@article{ribas_initiative_2017,
	title = {Initiative to improve detection of faecal incontinence in primary care: {The} {GIFT} {Project}},
	volume = {34},
	issn = {1460-2229},
	shorttitle = {Initiative to improve detection of faecal incontinence in primary care},
	doi = {10.1093/fampra/cmx004},
	abstract = {Background: Faecal incontinence (FI) is a distressing condition with a significant impact on quality of life. The true prevalence of FI is unknown but probably underestimated. Identifying patients affected is of key importance because a significant proportion may improve with conservative treatments, and there are a number of other treatments available.
Objectives: The aim of our project was to improve detection of FI in our primary care setting.
Methods: A multidisciplinary working group was created in order to raise awareness and educate health professionals about FI. We designed a simple protocol and organized educational meetings at 7 primary care centres. The usual diagnostic computer-based tools used by nurses were modified, so that FI was systematically asked about. A proactive attitude among doctors and midwives regarding FI was recommended for high-risk patient groups.
Results: The project was implemented in October 2014. Before the intervention, only 250 ({\textless}1\%) patients with a diagnosis of FI were identified from the primary care register out of a population over 165000 people. Between October 2014 and February 2016, 17370 patients were questioned about anal continence in routine follow-ups. Of those questioned, 829 (4.8\%) disclosed suffering from FI. Mean age was 78.5 ± 14 years (16-104), 565 (68.2\%) were females, and 264 (31.8\%) were males. The percentage of patients with FI increased with age and was higher in women.
Conclusion: Our results show that a proactive approach with direct questions on FI may lead to a significant increase in FI detection in primary care.},
	language = {eng},
	number = {2},
	journal = {Family Practice},
	author = {Ribas, Yolanda and Coll, Meritxell and Espina, Avelina and Jiménez, Concepció and Chicote, Montserrat and Torné, Marta and Modolell, Ines},
	year = {2017},
	pmid = {28201584},
	keywords = {Aged, Article, Cirurgia, Detection, Faecal incontinence, Fecal Incontinence, Female, Health Personnel, Humans, Male, Mass Screening, Prevalence, Primary Health Care, Quality of Life, Risk Factors, improvement, primary care},
	pages = {175--179},
}

{"_id":"Dr3Tii3bic7ccRMmZ","bibbaseid":"ribas-coll-espina-jimnez-chicote-torn-modolell-initiativetoimprovedetectionoffaecalincontinenceinprimarycarethegiftproject-2017","downloads":0,"creationDate":"2018-10-11T03:50:31.401Z","title":"Initiative to improve detection of faecal incontinence in primary care: The GIFT Project","author_short":["Ribas, Y.","Coll, M.","Espina, A.","Jiménez, C.","Chicote, M.","Torné, M.","Modolell, I."],"year":2017,"bibtype":"article","biburl":"https://bibbase.org/zotero/Bibliotecacst","bibdata":{"bibtype":"article","type":"article","title":"Initiative to improve detection of faecal incontinence in primary care: The GIFT Project","volume":"34","issn":"1460-2229","shorttitle":"Initiative to improve detection of faecal incontinence in primary care","doi":"10.1093/fampra/cmx004","abstract":"Background: Faecal incontinence (FI) is a distressing condition with a significant impact on quality of life. The true prevalence of FI is unknown but probably underestimated. Identifying patients affected is of key importance because a significant proportion may improve with conservative treatments, and there are a number of other treatments available. Objectives: The aim of our project was to improve detection of FI in our primary care setting. Methods: A multidisciplinary working group was created in order to raise awareness and educate health professionals about FI. We designed a simple protocol and organized educational meetings at 7 primary care centres. The usual diagnostic computer-based tools used by nurses were modified, so that FI was systematically asked about. A proactive attitude among doctors and midwives regarding FI was recommended for high-risk patient groups. Results: The project was implemented in October 2014. Before the intervention, only 250 (\\textless1%) patients with a diagnosis of FI were identified from the primary care register out of a population over 165000 people. Between October 2014 and February 2016, 17370 patients were questioned about anal continence in routine follow-ups. Of those questioned, 829 (4.8%) disclosed suffering from FI. Mean age was 78.5 ± 14 years (16-104), 565 (68.2%) were females, and 264 (31.8%) were males. The percentage of patients with FI increased with age and was