Chronic constipation: a survey of the patient perspective
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Open Access
- 8 January 2007
- journal article
- Published by Wiley in Alimentary Pharmacology & Therapeutics
- Vol. 25 (5), 599-608
- https://doi.org/10.1111/j.1365-2036.2006.03238.x
Abstract
Background Constipation is a common, often chronic, gastrointestinal motility disorder characterized by such symptoms as straining, hard stool, and infrequent defecation. Published literature is limited regarding symptom prevalence, healthcare-seeking behaviour, and patient satisfaction with traditional therapies for chronic constipation. Aim To assess the prevalence of chronic constipation among a random sample of Americans, to identify the frequency, severity and bothersomeness of their symptoms, and to assess satisfaction levels with traditional treatments. Methods All members (N = 37 004) of the Knowledge Networks Panel, representative of the US population, participated in a web-based survey. Eligibility was established using a six-question screener. Results Of the 24 090 panellists consenting to participate, 557 met eligibility requirements and took the 45-question survey. The most prevalent symptom was straining (79%). Hard stool and straining were the top two severe symptoms, and bloating, straining and hard stool were the top three bothersome symptoms. Symptoms affected quality of life of more than half (52%) the respondents. Among those who worked or went to school, 12% experienced reduced productivity and a mean of 2.4 days of absence in the month before the survey. Most respondents had used (96%) or were using (72%) constipation relief therapy; however, nearly half (47%) were not completely satisfied, mainly because of efficacy (82%) and safety (16%) concerns. Conclusions Chronic constipation is common. Individual symptoms are often severe and bothersome, and many patients are dissatisfied with traditional treatment options, primarily because of lack of efficacy.Keywords
This publication has 15 references indexed in Scilit:
- Functional Bowel DisordersGastroenterology, 2006
- Review article: epidemiology and quality of life in functional gastrointestinal disordersAlimentary Pharmacology & Therapeutics, 2004
- Epidemiology of Constipation in North America: A Systematic ReviewThe American Journal of Gastroenterology, 2004
- Health-related quality of life in functional GI disorders: focus on constipation and resource utilizationThe American Journal of Gastroenterology, 2002
- AGA technical review on constipationGastroenterology, 2000
- Functional bowel disorders and functional abdominal painGut, 1999
- Quality of Life in Patients with Different Types of Functional ConstipationScandinavian Journal of Gastroenterology, 1997
- Constipation: a different entity for patients and doctorsFamily Practice, 1996
- Bowel Disorders Impair Functional Status and Quality of Life in the Elderly: A Population-Based StudyThe Journals of Gerontology, Series A: Biological Sciences and Medical Sciences, 1995
- Physician visits in the United States for constipation: 1958 to 1986Digestive Diseases and Sciences, 1989