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Factors Associated with Defecation Satisfaction among Japanese Adults with Chronic Constipation.
Yamamoto, Sayuri; Ohashi, Wataru; Yamaguchi, Yoshiharu; Igari, Hiroki; Koshino, Akira; Sugiyama, Tomoya; Nagao, Kazuhiro; Tamura, Yasuhiro; Izawa, Shinya; Mano, Mamiko; Ebi, Masahide; Usami, Jun; Hamano, Koichi; Izumi, Junko; Wakita, Yoshinori; Funaki, Yasushi; Ogasawara, Naotaka; Sasanabe, Ryujiro; Sasaki, Makoto; Maekawa, Masato; Kasugai, Kunio.
Afiliación
  • Yamamoto S; Division of Gastroenterology, Aichi Medical University, Nagakute 480-1195, Japan.
  • Ohashi W; Division of General Medicine, Aichi Medical University, Nagakute 480-1195, Japan.
  • Yamaguchi Y; Division of Biostatistics, Clinical Research Center, Aichi Medical University, Nagakute 480-1195, Japan.
  • Igari H; Division of Gastroenterology, Aichi Medical University, Nagakute 480-1195, Japan.
  • Koshino A; Division of General Medicine, Aichi Medical University, Nagakute 480-1195, Japan.
  • Sugiyama T; Division of Gastroenterology, Aichi Medical University, Nagakute 480-1195, Japan.
  • Nagao K; Division of Gastroenterology, Aichi Medical University, Nagakute 480-1195, Japan.
  • Tamura Y; Division of Gastroenterology, Aichi Medical University, Nagakute 480-1195, Japan.
  • Izawa S; Division of Gastroenterology, Aichi Medical University, Nagakute 480-1195, Japan.
  • Mano M; Division of Gastroenterology, Aichi Medical University, Nagakute 480-1195, Japan.
  • Ebi M; Division of Sleep Medicine, Aichi Medical University, Nagakute 480-1195, Japan.
  • Usami J; Division of Gastroenterology, Aichi Medical University, Nagakute 480-1195, Japan.
  • Hamano K; Division of General Medicine, Aichi Medical University, Nagakute 480-1195, Japan.
  • Izumi J; Division of General Medicine, Aichi Medical University, Nagakute 480-1195, Japan.
  • Wakita Y; Division of General Medicine, Aichi Medical University, Nagakute 480-1195, Japan.
  • Funaki Y; Division of General Medicine, Aichi Medical University, Nagakute 480-1195, Japan.
  • Ogasawara N; Division of Gastroenterology, Aichi Medical University, Nagakute 480-1195, Japan.
  • Sasanabe R; Division of Gastroenterology, Aichi Medical University, Nagakute 480-1195, Japan.
  • Sasaki M; Division of Sleep Medicine, Aichi Medical University, Nagakute 480-1195, Japan.
  • Maekawa M; Division of Gastroenterology, Aichi Medical University, Nagakute 480-1195, Japan.
  • Kasugai K; Division of General Medicine, Aichi Medical University, Nagakute 480-1195, Japan.
J Clin Med ; 13(11)2024 May 30.
Article en En | MEDLINE | ID: mdl-38892926
ABSTRACT

Background:

Constipation causes substantial morbidity worldwide.

Methods:

This survey assessed constipation-related factors in Japan using the Japanese version of the Irritable Bowel Syndrome Quality of Life (IBS-QOL-J) instrument. We also examined the relationship among laxative type, Bristol Stool Form Scale (BSFS) scores, and treatment cost. Finally, we examined differences in satisfaction scores according to laxative type, treatment type, treatment cost, and BSFS score.

Results:

IBS-QOL-J was higher among those taking salt and/or irritation laxatives. Those paying >JPY 5000 (USD 50.00) had the lowest IBS-QOL-J. IBS-QOL-J was significantly lower among those with a BSFS score of 1 or 2 (severe constipation).

Conclusions:

This study's findings suggest that a variety of factors, including treatment type and cost, are associated with defecation satisfaction. Those who had hard stools, used multiple laxatives, or spent more on treatment were less satisfied. Future strategies should target therapies that do not require multiple laxatives with lower treatment costs. Adequate defecation with a small number of appropriate laxatives at minimal cost appears to improve defecation satisfaction. It is desirable to identify appropriate laxatives and improve dietary habits and exercise routines. It is also necessary to stop blindly increasing laxative usage and properly diagnose constipation disorders such as anatomical abnormalities other than functional constipation.
Palabras clave

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Clin Med Año: 2024 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Suiza

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Clin Med Año: 2024 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Suiza