Background: Fecal and urinary incontinence may differently influence various aspects of quality of life (QOL). The main aim of the present study is to determine whether fecal and urinary incontinence measured at time 1 of the study will predict QOL at time 2 (after 4 years), above and beyond the prediction already explained by fecal and urinary incontinence at time 2. Methods: Thirty-six adult patients from the Italian Parents' and Patients' Association for Anorectal Malformations answered items about urinary and fecal incontinence at time 1 of the study and completed the Hirschsprung Disease/Anorectal Malformation Quality of Life questionnaire after 4 years from the first questionnaire. Two sets of hierarchical regression analyses were conducted with fecal and urinary incontinence serving as predictors of QOL and the different areas of QOL from the Hirschsprung Disease/Anorectal Malformation Quality of Life serving as outcome variables. Results: The principal findings indicated that fecal continence is a strong predictor of QOL in the areas of social functioning, emotional functioning, and body image and that urinary incontinence predicted sexual functioning. Conclusions: It seems that one's past experience with fecal incontinence is extremely relevant to current QOL, especially for body image. Urinary incontinence contributed less in explaining QOL in our patients, but because it is very relevant for sexual functioning, it should not be disregarded. (C) 2011 Elsevier Inc. All rights reserved.

Long-term disease-specific quality of life in adult anorectal malformation patients / Grano, Caterina; Dalia, Aminoff; Lucidi, Fabio; Violani, Cristiano. - In: JOURNAL OF PEDIATRIC SURGERY. - ISSN 0022-3468. - ELETTRONICO. - 46:4(2011), pp. 691-698. [10.1016/j.jpedsurg.2010.10.016]

Long-term disease-specific quality of life in adult anorectal malformation patients

GRANO, Caterina;LUCIDI, Fabio;VIOLANI, Cristiano
2011

Abstract

Background: Fecal and urinary incontinence may differently influence various aspects of quality of life (QOL). The main aim of the present study is to determine whether fecal and urinary incontinence measured at time 1 of the study will predict QOL at time 2 (after 4 years), above and beyond the prediction already explained by fecal and urinary incontinence at time 2. Methods: Thirty-six adult patients from the Italian Parents' and Patients' Association for Anorectal Malformations answered items about urinary and fecal incontinence at time 1 of the study and completed the Hirschsprung Disease/Anorectal Malformation Quality of Life questionnaire after 4 years from the first questionnaire. Two sets of hierarchical regression analyses were conducted with fecal and urinary incontinence serving as predictors of QOL and the different areas of QOL from the Hirschsprung Disease/Anorectal Malformation Quality of Life serving as outcome variables. Results: The principal findings indicated that fecal continence is a strong predictor of QOL in the areas of social functioning, emotional functioning, and body image and that urinary incontinence predicted sexual functioning. Conclusions: It seems that one's past experience with fecal incontinence is extremely relevant to current QOL, especially for body image. Urinary incontinence contributed less in explaining QOL in our patients, but because it is very relevant for sexual functioning, it should not be disregarded. (C) 2011 Elsevier Inc. All rights reserved.
2011
anorectal malformation; anorectal malformations; arm; disease-specific quality of life; emotional functioning; fecal continence; haql; incontinence; quality of life; social functioning; urinary continence
01 Pubblicazione su rivista::01a Articolo in rivista
Long-term disease-specific quality of life in adult anorectal malformation patients / Grano, Caterina; Dalia, Aminoff; Lucidi, Fabio; Violani, Cristiano. - In: JOURNAL OF PEDIATRIC SURGERY. - ISSN 0022-3468. - ELETTRONICO. - 46:4(2011), pp. 691-698. [10.1016/j.jpedsurg.2010.10.016]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/376548
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