Chronic Constipation in the United States: Results From a Population-Based Survey Assessing Healthcare Seeking and Use of Pharmacotherapy

Autor: Sun Jung Oh, Carine Khalil, Garth Fuller, Devin Patel, William Spalding, Brennan Spiegel, Arpita Nag, Christopher V. Almario
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Bisacodyl
Dietary Fiber
Male
Severity of Illness Index
Polyethylene Glycols
Chronic idiopathic constipation
0302 clinical medicine
Surveys and Questionnaires
Ethnicity
Medicine
Functional GI Disorders
Internal-External Control
Chronic constipation
Gastroenterology
Age Factors
Guanylyl Cyclase C Agonists
Colonoscopy
Middle Aged
Lactulose
Laxatives
030220 oncology & carcinogenesis
030211 gastroenterology & hepatology
Female
Emergency Service
Hospital
Adult
Employment
medicine.medical_specialty
Sennosides
MEDLINE
Nonprescription Drugs
Article
Physicians
Primary Care
03 medical and health sciences
Surface-Active Agents
Pharmacotherapy
Sex Factors
Gastrointestinal Agents
Severity of illness
Humans
Intensive care medicine
Population based survey
Dioctyl Sulfosuccinic Acid
Insurance
Health
Hepatology
Marital Status
business.industry
Gastroenterologists
Patient Acceptance of Health Care
United States
Chronic Disease
Healthcare seeking
Defecation
business
Peptides
Constipation
Zdroj: The American Journal of Gastroenterology
ISSN: 1572-0241
0002-9270
Popis: OBJECTIVES: Chronic idiopathic constipation (CIC) is characterized by unsatisfactory defecation and difficult or infrequent stools. CIC affects 9%–20% of adults in the United States, and although prevalent, gaps in knowledge remain regarding CIC healthcare seeking and medication use in the community. We recruited a population-based sample to determine the prevalence and predictors of (i) individuals having discussed their constipation symptoms with a healthcare provider and (ii) the use of constipation therapies. METHODS: We recruited a representative sample of Americans aged 18 years or older who had experienced constipation. Those who met the Rome IV criteria for irritable bowel syndrome and opioid-induced constipation were excluded. The survey included questions on constipation severity, healthcare seeking, and the use of constipation medications. We used multivariable regression methods to adjust for confounders. RESULTS: Overall, 4,702 participants had experienced constipation (24.0% met the Rome IV CIC criteria). Among all respondents with previous constipation, 37.6% discussed their symptoms with a clinician (primary care provider 87.6%, gastroenterologist 26.0%, and urgent care/emergency room physician 7.7%). Age, sex, race/ethnicity, marital status, employment status, having a source of usual care, insurance status, comorbidities, locus of control, and constipation severity were associated with seeking care (P < 0.05). Overall, 47.8% of respondents were taking medication to manage their constipation: over-the-counter medication(s) only, 93.5%; prescription medication(s) only, 1.3%; and both over-the-counter medication(s) and prescription medication(s), 5.2%. DISCUSSION: We found that 3 of 5 Americans with constipation have never discussed their symptoms with a healthcare provider. Furthermore, the use of prescription medications for managing constipation symptoms is low because individuals mainly rely on over-the-counter therapies.
Databáze: OpenAIRE
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