A European snapshot of psychosocial characteristics and patients’ perspectives of faecal incontinence—do they correlate with current scoring systems?

Creamer F, Orlando A, Brunner M, Buntzen S, Dennis A, Gómez-Fernández L, Handtrack C, Hanly A, Matzel KE, Duyos AM, Meurette G, O’Connell PR, Alonso CP, Ribas Y, Rydningen M, Wyart V, Vaizey CJ, Maeda Y (2021)

Publication Type: Journal article

Publication year: 2021

Journal

International Journal of Colorectal Disease Springer Verlag

DOI: 10.1007/s00384-021-03836-7

Abstract

Purpose: To compare the current clinical scoring systems used to quantify the severity of symptoms of faecal incontinence (FI) to patients’ subjective scoring of parameters of psychosocial well-being. Methods: Patients referred to six European centres for investigation or treatment of symptoms of FI between June 2017 and September 2019 completed a questionnaire that captured patient demographics, incontinence symptoms using St. Mark’s Incontinence score (SMIS) and ICIQ-B, psychological well-being (HADS, Hospital Anxiety and Depression Scale), and social interaction (a three-item loneliness scale). Results: Three hundred eighteen patients completed questionnaires (62 men, mean age 58.7). Sixty percent of the respondents were aged under 65. Median SMIS was 15 (11–18), ICIQ-B bowel pattern was 8 (6–11) and bowel control was 17 (13–22), similar across all demographic groups; however, younger patients were more likely to experience symptoms of depression and anxiety (HADS score > 10, 65.2% of patients age < 65 vs 54.9% of those ages > = 65, p = 0.03) with lower quality of life (ICIQ-B QoL, median score 19 (14–23)) vs age > = 65 (16 (11–21) (p < 0.005)). On loneliness score 25.5% reported often feeling isolated from others. One of the most significant concerns by patients was the fear and embarrassment related to unpredictable episodes of incontinence. Conclusion: The SMIS remains a useful tool for quantifying incontinence symptoms but may underestimate the psychosocial morbidity associated with unpredictable episodes of incontinence. Interventions aimed at decreasing anxiety and to address feelings of disgust may be helpful for a significant number of patients requiring treatment for FI.

Authors with CRIS profile

Maximilian Brunner Lehrstuhl für Allgemein- und Viszeralchirurgie

Involved external institutions

Western General Hospital GB United Kingdom (GB) University Hospital of North Norway / Universitetssykehuset Nord-Norge (UNN) NO Norway (NO) St. Mark's Hospital GB United Kingdom (GB) Consorci Sanitari de Terrassa (CST) ES Spain (ES) Hospital Universitario Mútua Terrassa ES Spain (ES) Nantes University Hospital / Centre hospitalier universitaire de Nantes (CHU) FR France (FR) St Vincent's University Hospital IE Ireland (IE)

How to cite

APA:

Creamer, F., Orlando, A., Brunner, M., Buntzen, S., Dennis, A., Gómez-Fernández, L.,... Maeda, Y. (2021). A European snapshot of psychosocial characteristics and patients’ perspectives of faecal incontinence—do they correlate with current scoring systems? International Journal of Colorectal Disease. https://doi.org/10.1007/s00384-021-03836-7

MLA:

Creamer, Felicity, et al. "A European snapshot of psychosocial characteristics and patients’ perspectives of faecal incontinence—do they correlate with current scoring systems?" International Journal of Colorectal Disease (2021).

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