The epidemiology and quality of life of functional gastrointestinal disorders according to Rome III vs Rome IV criteria: A cross‐sectional study in primary care

2021 ◽  
Vol 22 (3) ◽  
pp. 159-166
Author(s):  
Kee‐Huat Chuah ◽  
Keng‐Hau Beh ◽  
Nurul Azmi Mahamad Rappek ◽  
Sanjiv Mahadeva
Author(s):  
Carmen Folguera-Álvarez ◽  
Sofia Garrido-Elustondo ◽  
Milagros Rico-Blázquez ◽  
José Verdú-Soriano

The presence of venous leg ulcers (VLU) is associated with emotional disorders in individuals who have conditions, such as depression, anxiety, and sleeping problems, which result in a reduced perceived quality of life by these individuals. The study aim was to describe the perceived quality of life and associated factors for individuals with VLU. We conducted a cross-sectional study in 22 primary care health centers with a sample of 93 individuals with VLU. The variables collected were the following: perceived quality of life measured with Spanish version of the Charing Cross Venous Ulcer Questionnaire (CCVUQ-e), ulcer severity measured with the RESVECH 2.0 Score, demographic variables, and those related to the healing process. The results showed a mean CCVUQ-e score of 47.4 ± 11.8 points (Mean ± SD), with the most affected dimension being the emotional status, followed by cosmesis, social interaction, and domestic activities. The mean RESVECH 2.0 score was 11.1 ± 3.7 points. An association was found between ulcer-related pain and poorer quality of life ( P < .05, t test) and between erythema in perilesional skin and poorer quality life ( P < .05, t test). The signs of infection and inflammation in the VLUs were as follows: increasing exudate, friable tissue, and biofilm-compatible tissue, which were associated with a poorer quality of life ( P < .05, t test). The multivariate model was statistically significant and explained a variability of 26% in the CCVUQ-e score. This study confirms that wound severity, pain, and signs of infection in VLU decrease the perceived quality of life of individuals with these wounds.


2013 ◽  
Vol 3 (4) ◽  
pp. 245 ◽  
Author(s):  
Panos Andriopoulos ◽  
Maria Lotti-Lykousa ◽  
Evelina Pappa ◽  
Angelos A. Papadopoulos ◽  
Dimitris Niakas

2020 ◽  
Vol 2020 ◽  
pp. 1-10 ◽  
Author(s):  
Sabrina Berens ◽  
Felicitas Engel ◽  
Annika Gauss ◽  
Jonas Tesarz ◽  
Wolfgang Herzog ◽  
...  

Objectives. Overlaps between different functional gastrointestinal disorders (FGIDs) are common. However, little is known about the impact of this overlap on patients’ health status. This study is aimed at analyzing the differences between patients with multiple as compared to one single FGID. Methods. A retrospective, cross-sectional study was conducted with patients presenting to a tertiary care FGID specialty clinic between 06/2012 and 01/2015 (n=294). They were characterized primarily according to their GI symptom severity (IBS-SSS) and secondarily to their physical as well as psychosocial symptom burden, quality of life, health care utilization, and work-related impairment. Differences between patients with >1 vs. 1 FGID were analyzed. Results. Of the 294 patients, 92.2% fulfilled the Rome III criteria for any FGID, and 48.0% had >1 FGIDs. FGID patients had a median age of 38 [23.0] years; 72.0% were female. Median GI symptom severity (IBS-SSS) scores were 339 [126] and 232 [163] in patients with >1 and 1 FGID, respectively (p<.001). Furthermore, patients with >1 FGIDs had higher general somatic symptom severity, higher illness anxiety, lower quality of life, and more work-related impairment. Almost no differences were found regarding their somatic as well as mental comorbidities. Conclusions. Multiple FGIDs are associated with an increased risk for complicated courses of illness as reflected in higher GI and somatic symptom severity, as well as stronger psychosocial and diet- and work-related impairment. Stepped and interdisciplinary models of care including psychosocial expertise and dietary advice are needed, especially for patients with multiple FGIDs.


Author(s):  
Rhaylla Maria Pio Leal Jaques ◽  
Elaine Carininy Lopes da Costa ◽  
Gisela Maria de Assis ◽  
Aline Costa de Oliveira ◽  
laudia Daniella Avelino Vasconcelos Benício ◽  
...  

Objective: To investigate the profile of intestinal eliminations in women. Method: Cross-sectional study conducted with 41 women seen at a women’s health center in the state of Piauí in Brazil. For data collection, a form was used containing the sociodemographic data and questionnaires that assessed the data on the intestinal elimination pattern with questions based on the Rome IV criteria and the Bristol scale. Results: Of the 41 participants, 56.1% reported consuming one to two servings of fruits or vegetables per day and 51.2% consumed more than two liters of water per day. Regarding the patterns of intestinal elimination, 39% had feces in the Bristol 3 category. As for the Rome IV criteria, 21 (51.2%) women were considered constipated and the frequency of evacuation was statistically significant with the presence of constipation. Conclusion: There was a significant number of women with constipation. There was a need to develop actions that help to cope with the problem and improve the quality of life of this population.


PLoS ONE ◽  
2021 ◽  
Vol 16 (4) ◽  
pp. e0250714
Author(s):  
Aida Jaffar ◽  
Sherina Mohd-Sidik ◽  
Rosliza Abd Manaf ◽  
Chai Nien Foo ◽  
Quan Fu Gan ◽  
...  

Background Pregnant women have an increased risk of urinary incontinence (UI), affecting their quality of life (QoL). This study aims to determine UI and its relationship with QoL among incontinent pregnant women. Methods This was a cross-sectional study in a semi-urban primary care clinic in Selangor, Malaysia, among pregnant women aged 18 years old and above. The validated study instruments consisted of questions on socio-demography, the International Consultation on Incontinence Questionnaire-UI Short Form (ICIQ-UI SF) to determine UI and the International Consultation on Incontinence Questionnaire Lower Urinary Tract Symptoms Quality of Life Module (ICIQ-LUTSQoL) to assess their QoL. A generalised linear model was used to determine the association between the continent and incontinent pregnant women with QoL. Results Of the approached 610 respondents, 440 consented to participate in the study, resulting in a response rate of 72.1%. The mean age was 29.8 years old (SD 4.69) with 82.2% (n = 148) having stress UI. Significant independent factors related to the decreased QoL were mid to late trimester (OR 3.06, 95% CI 1.48–6.32), stress UI, (OR 6.94, 95%CI 4.00–12.04) and urge UI (OR3.87, 95%CI 0.48–31.28). Non-Malay improved QoL (OR 0.29, 95% CI 0.16–0.52). Conclusions All types of UI significantly affecting pregnant women’s QoL. This information is useful in enhancing antenatal management at the primary care level, whereby they should be screened for UI and provided with effective early intervention to improve their QoL.


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