Initiative to improve detection of faecal incontinence in primary care: The GIFT Project. Ribas, Y., Coll, M., Espina, A., Jiménez, C., Chicote, M., Torné, M., & Modolell, I. Family Practice, 34(2):175–179, 2017. doi abstract bibtex 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.
@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},
}
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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. 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