higher in women. Conclusion: Our results show that a proactive approach with direct questions on FI may lead to a significant increase in FI detection in primary care.","language":"eng","number":"2","journal":"Family Practice","author":[{"propositions":[],"lastnames":["Ribas"],"firstnames":["Yolanda"],"suffixes":[]},{"propositions":[],"lastnames":["Coll"],"firstnames":["Meritxell"],"suffixes":[]},{"propositions":[],"lastnames":["Espina"],"firstnames":["Avelina"],"suffixes":[]},{"propositions":[],"lastnames":["Jiménez"],"firstnames":["Concepció"],"suffixes":[]},{"propositions":[],"lastnames":["Chicote"],"firstnames":["Montserrat"],"suffixes":[]},{"propositions":[],"lastnames":["Torné"],"firstnames":["Marta"],"suffixes":[]},{"propositions":[],"lastnames":["Modolell"],"firstnames":["Ines"],"suffixes":[]}],"year":"2017","pmid":"28201584","keywords":"Aged, Article, Cirurgia, Detection, Faecal incontinence, Fecal Incontinence, Female, Health Personnel, Humans, Male, Mass Screening, Prevalence, Primary Health Care, Quality of Life, Risk Factors, improvement, primary care","pages":"175–179","bibtex":"@article{ribas_initiative_2017,\n\ttitle = {Initiative to improve detection of faecal incontinence in primary care: {The} {GIFT} {Project}},\n\tvolume = {34},\n\tissn = {1460-2229},\n\tshorttitle = {Initiative to improve detection of faecal incontinence in primary care},\n\tdoi = {10.1093/fampra/cmx004},\n\tabstract = {Background: Faecal incontinence (FI) is a distressing condition with a significant impact on quality of life. The true prevalence of FI is unknown but probably underestimated. Identifying patients affected is of key importance because a significant proportion may improve with conservative treatments, and there are a number of other treatments available.\nObjectives: The aim of our project was to improve detection of FI in our primary care setting.\nMethods: A multidisciplinary working group was created in order to raise awareness and educate health professionals about FI. We designed a simple protocol and organized educational meetings at 7 primary care centres. The usual diagnostic computer-based tools used by nurses were modified, so that FI was systematically asked about. A proactive attitude among doctors and midwives regarding FI was recommended for high-risk patient groups.\nResults: The project was implemented in October 2014. Before the intervention, only 250 ({\\textless}1\\%) patients with a diagnosis of FI were identified from the primary care register out of a population over 165000 people. Between October 2014 and February 2016, 17370 patients were questioned about anal continence in routine follow-ups. Of those questioned, 829 (4.8\\%) disclosed suffering from FI. Mean age was 78.5 ± 14 years (16-104), 565 (68.2\\%) were females, and 264 (31.8\\%) were males. The percentage of patients with FI increased with age and was higher in women.\nConclusion: Our results show that a proactive approach with direct questions on FI may lead to a significant increase in FI detection in primary care.},\n\tlanguage = {eng},\n\tnumber = {2},\n\tjournal = {Family Practice},\n\tauthor = {Ribas, Yolanda and Coll, Meritxell and Espina, Avelina and Jiménez, Concepció and Chicote, Montserrat and Torné, Marta and Modolell, Ines},\n\tyear = {2017},\n\tpmid = {28201584},\n\tkeywords = {Aged, Article, Cirurgia, Detection, Faecal incontinence, Fecal Incontinence, Female, Health Personnel, Humans, Male, Mass Screening, Prevalence, Primary Health Care, Quality of Life, Risk Factors, improvement, primary care},\n\tpages = {175--179},\n}\n\n","author_short":["Ribas, Y.","Coll, M.","Espina, A.","Jiménez, C.","Chicote, M.","Torné, M.","Modolell, I."],"key":"ribas_initiative_2017","id":"ribas_initiative_2017","bibbaseid":"ribas-coll-espina-jimnez-chicote-torn-modolell-initiativetoimprovedetectionoffaecalincontinenceinprimarycarethegiftproject-2017","role":"author","urls":{},"keyword":["Aged","Article","Cirurgia","Detection","Faecal incontinence","Fecal Incontinence","Female","Health Personnel","Humans","Male","Mass Screening","Prevalence","Primary Health Care","Quality of Life","Risk Factors","improvement","primary care"],"downloads":0,"html":"","metadata":{"authorlinks":{}}},"search_terms":["initiative","improve","detection","faecal","incontinence","primary","care","gift","project","ribas","coll","espina","jiménez","chicote","torné","modolell"],"keywords":["aged","article","cirurgia","detection","faecal incontinence","fecal incontinence","female","health personnel","humans","male","mass screening","prevalence","primary health care","quality of life","risk factors","improvement","primary care"],"authorIDs":[],"dataSources":["TR9pX4mH5rDPr29Zo"]}