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International Journal of Colorectal Disease

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01-09-2008 | Original Article

Clinical characteristics and quality of life in a cohort of 621 patients with faecal incontinence

Authors: Henri Damon, Anne Marie Schott, Xavier Barth, Jean Luc Faucheron, Laurent Abramowitz, Laurent Siproudhis, Marie-Odile Fayard, Cyrille Colin, Guy Valancogne, Véronique Bonniaud, François Mion, The French ORALIA Group

Published in: International Journal of Colorectal Disease | Issue 9/2008

Abstract

Aim

The aim of this study was to study a cohort of patients with faecal incontinence (FI) to gain a better insight into the clinical and epidemiological characteristics of this pathology and its repercussions on quality of life (QL).

Materials and methods

Consecutive patients with FI seen at tertiary centres filled in a self-questionnaire. The severity of FI, constipation and urinary incontinence (UI) was evaluated, respectively, by the Jorge and Wexner score, the Knowles–Eccersley–Scott Symptom score and the Urological Distress Inventory score. ROME II criteria were used to assess the existence of an associated irritable bowel syndrome. The repercussion on QL was evaluated by the Gastrointestinal Quality of Life index score and the Ditrovie score. The psychological status was assessed by the Hospital Anxiety and Depression scale.

Results

Six hundred twenty-one patients (114 men), mean age 58 ± 15 years (range: 20–92), with FI, filled in the questionnaire. The mean Jorge and Wexner score was 11 ± 4. Twenty-seven presented with an irritable bowel syndrome. Thirty-eight percent had an associated constipation. A UI was associated in 48% women and 25% men. QL was significantly altered, and anxiety and depression were frequent.

Conclusions

FI symptoms are frequently severe, QL very altered and anxiety and depression common. FI is frequently associated with other digestive and perineal symptoms, which argue in favour of a multi-disciplinary management of FI.

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Title: Clinical characteristics and quality of life in a cohort of 621 patients with faecal incontinence
Authors: Henri Damon
Anne Marie Schott
Xavier Barth
Jean Luc Faucheron
Laurent Abramowitz
Laurent Siproudhis
Marie-Odile Fayard
Cyrille Colin
Guy Valancogne
Véronique Bonniaud
François Mion
The French ORALIA Group
Publication date: 01-09-2008
Publisher: Springer-Verlag
Published in: International Journal of Colorectal Disease / Issue 9/2008
Print ISSN: 0179-1958
Electronic ISSN: 1432-1262
DOI: https://doi.org/10.1007/s00384-008-0489-x

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Clinical characteristics and quality of life in a cohort of 621 patients with faecal incontinence

Abstract

Aim

Materials and methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Aim

Materials and methods

Results

Conclusions

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