Department of Cardiology and Department of Cardiothoracic Surgery, Postboks 3250 Sluppen, 7006 Trondheim, Norway; Faculty of Medicine, Department of Circulation and Medical Imaging, Norwegian University of Science and Technology (NTNU), Postboks 8905, 7491 Trondheim, Norway.
Norwegian University of Science and Technology · NOKing's College London · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction. Constipation is a common, bothersome, and potentially dangerous condition among nursing home (NH) patients. Between 50 and 74% of NH patients use laxatives. Objective. To study prevalence and associations of laxative use and constipation using the comprehensive Norwegian version of the Resident Assessment Instrument for Long-Term Care Facilities. Methods. Cross-sectional study. Patients from 20 NH units were included. Logistic regression was used to analyze the results. Data collected in NHs might be clustered. Consequently, the multivariable models were tested against a mixed effects regression model to investigate variance both on the level of patients and on the level of NH units. Results. In all, 261 patients were included. The prevalence of constipation was 23.4%, and 67.1% used laxatives regularly. Balance problems, urinary incontinence, hypothyroidism, and Parkinson's disease were associated with constipation. Reduced ability to communicate and number of drugs were associated with laxative use. Antidementia-drugs and being involved in activities 1/3 to 2/3 of daytime were protective factors for laxative use. Mixed effects analyses identified variance on the level of NH units as nonsignificant. Conclusion. Constipation and laxative use are common. Variance is mainly explained by different patient characteristics/health deficiencies. Hence, patients might benefit from individualized care to compensate for deficiencies.

Identifiers

PMID26884751
PMCPMC4739228
OpenAlexW2281505968

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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.