Enrique Rey|Rok Seon Choung|Cathy D. Schleck|Alan R. Zinsmeister|Richard G Locke|Nicholas J. Talley
Onset and Risk Factors for Fecal Incontinence in a US Community
Mayo Clinic|Hospital Clínico San Carlos|Mayo Clinic|Mayo Clinic|Mayo Clinic|Mayo Clinic|Mayo Clinic in Florida|Jacksonville College|Winneshiek Medical Center|Mayo Clinic
objectives natural history fecal incontinence fi community subjects uncertain onset rate unknown aim study estimate prevalence newonset rate risk factors fi community subjects methods random sample 2400 community subjects aged 50 years surveyed 1993 using validated questionnaire responders recontacted 2003 fi defined selfreported problems leakage stool onset rate calculated proportion subjects without fi became new cases logistic regression models constructed identify predictive factors developing fi changes bowel habit associated onset fi results overall 1540 64 subjects responded initial survey 674 44 responded second survey median 9 8895 years later prevalence fi first survey 153 134173 second survey 37 reported incident fi thus onset rate fi 70 5096 per 10 years predictive factors baseline onset fi selfreported diarrhea odds ratio or38 15 94 incomplete evacuation or34 12 98 pelvic radiation or51 101 259 development urgency primary predictor among set predictors reflecting changes bowel symptoms associated onset fi or249 106 584 conclusions onset rate fi approximately 7 per 10 years community subjects aged 50 years prevention may possible bowel habit appropriately managed highrisk individuals