We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
Fecal and urinary incontinence are major problems associated with rectal cancer.
- Authors
Schiffmann, Leif; Kostev, Karel; Kalder, Matthias
- Abstract
Background: The goal of this retrospective cohort study was to analyze the incidence of urinary incontinence (UI) and fecal incontinence (FI) within 5 years of diagnosis in patients with rectal carcinoma (RC) and within 5 years of a randomly selected visit date in non-cancer controls followed in general practices in Germany. Methods: Patients who had received an initial RC diagnosis at one of 1262 general practices in Germany between January 2008 and December 2017 were included in this study (index date). Patients without cancer were matched (1:1) to RC patients by sex, age, index year, and practice. The main outcome of the study was the incidence of UI and FI within 5 years of RC diagnosis. Results: The study included 3249 individuals with RC and 3249 individuals without cancer (mean age 66.5 years, 57.3% males). Within 5 years of the index date, 8.6% of RC patients and 1.3% of patients without cancer received a FI diagnosis, and 16.7% of RC patients and 5.3% of patients without cancer received a UI diagnosis. Overall, RC was positively associated with both FI (hazard ratio (HR) 8.39, 95% CI 5.50–12.81) and UI (HR 3.59, 95% CI 2.91–4.44). These findings were corroborated in the different age subgroups. Conclusion: In accordance with the literature, we confirmed that RC is significantly associated with fecal and urinary incontinence. However, it appears that the awareness of this fact needs to be improved among general practitioners since our data show lower percentages of fecal and urinary incontinence diagnoses compared with the percentages for specialized centers reported in the literature.
- Subjects
GERMANY; FECAL incontinence; RECTAL cancer; GENERAL practitioners; URINALYSIS; CANCER patients; DEFECATION disorders
- Publication
International Journal of Colorectal Disease, 2020, Vol 35, Issue 1, p35
- ISSN
0179-1958
- Publication type
Article
- DOI
10.1007/s00384-019-03450-8