1. Prevalence of anal incontinence in adults and impact on quality-of-life.
- Author
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Damon H, Guye O, Seigneurin A, Long F, Sonko A, Faucheron JL, Grandjean JP, Mellier G, Valancogne G, Fayard MO, Henry L, Guyot P, Barth X, and Mion F
- Subjects
- Adult, Aged, Fecal Incontinence psychology, Female, France epidemiology, Health Surveys, Humans, Male, Middle Aged, Prevalence, Fecal Incontinence complications, Fecal Incontinence epidemiology, Quality of Life
- Abstract
Objective: To investigate the prevalence of anal incontinence in the general population and in patients consulting gastroenterologist and gynecologist practices in the Rhône Alpes area., Methods: For the first study a questionnaire was sent to a sample of 2800 people selected randomly from the electoral roll. Another study of patients selected randomly among patients attending gynecology and gastroenterology consultations was performed. A Jorge & Wexner score above or equal to 5 was used to define anal incontinence., Results: For the first study, a total of 706 questionnaires was analyzed: the prevalence of anal incontinence was 5.1% [95% CI: 3.6-7.0] and the scores of each dimension of the SF-12 Health Survey were significantly lower among incontinent people than among continent people. The prevalence was significantly higher for women (7.5% [5.0-10.7]) than for men (2.4% [1.1-4.7]). Eighty-four physicians returned 835 valid questionnaires. The prevalence was 13.1% [10.1-16.6] among patients attending gastroenterology consultations and 5.0% [3.1-7.6] among those attending gynecology consultations. For 84.8% of the incontinent patients, the physician was unaware of the patient's disorder., Conclusion: The prevalence figures we obtained coincide with data in the literature. This disorder is common and affects the patient's quality-of-life, but remains underestimated and under-diagnosed.
- Published
- 2006
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