{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T02:19:48Z","timestamp":1783649988465,"version":"3.55.0"},"reference-count":53,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2015,1,21]],"date-time":"2015-01-21T00:00:00Z","timestamp":1421798400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"NHMRC Postgraduate Research"},{"name":"Royal Australian College of Surgeons (RACS) Foundation of Surgery Research"},{"name":"Australian National Health and Medical Research Council (NHMRC) Career Development","award":["632955"],"award-info":[{"award-number":["632955"]}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Colorectal Disease"],"published-print":{"date-parts":[[2015,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>Interest in functional bowel disorders (<jats:styled-content style=\"fixed-case\">FBD<\/jats:styled-content>s) and faecal incontinence (<jats:styled-content style=\"fixed-case\">FI<\/jats:styled-content>) has increased amongst coloproctologists. The study aimed to assess the prevalence of <jats:styled-content style=\"fixed-case\">FBD<\/jats:styled-content>s and <jats:styled-content style=\"fixed-case\">FI<\/jats:styled-content> (including its severity) among Australian primary healthcare seekers using objective criteria.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>A cross\u2010sectional survey was conducted in a primary care setting in Sydney, Australia. A self\u2010administered questionnaire was used to collect demographic information and diagnose <jats:styled-content style=\"fixed-case\">FBD<\/jats:styled-content>s (irritable bowel syndrome, constipation, functional bloating and functional diarrhoea) based on Rome <jats:styled-content style=\"fixed-case\">III<\/jats:styled-content> criteria. The severity of <jats:styled-content style=\"fixed-case\">FI<\/jats:styled-content> was determined using the Vaizey incontinence score. Associations with medical\/surgical history and healthcare utilization were assessed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 596 subjects approached, 396 (66.4%) agreed to participate. Overall, 33% had <jats:styled-content style=\"fixed-case\">FBD<\/jats:styled-content> and\/or <jats:styled-content style=\"fixed-case\">FI<\/jats:styled-content>. Irritable bowel syndrome was present in 11.1% and these participants were more likely to report anxiety\/depression (<jats:italic>P\u00a0<\/jats:italic>&lt;<jats:italic>\u00a0<\/jats:italic>0.01) and to have had a previous colonoscopy (<jats:italic>P\u00a0<\/jats:italic>&lt;<jats:italic>\u00a0<\/jats:italic>0.001) or cholecystectomy (<jats:italic>P\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>0.02). Functional constipation was present in 8.1%, and functional bloating and functional diarrhoea were diagnosed in 6.1%, and 1.5%, respectively. <jats:styled-content style=\"fixed-case\">FI<\/jats:styled-content> was present in 12.1% with the majority (52%) reporting moderate\/severe incontinence (Vaizey score\u00a0&gt;\u00a08). Participants with <jats:styled-content style=\"fixed-case\">FI<\/jats:styled-content> were more likely to have irritable bowel syndrome, urinary incontinence and previous anal surgery (<jats:italic>P\u00a0<\/jats:italic>&lt;<jats:italic>\u00a0<\/jats:italic>0.01).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p><jats:styled-content style=\"fixed-case\">FBD<\/jats:styled-content>s and <jats:styled-content style=\"fixed-case\">FI<\/jats:styled-content> are prevalent conditions amongst primary healthcare seekers and the needs of those affected appear to be complex given their coexisting symptoms and conditions. Currently, the majority do not reach colorectal services, although increased awareness by primary care providers could lead to sufferers being referred for specialist management.<\/jats:p><\/jats:sec>","DOI":"10.1111\/codi.12808","type":"journal-article","created":{"date-parts":[[2014,10,30]],"date-time":"2014-10-30T14:00:19Z","timestamp":1414677619000},"page":"150-159","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":39,"title":["Prevalence of functional bowel disorders and faecal incontinence: an Australian primary care survey"],"prefix":"10.1111","volume":"17","author":[{"given":"K.\u2010S.","family":"Ng","sequence":"first","affiliation":[{"name":"Academic Colorectal Unit Sydney Medical School \u2013 Concord University of Sydney Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N.","family":"Nassar","sequence":"additional","affiliation":[{"name":"Academic Colorectal Unit Sydney Medical School \u2013 Concord University of Sydney Sydney New South Wales Australia"},{"name":"Clinical and Population Perinatal Health Research Kolling Institute of Medical Research University of Sydney Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K.","family":"Hamd","sequence":"additional","affiliation":[{"name":"School of Medicine University of Western Sydney Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Nagarajah","sequence":"additional","affiliation":[{"name":"School of Medicine University of Western Sydney Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. 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