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Treatment for chronic idiopathic constipation: Use and satisfaction from a nationwide survey of US participants.
Lacy, Brian E; Xu, Yanqing; Taylor, Douglas C A; Kosch, Katherine J; Dobrescu, Rachel; Morlock, Amy; Morlock, Robert; Rooker, Ceciel.
Afiliación
  • Lacy BE; Division of Gastroenterology and Hepatology, Mayo Clinic, Jacksonville, Florida, USA.
  • Xu Y; AbbVie Inc., North Chicago, Illinois, USA.
  • Taylor DCA; Former employee of Ironwood Pharmaceuticals, Boston, Massachusetts, USA.
  • Kosch KJ; AbbVie Inc., North Chicago, Illinois, USA.
  • Dobrescu R; Acumen Health Research Institute, Ann Arbor, Michigan, USA.
  • Morlock A; Acumen Health Research Institute, Ann Arbor, Michigan, USA.
  • Morlock R; YourCareChoice, Ann Arbor, Michigan, USA.
  • Rooker C; International Foundation for Gastrointestinal Disorders, Milwaukee, Wisconsin, USA.
Neurogastroenterol Motil ; 36(10): e14885, 2024 Oct.
Article en En | MEDLINE | ID: mdl-39155456
ABSTRACT

BACKGROUND:

Chronic idiopathic constipation (CIC) is a disorder of gut-brain interaction characterized by a variety of bowel movement-related and abdominal symptoms. A greater understanding of medication use and satisfaction with symptom control may provide insights to optimize patient care. Therefore, we explored these aspects of the disorder in adults with CIC.

METHODS:

This study assessed data collected from a large nationwide survey of adult participants in the United States, querying demographics, clinical characteristics, and comorbid conditions, as well as medication use, care-seeking behaviors, and satisfaction with symptom control. Participants were grouped into the CIC cohort if they met Rome IV criteria, with controls matched 11 according to age, sex, race, region, and Charlson Comorbidity Index score. All data were self-reported. KEY

RESULTS:

Two thousand five hundred and thirty-three participants with CIC were matched 11 to controls. In the CIC cohort, abdominal pain was the most reported symptom leading to medication use 15.9% of respondents were receiving a prescription medication in addition to an over-the-counter medication, while 26.3% were taking neither. In addition, only one-third were satisfied with the control of their symptoms; however, satisfaction was significantly higher in respondents taking a prescription medication (p < 0.001). The proportion of reported comorbidities was significantly higher in the CIC cohort versus the control cohort, with chronic pain, anxiety, and depression among the highest (p < 0.001 for all). CONCLUSIONS AND INFERENCES This study emphasizes the need for better communication regarding prescription medications and their benefits, with the goal of further improving CIC patients' overall symptoms.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Satisfacción del Paciente / Estreñimiento Límite: Adult / Aged / Female / Humans / Male / Middle aged País/Región como asunto: America do norte Idioma: En Revista: Neurogastroenterol Motil Asunto de la revista: GASTROENTEROLOGIA / NEUROLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Satisfacción del Paciente / Estreñimiento Límite: Adult / Aged / Female / Humans / Male / Middle aged País/Región como asunto: America do norte Idioma: En Revista: Neurogastroenterol Motil Asunto de la revista: GASTROENTEROLOGIA / NEUROLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido