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Cited by 363

The DOI matches its Crossref record; 1 of the 1 references it cites were found in a registry or an index.

What is the impact of fecal incontinence on quality of life?

Rothbarth, Joost, Bemelman, Willem A., Meijerink, Wilhelmus J. H. J., Stiggelbout, Anne M., Zwinderman, Aeilko H., Buyze-Westerweel, Marianne E., Delemarre, Johannes B. V. M.·2001·Diseases of the Colon & Rectum

Abstract

PURPOSE: The objective of this study was to determine at what point fecal incontinence affects quality of life. METHODS: In 35 patients who had anterior sphincter repair for fecal incontinence as a result of obstetric injury, continence evaluated by the Wexner score was compared with validated quality of life tests (Gastrointestinal Quality of Life Index and Medical Outcomes Study Short-Form General Health Survey). The questionnaires were sent by mail. Thirty-two patients responded. The Wexner score (0-20) was correlated with the Gastrointestinal Quality of Life Index and the Medical Outcomes Study Short-Form General Health Survey and matched with those of reference groups. RESULTS: The mean Wexner score was 8.8, corresponding with losing stools between once a week and once a month. The mean Gastrointestinal Quality of Life Index score was 105 (range, 48-136), which is significantly lower than the score found in a reference group of normal individuals. Medical Outcomes Study Short-Form General Health Survey scores were significantly lower in all six dimensions compared with the reference group. A Wexner score of 9 or higher was associated with a Gastrointestinal Quality of Life Index score of less than 105, which implies that patients were less mobile in the community and were confined to their homes. A similar correlation was found between a Wexner score higher than 9 and the Medical Outcomes Study Short-Form General Health Survey. CONCLUSIONS: A Wexner score of 9 or higher indicates a significant impairment of quality of life and can therefore be used in decision making.

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Crossref · 10.1007/bf02234823

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Metadata

Authors
Rothbarth, J., Bemelman, W. A., Meijerink, W. J. H. J., Stiggelbout, A. M., Zwinderman, A. H., Buyze-Westerweel, M. E., & Delemarre, J. B. V. M.
Venue
Diseases of the Colon & Rectum
Published
2001-01
Volume
44
Issue
1
Pages
67-71
ISSN
0012-3706 (ISSN-L)
OpenAlex
W2037005678
Cited by
363
References
1
FWCI
7.35
Type
journal article
Language
en
Open access
closed

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